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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
Citation Text:
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
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psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - Study
Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.
Citation Text:
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - Study
Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17…
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digital.ahrq.gov/funding-mechanism/ahrq-grants-health-services-research-dissertation-r36
January 01, 2023 - AHRQ Grants for Health Services Research Dissertation (R36)
Heuristics in managing complex clinical decision tasks in experts' decision making.
Citation
Islam R, Weir C, Del Fiol G. Heuristics in managing complex clinical decision tasks in experts' decision making. IEEE Int Co…
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psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
August 03, 2022 - Study
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center
Citation Text:
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…
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psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
October 13, 2010 - Study
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.
Citation Text:
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …
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digital.ahrq.gov/ahrq-funded-projects/treating-comorbid-depression-during-care-transitions-relational-agents
January 01, 2023 - Treating Comorbid Depression During Care Transitions with Relational Agents
Project Final Report ( PDF , 676.96 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…
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psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
August 02, 2015 - Study
Root cause analysis of serious adverse events among older patients in the Veterans Health Administration.
Citation Text:
Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - Study
Patient activation related to fall prevention: a multisite study
Citation Text:
Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010.
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psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
July 20, 2022 - Study
Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.
Citation Text:
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - Study
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.
Citation Text:
Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…
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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2010
January 01, 2010 - Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety - 2010
Project Name
Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety
Principal Investigator
Gardner, William
Organization
Research Institute at Nationwide Children’s…
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psnet.ahrq.gov/issue/barriers-and-facilitators-patient-engagement-patient-safety-patients-and-healthcare
June 09, 2021 - Review
Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.
Citation Text:
Chegini Z, Arab‐Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in…
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization
December 01, 2021 - Study
Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.
Citation Text:
Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…
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psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-medication-discrepancies-during
August 26, 2020 - Study
Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.
Citation Text:
Cornu P, Steurbaut S, Leysen T, et al. Effect of medication reconciliation at hospital admission on medication disc…
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - Study
Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.
Citation Text:
Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…
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psnet.ahrq.gov/issue/partnering-patients-and-families-living-chronic-conditions-coproduce-diagnostic-safety
October 27, 2021 - Study
Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.
Citation Text:
Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions to coprod…
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psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
March 09, 2022 - Study
Correlates of missed or late versus timely diagnosis of dementia in healthcare settings.
Citation Text:
Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…
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psnet.ahrq.gov/issue/how-scale-quality-and-safety-program-home-care-accreditation
July 27, 2022 - Study
How to scale up quality and safety program with the home care accreditation.
Citation Text:
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
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