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  1. hcup-us.ahrq.gov/reports/statbriefs/sb115.pdf
    June 01, 2011 - Statistical Brief #115: All-Cause Readmissions by Payer and Age, 2008 1 From June 2011 All-Cause Readmissions by Payer and Age, 2008 Lauren M. Wier, M.P.H., Marguerite Barrett, M.S., Claudia Steiner, M.D., M.P.H., and H. Joanna Jiang, Ph.D. Introduction Hospital readmissions have been ide…
  2. psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
    September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination Citation Text: Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…
  3. www.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
    March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Key Study Outcomes Across Grants Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overvi…
  4. psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
    March 20, 2019 - Book/Report Classic Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Citation Text: Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. Copy Citation …
  5. psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
    April 21, 2021 - Study Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. Citation Text: Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-repackaging of medicat…
  6. digital.ahrq.gov/ahrq-funded-projects/best-practices-integrating-clinical-decision-support-clinical-workflow
    January 01, 2023 - Best Practices For Integrating Clinical Decision Support Into Clinical Workflow Project Final Report ( PDF , 513.15 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…
  7. psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
    February 23, 2022 - Study Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Citation Text: Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…
  8. digital.ahrq.gov/sites/default/files/docs/resource/Timeline_at_a_glance_high_level_snapshot_on_the_progress.pdf
    June 17, 2005 - Microsoft PowerPoint - Timeline at a glance - high level snapshot on the progress.ppt Volunteer eHealth Initiative Board Meeting June 13, 2005 6:00 p.m. – 8:00 p.m. Agenda • Review and accept minutes from 5/9/05 meeting • Old Business  State planning grant status  State sub-contract status  Executive direct…
  9. psnet.ahrq.gov/issue/bridging-gap-between-culture-and-safety-critical-care-context-role-work-debate-spaces
    July 15, 2020 - Study Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Citation Text: Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci…
  10. digital.ahrq.gov/ahrq-funded-projects/modeling-and-analysis-clinical-care-health-information-technology-improvement/annual-summary/2012
    January 01, 2012 - Modeling and Analysis of Clinical Care for Health Information Technology Improvement - 2012 Project Name Modeling and Analysis of Clinical Care for Health Information Technology Improvement Principal Investigator Butler, Keith Organization University of Washington Fun…
  11. digital.ahrq.gov/ahrq-funded-projects/value-imaging-related-information-technology/annual-summary/2008
    January 01, 2008 - Value of Imaging-Related Information Technology - 2008 Project Name Value of Imaging-Related Information Technology Principal Investigator Gazelle, Scott Organization Massachusetts General Hospital Funding Mechanism RFA: HS04-012: Demonstrating the Value of Health I…
  12. psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
    June 14, 2023 - Study Use of error management theory to quantify and characterize residents' error recovery strategies. Citation Text: Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:1…
  13. psnet.ahrq.gov/issue/adverse-diagnostic-events-hospitalised-patients-single-centre-retrospective-cohort-study
    December 07, 2022 - Study Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. Citation Text: Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. d…
  14. psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide
    June 13, 2011 - Commentary Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Citation Text: Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2…
  15. psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
    October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…
  16. psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
    September 29, 2017 - Study Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed. Citation Text: Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
  17. psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
    January 15, 2025 - Study Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. Citation Text: Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …
  18. psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
    December 14, 2016 - Study Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines review service. Citation Text: Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge: implementation study of a patient-ce…
  19. psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
    July 24, 2017 - Study Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. Citation Text: Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying ad…
  20. psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability
    April 03, 2019 - Study Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. Citation Text: Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;2…