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www.ahrq.gov/news/newsroom/case-studies/cquips0901.html
October 01, 2014 - New York City Uses AHRQ Patient Safety Culture Survey to Reduce Patient Harm
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November 2008
The New York City Health and Hospitals Corporation (HHC) has integrated the use of AHRQ's Hospital Survey on Patient Safety Culture as a core component of its corporate-wide patient sa…
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psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
December 19, 2009 - Study
Classic
Hospital readmissions: physician awareness and communication practices.
Citation Text:
Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…
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psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
June 07, 2023 - Study
Representative case series from public hospital admissions 1998 II: surgical adverse events.
Citation Text:
Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591.
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psnet.ahrq.gov/issue/hidden-curriculum-and-residents-attitudes-about-medical-error-disclosure-comparison-surgical
September 30, 2020 - Study
The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents.
Citation Text:
Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and no…
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psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
January 11, 2017 - Study
Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study.
Citation Text:
Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…
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psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
June 25, 2014 - Study
Developing a patient measure of safety (PMOS).
Citation Text:
Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843.
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psnet.ahrq.gov/issue/role-registered-nurses-error-prevention-discovery-and-correction
August 04, 2021 - Study
Role of registered nurses in error prevention, discovery and correction.
Citation Text:
Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699.
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psnet.ahrq.gov/issue/impact-age-anaesthesiologists-competence-narrative-review
December 15, 2014 - Review
Impact of age on anaesthesiologists' competence: a narrative review.
Citation Text:
Giacalone M, Zaouter C, Mion S, et al. Impact of age on anaesthesiologists' competence: A narrative review. Eur J Anaesthesiol. 2016;33(11):787-793.
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Google Schol…
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psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
July 10, 2008 - Study
Classic
Posthospital medication discrepancies: prevalence and contributing factors.
Citation Text:
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847.
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psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
October 16, 2024 - Review
Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review.
Citation Text:
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…
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psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions
September 01, 2018 - Commentary
Can communication-and-resolution programs achieve their potential? Five key questions.
Citation Text:
Gallagher TH, Mello MM, Sage WM, et al. Can Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions. Health Aff (Millwood). 2018;37(11):1845-1852. do…
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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