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psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals
August 11, 2021 - Review
Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review.
Citation Text:
Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. …
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www.ahrq.gov/ncepcr/tools/confid-report/index.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamentals
Part Two: Design of Physi…
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psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
October 20, 2021 - Commentary
The perfect storm: exam of a medical error and factors contributing to its possible escalation.
Citation Text:
Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/displaying-radiation-exposure-and-cost-information-order-entry-outpatient-diagnostic-imaging
August 04, 2015 - Study
Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering.
Citation Text:
Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…
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psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
November 16, 2015 - Commentary
World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.
Citation Text:
Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
September 01, 2021 - EvidenceNOW Building State Capacity Profile: Alabama Cooperative
Alabama Cooperative
Project Name:
Alabama Cardiovascular
Cooperative
Principal Investigators:
Andrea L. Cherrington, MD, MPH
and Elizabeth Jackson, MD, MPH,
FAHA, University of Alabama at
Birmingham
Cooperative Partners:
Alabama Department …
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psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
March 16, 2022 - Study
Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study.
Citation Text:
Khaja KAJA, Ansari TMA, Damanhori AHH, et al. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Healt…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
July 17, 2024 - Study
Inappropriate diagnosis of pneumonia among hospitalized adults.
Citation Text:
Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077.
Copy Citation
Form…
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psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
April 20, 2022 - Review
The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.
Citation Text:
Blatter C, Osińska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/co.html
March 01, 2019 - State at a Glance: Colorado
Learn more about the CHIPRA quality demonstration projects being implemented in Colorado.
Colorado is featured in the following reports from the National Evaluation:
Evaluation Highlight No . 3: How are CHIPRA Quality Demonstration States working to improve adolescent health?
…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/nm.html
March 01, 2019 - State at a Glance: New Mexico
Learn more about the CHIPRA quality demonstration projects being implemented in New Mexico.
New Mexico is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 3: How are CHIPRA Quality Demonstration States working to improve adolescent hea…
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psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
December 19, 2012 - Study
Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility.
Citation Text:
Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …
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psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
January 19, 2014 - Study
Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study.
Citation Text:
McEachan RRC, Lawton R, O'Hara JK, et al. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. BMJ Qual Saf. 2014;23(7):56…
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psnet.ahrq.gov/issue/are-language-barriers-associated-serious-medical-events-hospitalized-pediatric-patients
November 16, 2022 - Study
Classic
Are language barriers associated with serious medical events in hospitalized pediatric patients?
Citation Text:
Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric Patients? Pediatrics. 2005;116(3):575…
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psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
March 01, 2017 - Facility Action Plan Template
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-computer-generated-after-visit-summaries-support-patient-centered/annual-summary/2012
January 01, 2012 - Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care - 2012
Project Name
Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care
Principal Investigator
Pavlik, Valory
Organization
University of New Mexico
…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…