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  1. psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
  2. psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
    January 22, 2016 - Study "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. Citation Text: O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…
  3. 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.…
  4. psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
    August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…
  5. digital.ahrq.gov/organization/medstar-research-institute
    January 01, 2023 - MedStar Health Research Institute Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insigh…
  6. digital.ahrq.gov/location/usa-md-hyattsville
    January 01, 2023 - USA, MD, Hyattsville Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how t…
  7. psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
    March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
  8. 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. Copy Citation Format: …
  9. digital.ahrq.gov/track-2-implementation-issues-patient-safety-and-health-it
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  10. www.ahrq.gov/talkingquality/translate/scores/scoring.html
    June 01, 2016 - Scoring Different Kinds of Health Care Quality Measures The scores you present in your report depend in large part on the kind of measure(s) you are reporting. This page reviews the scoring issues you will face with a variety of measures. Organization-Level “Yes or No” The simplest kind of measure involves …
  11. psnet.ahrq.gov/issue/preventing-dispensing-errors-alerting-drug-confusions-pharmacy-information-system-survey
    August 19, 2009 - Study Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users. Citation Text: Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of use…
  12. psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute
    February 14, 2024 - Study Sleep and errors in a group of Australian hospital nurses at work and during the commute. Citation Text: Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…
  13. psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …
  14. 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. Copy Citation Format: DOI Google …
  15. psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
    January 22, 2016 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…
  16. integrationacademy.ahrq.gov/news-and-events/news/substance-use-disorder-treatment-month-january-inaugural-event
    January 08, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  17. psnet.ahrq.gov/issue/machine-learning-medication-prescription-systematic-review
    October 16, 2013 - Study Machine learning in medication prescription: a systematic review. Citation Text: Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241. Copy Citation Format:…
  18. psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
    February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…
  19. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
    January 01, 2011 - Randomization of the HIT-discharge communication occurred at the time of hospital discharge. … Randomization of the HIT- discharge communication occurred at the time of hospital discharge. … Randomization of the HIT- discharge communication occurred at the time of hospital discharge. … and the need for a follow-up visit within 14 days of discharge. … Randomization of the HIT-discharge communication occurred at the time of hospital discharge.
  20. digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-hospital.pdf
    January 26, 2009 - Discharge Summaries and Surgical Reports Approximately how many discharge summaries and surgical reports … Discharge Summaries: Quantity Timeframe Surgical Reports: Quantity Timeframe … Describe your process for delivering discharge summaries and surgical reports to the ordering provider … From x to y Turn around time Date of surgery to report delivered Date of discharge … Document title: Document Workflow Assessment Guide - Hospital Lab results Radiology results Discharge