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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2010
January 01, 2010 - Veterans Administration (VA) Integrated Medication Manager - 2010
Project Name
Veterans Administration (VA) Integrated Medication Manager
Principal Investigator
Nebeker, Jonathan
Organization
Western Institute for Biomedical Research
Funding Mechanism
RFA: HS07-006:…
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psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
January 08, 2020 - Study
Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety.
Citation Text:
Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Un…
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psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
August 04, 2021 - Study
Malpractice cases in breast surgery: an assessment of litigation involving surgeons.
Citation Text:
Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-1…
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of unsafe care.
Citation Text:
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …
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psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
August 24, 2022 - Study
Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities.
Citation Text:
Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…
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psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
July 08, 2020 - Study
On higher ground: ethical reasoning and its relationship with error disclosure.
Citation Text:
Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496.
Copy Citation…
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psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
February 15, 2023 - Study
"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.
Citation Text:
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …
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psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
November 16, 2022 - Study
Improving communication with primary care physicians at the time of hospital discharge.
Citation Text:
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…
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psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
October 27, 2021 - Study
Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.
Citation Text:
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness a…
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psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
May 01, 2024 - Study
Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study.
Citation Text:
Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…
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psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
June 08, 2022 - Review
Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review.
Citation Text:
Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Sa…
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psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
February 22, 2017 - Study
Classic
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.
Citation Text:
Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…
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psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
May 29, 2019 - Review
Classic
Adverse outcomes of polypharmacy in older people: systematic review of reviews.
Citation Text:
Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):1…
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psnet.ahrq.gov/issue/patient-initiated-voluntary-online-survey-adverse-medical-events-perspective-696-injured
May 20, 2020 - Study
Classic
A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families.
Citation Text:
Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical events:…
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psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
September 04, 2013 - Study
Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training.
Citation Text:
Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal storie…
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psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
October 05, 2016 - Study
Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Introduction
The Agency for Healthcare Research and Quality developed On-Time Preventable Hospital and Emergency Department Visits for nursing homes with an electronic medical record (EMR). The tools are desi…
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digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-interview-script.pdf
June 16, 2021 - Baseline Clinician Interview Script
Baseline Clinician Interview Script
Primary Care Development Corporation, New York NY
This is an interview guide designed to be conducted with clinical staff in an
ambulatory setting. The tool includes questions to assess the current state of
electronic health records.
Permiss…
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digital.ahrq.gov/funding-mechanism/evidence-based-practice-centers-epcs
January 01, 2023 - Evidence-based Practice Centers (EPCs)
Outcomes from health information exchange: systematic review and future research needs
Citation
Hersh WR, Totten AM, Eden KB, et al. Outcomes from health information exchange: systematic review and future research needs. JMIR Med Inform 2…
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psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study
July 21, 2017 - Study
The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study.
Citation Text:
O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…