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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-driscoll.pdf
April 01, 2015 - Transforming Primary Care Practice
Transforming Primary Care Practice
Principal Investigator: David L. Driscoll, PhD, MPH, MA
Institution: University of Alaska, Anchorage
AHRQ Grant Number: R18 HS019154
Overview of Transformation Efforts
In 1998, Southcentral Foundation (SCF) assumed responsibility for
p…
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digital.ahrq.gov/principal-investigator/root-jan
January 01, 2023 - Root, Jan
State and Regional Demonstration in Health Information Technology: Utah - Final Report
Citation
Utah Health Information Network. State and Regional Demonstration in Health Information Technology: Utah - Final Report. (Prepared by the Utah Health Information Network u…
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psnet.ahrq.gov/node/867685/psn-pdf
March 05, 2025 - Understanding factors influencing safety and team
functionality at operative vaginal birth through
multidisciplinary perspectives: a mixed methods study.
March 5, 2025
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at
operative vaginal birth through multidis…
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psnet.ahrq.gov/node/837730/psn-pdf
January 01, 2023 - Factors influencing medication errors in the prehospital
paramedic environment: a mixed method systematic
review.
July 28, 2022
Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic
environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…
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psnet.ahrq.gov/node/40355/psn-pdf
July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists
Aren't Enough to Save Lives.
July 9, 2012
Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011.
https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
Silence Kills was a 2005 report that highligh…
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psnet.ahrq.gov/node/47725/psn-pdf
March 06, 2019 - Overcoming human barriers to safety event reporting in
radiology.
March 6, 2019
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in
Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
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psnet.ahrq.gov/node/47498/psn-pdf
March 05, 2019 - Data omission by physician trainees on ICU rounds.
March 5, 2019
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med.
2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
Reporting complete p…
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psnet.ahrq.gov/node/47361/psn-pdf
April 07, 2019 - Implementing bedside handoff in the emergency
department: a practice improvement project.
April 7, 2019
Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice
Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007.
https://psnet.ahrq.gov/issue/imple…
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psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature.
April 21, 2021
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient
safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090.
doi:10.1080/00140139.2021.1906454.…
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psnet.ahrq.gov/node/864370/psn-pdf
March 13, 2024 - How do patients and care partners describe diagnostic
uncertainty in an emergency department or urgent care
setting?
March 13, 2024
DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic
uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20…
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psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - The impact of computerised physician order entry and
clinical decision support on pharmacist–physician
communication in the hospital setting: a qualitative study.
February 27, 2019
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and
clinical decision support on pharm…
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psnet.ahrq.gov/node/44370/psn-pdf
November 20, 2015 - Interunit handoffs from emergency department to
inpatient care: a cross-sectional survey of physicians at a
university medical center.
November 20, 2015
Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A
cross-sectional survey of physicians at a university medi…
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psnet.ahrq.gov/node/47356/psn-pdf
September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety.
September 5, 2018
Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-
562. doi:10.1016/j.jopan.2018.05.003.
https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
The health ca…
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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Improving handoff by deliberate cognitive processing:
results from a randomized controlled experimental study.
April 28, 2021
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results
from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
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psnet.ahrq.gov/node/73637/psn-pdf
August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's
Death at the VA Salt Lake City Healthcare System in Utah.
August 25, 2021
Washington, DC: Department of Veterans Affairs, Office of Inspector General. July 29, 2021. Report
No. 21-00657-197.
https://psnet.ahrq.gov/issue/failures-care-coordination-and-re…
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psnet.ahrq.gov/node/45145/psn-pdf
January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to
promote patient and family involvement in care in a
pediatric emergency department.
January 8, 2018
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote
Patient and Family Involvement in Care in a Pediatric…
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psnet.ahrq.gov/node/46359/psn-pdf
September 21, 2017 - Parent–provider miscommunications in hospitalized
children.
September 21, 2017
Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp
Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190.
https://psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-ch…
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psnet.ahrq.gov/node/43853/psn-pdf
March 11, 2015 - Expressing concern and writing it down: an experimental
study investigating transfer of information at nursing
handover.
March 11, 2015
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study
investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022746-neale-final-report-2014.pdf
January 01, 2014 - patients in the safety net clinics logged into the EHR web portal to access their records
or communicate … Use secure electronic messaging to communicate with patients on
relevant health information, specifically … when more “than 10% of patients use
secure electronic messaging to communicate with their providers … patients’ utilization of a secure Web portal (the EpicCare EHR) to
view their medical records and communicate … relevant educational information in the
patient’s preferred language, and the opportunity to communicate