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psnet.ahrq.gov/issue/understanding-medical-errors-and-adverse-events-icu-patients
March 20, 2015 - Commentary
Understanding medical errors and adverse events in ICU patients.
Citation Text:
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
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psnet.ahrq.gov/issue/diagnosing-fast-and-slow-cognitive-bias-obstetrics
February 22, 2019 - Commentary
Diagnosing fast and slow: cognitive bias in obstetrics.
Citation Text:
Atallah F, Gomes C, Minkoff H. Diagnosing fast and slow: cognitive bias in obstetrics. Obstet Gynecol. 2023;142(3):727-732. doi:10.1097/aog.0000000000005303.
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psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy
December 11, 2013 - Study
Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy.
Citation Text:
James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/patient-narratives-webinar-stories.pdf
July 01, 2020 - The Power of Patient Stories for Improving the Patient Experience webcast - Grob
The Power of Patient Stories
R AC H E L G RO B , M A , P h D
D I R E C TO R O F N AT I O N A L I N I T I AT I V E S
C L I N I C A L P RO F E S S O R
S C I E N T I S T
C A H P S We b c a s t
5 / 1 2 / 2 2
Let me tell you a sto…
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psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit-level-hospitals
August 20, 2014 - Study
Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals.
Citation Text:
Dubois C-A, D'Amour D, Tchouaket E, et al. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Int J …
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psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
November 15, 2017 - Study
The impact of interruptions on medication errors in hospitals: an observational study of nurses.
Citation Text:
Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2b-SBAR_LRI_Final.pdf
June 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
¨ No ¨ Yes Other active diagno…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Antibiogram
Nursing Home Name/Clinical Laboratory Name
Antibiogram for dd/mm/yyyy to dd/mm/yyyy
Gram Negative
Gram Positive
Antibiotic Tested
Escherichia coli
Klebsiella pneumoniae
Proteus mirabilis
Pseudomonas aeruginosa
Staphylococcus aureus
Non…
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psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
August 26, 2011 - Study
The value of 'gentle reminder' on safe medical behaviour.
Citation Text:
Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763.
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psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
July 31, 2019 - Commentary
Pain as the neglected patient safety concern: five years on.
Citation Text:
Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422.
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digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Project Description
Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system.
Citation Text:
Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
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digital.ahrq.gov/health-care-theme/telehealth
January 01, 2023 - Telehealth
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi-D) s…
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psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
November 13, 2024 - Review
Healthcare staff wellbeing, burnout, and patient safety: a systematic review.
Citation Text:
Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015.
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - Commentary
The foundational science of learning health systems.
Citation Text:
Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374.
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psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
January 25, 2023 - Commentary
Expert consensus on currently accepted measures of harm.
Citation Text:
Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shea-cm-halladay-jr
January 01, 2023 - Shea CM, Halladay JR, Reed D, et al. "Integrating a health-related-quality-of-life module within electronic health records: a comparative case study assessing value added."
Reference
Shea CM, Halladay JR, Reed D, et al. Integrating a health-related-quality-of-life module within electronic health recor…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dorr-d-et-al-2007
January 01, 2007 - Dorr D et al. 2007 "Informatics systems to promote improved care for chronic illness: a literature review."
Reference
Dorr D, Bonner LM, Cohen AN, et al. Informatics systems to promote improved care for chronic illness: a literature review. J Am Med Inform Assoc 2007;14(2):156-163.
[Link]
Abst…
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hcup-us.ahrq.gov/db/vars/cm_depress/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/vars/cm_dm/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…