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psnet.ahrq.gov/node/850914/psn-pdf
June 21, 2023 - A call for safety: anticipating and mitigating risk across
an obstetrics and gynecology service line.
June 21, 2023
Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology
service line. J Healthc Risk Manag. 2023;43(1):38-42. doi:10.1002/jhrm.21538.
https://psnet.…
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psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
…
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psnet.ahrq.gov/node/866812/psn-pdf
September 25, 2024 - Patient perspectives on adverse event investigations in
health care.
September 25, 2024
Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in
health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x.
https://psnet.ahrq.gov/issue/patient-p…
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psnet.ahrq.gov/node/60519/psn-pdf
May 27, 2020 - Reducing the risk of diagnostic error in the COVID-19 era.
May 27, 2020
Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med.
2020;15(6):363-366. doi:10.12788/jhm.3461.
https://psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
The authors present a nomenclature …
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psnet.ahrq.gov/node/60206/psn-pdf
April 08, 2020 - Reducing high-risk medication use through pharmacist-
led interventions in an outpatient setting.
April 8, 2020
Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions
in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.japh.2020.01.013.
https://psnet.a…
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psnet.ahrq.gov/node/838325/psn-pdf
October 12, 2022 - Comprehensive Healthcare Inspection Summary Report:
Evaluation of Care Coordination in Veterans Health
Administration Facilities, Fiscal Year 2021.
October 12, 2022
Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.
https://psnet.ahrq.gov/issue/comprehensive-healthcare…
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psnet.ahrq.gov/node/46830/psn-pdf
May 30, 2018 - A call to bridge across silos during care transitions.
May 30, 2018
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm
J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…
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psnet.ahrq.gov/node/44412/psn-pdf
August 26, 2015 - Blame the patient, blame the doctor or blame the system?
A meta-synthesis of qualitative studies of patient safety in
primary care.
August 26, 2015
Daker-White G, Hays R, McSharry J, et al. Blame the Patient, Blame the Doctor or Blame the System? A
Meta-Synthesis of Qualitative Studies of Patient Safety in Primary…
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery.
July 12, 2023
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
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psnet.ahrq.gov/node/34957/psn-pdf
February 28, 2011 - Coordinating care across diseases, settings, and
clinicians: a key role for the generalist in practice.
February 28, 2011
Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for
the generalist in practice. Ann Intern Med. 2005;142(8):700-708.
https://psnet.ah…
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psnet.ahrq.gov/node/853612/psn-pdf
September 20, 2023 - Pharmacy e-prescription dispensing before and after
CancelRx implementation.
September 20, 2023
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx
implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46260/psn-pdf
July 26, 2017 - ACOG Committee opinion #680: the use and development
of checklists in obstetrics and gynecology.
July 26, 2017
American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality
Improvement. Obstet Gynecol. 2016;128:e237-e240.
https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
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psnet.ahrq.gov/node/852283/psn-pdf
January 01, 2024 - Physician engagement in organisational patient safety
through the implementation of a Medical Safety Huddle
initiative: a qualitative study.
August 9, 2023
Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety
through the implementation of a Medical Safety Huddle initiat…
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psnet.ahrq.gov/node/867018/psn-pdf
October 23, 2024 - Parents' perceptions of patient safety in paediatric
hospital care-a mixed-methods systematic review.
October 23, 2024
Witkowska MI, Janhunen K, Sak?Dankosky N, et al. Parents' perceptions of patient safety in paediatric
hospital care—a mixed?methods systematic review. J Adv Nurs. 2024;Epub Aug 9. doi:10.1111/jan.1…
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psnet.ahrq.gov/node/60603/psn-pdf
June 17, 2020 - Promoting psychosocial well-being of health care staff
during crisis.
June 17, 2020
Promoting psychosocial well-being of health care staff during crisis.
https://psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis
Effective practice in times of crisis is reliant on a workforce th…
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psnet.ahrq.gov/node/72785/psn-pdf
July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve
Quality at the Point of Care (R21/R33 - Clinical Trial
Optional).
July 22, 2024
Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.
https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
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www.ahrq.gov/hai/telemedicine/index.html
June 01, 2024 - AHRQ Safety Program for Telemedicine
This ongoing implementation project is a national effort to develop and implement a bundle of evidence-based interventions to improve antibiotic use in the telemedicine environment.
About This Project The AHRQ Safety Program for Telemedicine will work directly with healthc…
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psnet.ahrq.gov/node/847539/psn-pdf
April 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a
qualitative study.
April 12, 2023
King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative
study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015.
https://psnet.ahrq.gov/issue/potential-uses-ai-perio…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_hpchartbook_infographic.pdf
January 01, 2018 - 2018 CAHPS Health Plan Survey Database Chartbook Executive Summary
CAHPS® 2018 Health Plan Survey Database Results
Executive Summary
This overview of results summarizes how health plan enrollees across all populations rate their
health plan based on the 218 Consumer Assessment of Healthcare Providers and Systems…
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digital.ahrq.gov/ahrq-funded-projects/rheumatology-informatics-system-effectiveness-patient-reported-outcome-rise-pro/citation/development
January 01, 2023 - The development of the rheumatology informatics system for effectiveness learning collaborative for improving patient-reported outcome collection and patient-centered communication in adult rheumatology.
Citation
Subash M, Liu LH, DeQuattro K, Choden S, Jacobsohn L, Katz P, Bajaj P, Barton JL, Bartels…