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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Study
Classic
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.
Citation Text:
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…
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psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
February 14, 2024 - Review
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.
Citation Text:
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…
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psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease
September 18, 2024 - Study
Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease.
Citation Text:
Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
June 23, 2021 - Study
Role of computerized physician order entry usability in the reduction of prescribing errors.
Citation Text:
Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…
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psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
October 19, 2022 - Review
Patient safety in the operating room—part 1 and part 2.
Citation Text:
Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531.
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psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
January 04, 2010 - Review
Debiasing health-related judgments and decision making: a systematic review.
Citation Text:
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
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digital.ahrq.gov/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-minnesota
January 01, 2023 - Participation by Primary Care Practices in Health Information Exchange in Minnesota
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-07-10010-2
Funding Mechanism(s)
Primary Ca…
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
June 25, 2010 - Study
Classic
Nurse-staffing levels and the quality of care in hospitals.
Citation Text:
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22.
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psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - Commentary
Classic
Anesthetic mishaps: breaking the chain of accident evolution.
Citation Text:
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6.
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Format:
Goo…
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psnet.ahrq.gov/issue/medication-reconciliation-academic-medical-center-implementation-comprehensive-program
April 24, 2018 - Commentary
Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.
Citation Text:
Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive …
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psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
July 15, 2020 - Review
Sleep and circadian misalignment for the hospitalist: a review.
Citation Text:
Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903.
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DOI Google Schola…
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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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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Toolkits
What Toolkits Does the Guide Include?
The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic use.
Toolkits To Implement, Monitor, and Sustain an Antimicrobial Stewardship Program
Most nursing homes will need a team of people to organize stewardship activi…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/index.html
September 01, 2015 - Primary Care Transformation
AHRQ recognizes that revitalizing the Nation’s primary care system is foundational to achieving high-quality, accessible, and efficient health care for all Americans. The patient-centered medical home (PCMH) (also referred to as the primary care medical home, advanced primary care, o…
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psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required
June 08, 2022 - Study
Teaching medical students about medical errors and patient safety: evaluation of a required curriculum.
Citation Text:
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6.
Co…
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psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug
September 14, 2016 - Commentary
Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems.
Citation Text:
Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dis…
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - Study
Increasing vigilance on the medical/surgical floor to improve patient safety.
Citation Text:
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 19G: HCBS Population Age 65+
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCB…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 3-A. Suggested Slides for Module 3
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
January 22, 2017 - Study
Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise.
Citation Text:
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…