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psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
March 03, 2021 - Review
Emerging Classic
Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review.
Citation Text:
Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for…
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psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
May 18, 2022 - Study
Parent participation in morbidity and mortality review: parent and physician perspectives.
Citation Text:
de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…
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psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - Book/Report
Classic
Patient Safety in Ambulatory Settings.
Citation Text:
Patient Safety in Ambulatory Settings. Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publi…
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psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
December 29, 2014 - Commentary
Consumer-directed technologies to improve medication management and safety.
Citation Text:
Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029.
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Fo…
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digital.ahrq.gov/care-setting/community-health-center
January 01, 2023 - Community Health Center
Machine-Learning Prediction Model for Personalized Urinary Tract Infection Care in Children
Description
The study will develop and implement a validated machine learning model to optimize voiding cystourethrogram timing and use for diagnosing vesicouret…
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psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
December 18, 2017 - Review
Carers' medication administration errors in the domiciliary setting: a systematic review.
Citation Text:
Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…
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psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
June 15, 2022 - Study
The role of personal health information management in promoting patient safety in the home: a qualitative analysis
Citation Text:
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient safety in the home: a qualitative analysis. Stud …
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www.ahrq.gov/pqmp/implementation-qi/lessons.html
August 01, 2021 - Lessons from the Field Reports
The Pediatric Quality Measures Program (PQMP) was established to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children's health care services. It was established following enactment of the Children's H…
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - Book/Report
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.
Citation Text:
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…
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psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
June 27, 2018 - Study
Classic
A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.
Citation Text:
Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…
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psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
February 03, 2010 - Study
Classic
A survey of the impact of disruptive behaviors and communication defects on patient safety.
Citation Text:
Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/44644/psn-pdf
February 14, 2017 - is under pressure to
relax restrictions on marketing of drugs for off-label purposes and raises the concern
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - Through qualitative analysis, they identified a concern about loss of physicians' decision-making
autonomy
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psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - However, providers in intensive care settings expressed
concern about the negative impact new designs
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psnet.ahrq.gov/node/36979/psn-pdf
February 28, 2011 - research
has shown fewer errors when housestaff worked shorter shifts, many commentators have raised concern
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psnet.ahrq.gov/node/36460/psn-pdf
May 27, 2011 - While prior research has raised concern that implementation of CPOE systems may result in more
ADEs,
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psnet.ahrq.gov/node/46594/psn-pdf
November 01, 2017 - Respondents had significant concern about
affecting collegial relationships and expressed a desire for
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - ://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raised the concern
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - defining-estimating-and-communicating-overdiagnosis-cancer-screening
Overdiagnosis is a growing area of concern
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cds.ahrq.gov/sites/default/files/cds/artifact/476/EnhancementofCDSArtifact%20BasedonPilotImplementation10012018.pdf
December 01, 2018 - Enhancements made to align with the CDC guideline
Clinical Concept Concern and Enhancement Comments … of the summary was
the best way forward.
10
Clinical Concept Concern … Enhancements made in collaboration with the pilot site
Clinical
Concept Concern and Enhancement Comments … are always empty
since encounters don’t carry those
dates.
13
Clinical
Concept Concern … Enhancements made during CDS integration
Clinical
Concept Concern and Enhancement Comments
Assessment