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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
February 09, 2011 - Study
Classic
A surgical safety checklist to reduce morbidity and mortality in a global population.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
December 21, 2014 - Study
Classic
Association between implementation of a medical team training program and surgical mortality.
Citation Text:
Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - Study
A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America.
Citation Text:
Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miyasaka-k-et-al-1997
January 01, 1997 - Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care."
Reference
Miyasaka K, Suzuki Y, Sakai H, et al. Interactive communication in high-technology home care: videophones for pediatric ventilatory care. Pediatrics 1997;99(1):E11-E16…
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
April 14, 2011 - Review
Emerging Classic
Hierarchy and medical error: speaking up when witnessing an error.
Citation Text:
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons
January 04, 2010 - Study
The impact of the 80-hour resident workweek on surgical residents and attending surgeons.
Citation Text:
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Study
Assessment of patient retention of inpatient care information post-hospitalization.
Citation Text:
Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs024488-saleem-final-report-2018.pdf
January 01, 2018 - Ambulatory Clinic Exam Room Design with Respect to Computing Devices to Enhance Patient Centeredness - Final Report
Ambulatory Clinic Exam Room Design with
respect to Computing Devices to Enhance
Patient Cen…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - Final Report
Grant Final Report
Grant ID: R21HS021008
Barriers and Facilitators to Implementation and
Adoption of EHR in Home Care
Inclusive Project Dates: 09/30/11 – 0…
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psnet.ahrq.gov/node/37505/psn-pdf
February 06, 2008 - Health Literacy Practices in Primary Care Settings:
Examples from the Field.
February 6, 2008
Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008.
https://psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
This report describes tactics for cl…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/citation/comparative
January 01, 2023 - Comparative effectiveness of patient-centered strategies to improve FDA medication guides.
Citation
Wolf MS, Bailey SC, Serper M, et al. Comparative effectiveness of patient-centered strategies to improve FDA medication guides. Med Care 2014;52(9):781–9. PMID: 25119953.
Link
https://www.ncbi.n…
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psnet.ahrq.gov/node/41452/psn-pdf
June 06, 2012 - Patient Safety and Satisfaction: The State of American
Hospitals.
June 6, 2012
Golden, CO: HealthGrades Inc.; May 2012.
https://psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
This report used Medicare hospitalization data from 2008–2010 to explore correlations between
patient–provid…
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psnet.ahrq.gov/node/33939/psn-pdf
January 17, 2012 - VHA National Patient Safety Improvement Handbook.
January 17, 2012
https://psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
A handbook developed by the VA and the National Center for Patient Safety that provides guidance on how
to limit opportunities that adversely impact patient safety and car…
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psnet.ahrq.gov/node/41848/psn-pdf
November 28, 2016 - The heart of health care: parents' perspectives on patient
safety.
November 28, 2016
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin
North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
https://psnet.ahrq.gov/issue/heart-health-care-parents-perspec…
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psnet.ahrq.gov/node/37316/psn-pdf
January 04, 2012 - Health information exchange and patient safety.
January 4, 2012
Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6
Suppl):S40-5.
https://psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
This review spotlights specific areas in which health informatio…
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psnet.ahrq.gov/node/40572/psn-pdf
June 27, 2018 - Understanding care transitions as a patient safety issue.
June 27, 2018
Butterfield S; Stegel C; Glock S; Tartaglia D.
https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by
improving …
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psnet.ahrq.gov/node/38187/psn-pdf
October 29, 2008 - The importance of simulation: preventing hand-off
mistakes.
October 29, 2008
Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627.
doi:10.1016/j.aorn.2008.09.007.
https://psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
This article discusses an AHRQ…
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psnet.ahrq.gov/node/40261/psn-pdf
March 02, 2011 - Doctors' handovers in hospitals: a literature review.
March 2, 2011
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual
Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
https://psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
This review ex…
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psnet.ahrq.gov/node/36597/psn-pdf
June 24, 2015 - Patient safety: learning from the aviation industry.
June 24, 2015
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage.
2007;38(1):25-30; quiz 31.
https://psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
The authors explain the value of crew resource manageme…