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digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
June 16, 2021 - Health Information Technology & Patient Safety
Health Information Technology &
Patient Safety
Denni McColm, CIO, Citizens Memorial Healthcare
Fast Facts
• 74 acute beds
• Level III trauma center
• 5 LTC facilities
• Residential care & independent living
• Home care/hospice
• 16 physician offices
• 1,550 e…
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psnet.ahrq.gov/node/846451/psn-pdf
March 22, 2023 - Reducing risks in complex care transitions in rural areas:
a grounded theory.
March 22, 2023
Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a
grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964.
doi:10.1080/17482631.2023.2185964.
https://psnet.…
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psnet.ahrq.gov/node/837042/psn-pdf
April 04, 2022 - Leadership Response to a Sentinel Event: Respectful,
Effective Crisis Management.
April 4, 2022
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
Crisis management skills are valuable at both the organizational and clinical …
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psnet.ahrq.gov/node/43505/psn-pdf
April 25, 2016 - Hospitals often ignore policies on using qualified medical
interpreters.
April 25, 2016
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with
limited English. Modern healthcare. 2014;44(35):16-8, 20.
https://psnet.ahrq.gov/issue/hospitals-often-ignore-polici…
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psnet.ahrq.gov/node/42991/psn-pdf
March 12, 2014 - Medication errors in hospitalised children.
March 12, 2014
Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health.
2014;50(1):71-7. doi:10.1111/jpc.12412.
https://psnet.ahrq.gov/issue/medication-errors-hospitalised-children
Consistent with findings from prior st…
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psnet.ahrq.gov/node/42314/psn-pdf
May 19, 2014 - "Apologies" for pathologists: why, when, and how to say
"sorry" after committing a medical error.
May 19, 2014
Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry"
after committing a medical error. Int J Surg Pathol. 2014;22(3):242-6. doi:10.1177/1066896913487986.
h…
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psnet.ahrq.gov/node/60567/psn-pdf
June 03, 2020 - Keeping Nursing Home Residents and Staff Safe in the
Era of COVID-19.
June 3, 2020
National Academy of Medicine. April-June 2020.
https://psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19
Nursing homes are care environments that are particularly challenged by the COVID-19 pandemic. Th…
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psnet.ahrq.gov/node/48082/psn-pdf
June 19, 2019 - Unintended discontinuation of medication following
hospitalisation: a retrospective cohort study.
June 19, 2019
Redmond P, McDowell R, Grimes TC, et al. Unintended discontinuation of medication following
hospitalisation: a retrospective cohort study. BMJ Open. 2019;9(6):e024747. doi:10.1136/bmjopen-2018-
024747.
…
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psnet.ahrq.gov/node/41511/psn-pdf
June 03, 2013 - A multicentre observational study to evaluate a new tool
to assess emergency physicians' non-technical skills.
June 3, 2013
Flowerdew L, Gaunt A, Spedding J, et al. A multicentre observational study to evaluate a new tool to
assess emergency physicians' non-technical skills. Emerg Med J. 2013;30(6):437-43.
doi:10.…
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psnet.ahrq.gov/node/34770/psn-pdf
April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd
ed.
April 17, 2017
Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
Vincent has updated his text on risk management, infusing it with concepts directly rela…
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psnet.ahrq.gov/node/41873/psn-pdf
November 28, 2012 - A new tool to give hospitalists feedback to improve
interprofessional teamwork and advance patient care.
November 28, 2012
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve
interprofessional teamwork and advance patient care. Health Aff (Millwood). 2012;31(11):2485-2492.
do…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/breathe-michigan
January 01, 2023 - Breathe Michigan Screening Survey
This is a questionnaire designed to be completed by African American adults with chronic care needs in patient homes. The tool includes questions to assess the current state of patient-generated health data.
Survey Document
Breathe Michigan Screening Survey
…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/publication
January 01, 2023 - Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium.
Citation
Carayon P, Karsh B-T, Cartmill RS, et al. Incorporating Health Information Technology Into Workflow Redesign--Summary Report Appendix F: Tool Compendium. (Prepared by the Center for…
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digital.ahrq.gov/organization/icahn-school-medicine-mount-sinai
January 01, 2023 - Icahn School Of Medicine At Mount Sinai
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, m…
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Surprise Wire
Citation Text:
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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effectivehealthcare.ahrq.gov/sites/default/files/06_devdelays_autism_potential_high_impact_june_2012.pdf
January 01, 2012 - #06 Developmental Delays ADHD, and Autism
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 06: Developmental Delays, ADHD, and
Autism
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5…
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Citation Text:
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Cit…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Patient and Family Involvement in Care of Mechanically Ventilated Patients
Slide 2: Le…
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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - The Dropped "No"
October 1, 2011
Johnson AJ. The Dropped "No". PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/dropped-no
The Case
A 62-year-old man with a history of cirrhosis was admitted with increasing abdominal girth and swelling in
his legs. Because the leg swelling was somewhat more pronounced in his…
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - March 5, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …