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psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote
January 25, 2023 - Study
Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.
Citation Text:
Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…
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psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
January 08, 2025 - Study
Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.
Citation Text:
Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…
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psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
April 05, 2016 - Study
Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.
Citation Text:
Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new…
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psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
May 19, 2021 - Study
Increased patient safety-related incidents following the transition into Daylight Savings Time.
Citation Text:
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Study
Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'
Citation Text:
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
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psnet.ahrq.gov/issue/diagnosis-team-sport-partnering-allied-health-professionals-reduce-diagnostic-errors-case
July 28, 2023 - Study
Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness.
Citation Text:
Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health profes…
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening.
Citation Text:
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
…
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psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - Study
Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.
Citation Text:
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. BMJ Ope…
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www.ahrq.gov/research/findings/final-reports/index.html?page=21
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - Toolkit 3. The Nursing Home Antibiogram Program Toolkit: How To Develop and Implement an Antibiogram Program
Toolkit Effectiveness
This toolkit reflects the results of preliminary work with three nursing homes to develop the antibiogram, train staff, and implement the program. 1
Overview of the Toolkit
Wh…
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psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
December 09, 2020 - Study
Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers.
Citation Text:
Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …
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psnet.ahrq.gov/issue/impact-performance-and-information-feedback-medical-interns-confidence-accuracy-calibration
September 14, 2022 - Study
Impact of performance and information feedback on medical interns' confidence-accuracy calibration.
Citation Text:
Staal J, Katarya K, Speelman M, et al. Impact of performance and information feedback on medical interns' confidence–accuracy calibration. Adv Health Sci Educ Theory P…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/vchip-strategies-for-kdd.pdf
February 01, 2015 - Strategies to Improve Asthma Care and Treatment in Primary Care Practices
Strategies to Improve Asthma Care and Treatment in Primary Care Practices*
The following are strategies that healthcare professionals and primary care practices used to improve office systems to address and
promote optimal asthma treatment as…
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psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
May 05, 2021 - Study
Emerging Classic
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.
Citation Text:
Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.
Citation Text:
Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - Commentary
Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions.
Citation Text:
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
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www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care
DEC
15
2022
By
Members of AHRQ’s National Advisory Council:
Catherine H. Ivory, Ph.D., R.N.; Komal Bajaj, M.D.; MS-HPEd, Jiajie Zhang, Ph.D.; and Kannan Ramar, …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - Grantee Profile
Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology
Lukasz Mazur, Ph.D.
Associate Professor of Radiation Oncology
UNC School of Medicine
Lukasz Mazur, Ph.D.
“AHRQ funding enabled me and my team to develop innovative simulation-based…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
July 01, 2024 - Grantee Profile
Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions
Li Zhou, M.D., Ph.D. Professor of Medicine, Harvard Medical School Lead investigator, Brigham and Women’s Hospital Li Zhou, M.D., Ph.D. “I really appreciate how AHRQ looks for ways to use technology to improve patie…
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psnet.ahrq.gov/issue/effects-shift-length-quality-patient-care-and-health-provider-outcomes-systematic-review
May 18, 2022 - Review
Effects of shift length on quality of patient care and health provider outcomes: systematic review.
Citation Text:
Estabrooks CA, Cummings GG, Olivo SA, et al. Effects of shift length on quality of patient care and health provider outcomes: systematic review. Qual Saf Health Car…