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digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/citation/dropping-baton-during-handoff
January 01, 2023 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Citation
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf 2009 Sep;…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/do-package
January 01, 2023 - Do package inserts reflect symptoms experienced in practice?: assessment using an automated phone pharmacovigilance system with varenicline and zolpidem in a primary care setting.
Citation
Haas JS, Amato M, Marinacci L, et al. Do package inserts reflect symptoms experienced in practice?: assessment u…
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-15
January 01, 2023 - Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units.
Citation
Hoonakker PL, Carayon P, Brown RL, et al. Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in inten…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/developme-0
January 01, 2023 - Development and preliminary evidence for the validity of an instrument assessing implementation of human-factors principles in medication-related decision-support systems--I-MeDeSA
Citation
Zachariah M, Phansalkar S, Seidling HM, et al. Development and preliminary evidence for the validity of an instr…
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-7
January 01, 2023 - Communication in the ICU and the relation with quality of care and patient safety from a nurse perspective.
Citation
Hoonakker PLT, Carayon P, Douglas S, et al. Communication in the ICU and the relation with quality of care and patient safety from a nurse perspective. In: Sznelwar L, Mascia F, Montedo…
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digital.ahrq.gov/ahrq-funded-projects/engaging-diverse-patients-using-online-patient-portal/citation/disparities
January 01, 2023 - Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hospital.
Citation
Sadasivaiah S, Lyles CR, Kiyoi S, Wong P, Ratanawongsa N. Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hosp…
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-ut/final-report
January 01, 2023 - State and Regional Demonstration in Health Information Technology: Utah - Final Report
Citation
Utah Health Information Network. State and Regional Demonstration in Health Information Technology: Utah - Final Report. (Prepared by the Utah Health Information Network under Contract No. 290-04-0002). AHR…
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digital.ahrq.gov/ahrq-funded-projects/engaging-diverse-patients-using-online-patient-portal/citation/randomized
January 01, 2023 - A randomized trial to train vulnerable primary care patients to use a patient portal.
Citation
Lyles CR, Tieu L, Sarkar U, Kiyoi S, Sadasivaiah S, Hoskote M, Ratanawongsa N, Schillinger D. A randomized trial to train vulnerable primary care patients to use a patient portal. J Am Board Fam Med. 2019 Ma…
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/medication
January 01, 2023 - Enhanced Medication Histories - Final Report
Citation
Simonaitis L. Enhanced Medication Histories - Final Report. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) AHRQ Publication No. 11-0077-EF. Rockville, MD: Agency for Healthcare Research and Quality. Oct…
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/guide
January 01, 2023 - Enhanced medication histories - a guide to implementation in a health information exchange.
Citation
Simonaitis L. Enhanced medication histories - a guide to implementation in a health information exchange. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) R…
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digital.ahrq.gov/ahrq-funded-projects/improving-adherence-and-outcomes-artificial-intelligence-adapted-text-messages/citation/implementation
January 01, 2023 - Implementation of a text message reminder service in an independent community pharmacy: a retrospective analysis of time to prescription pickup and satisfaction.
Citation
Mitrzyk BM, Bici A, Barras M, et al. Implementation of a text message reminder service in an independent community pharmacy: a ret…
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digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/citation/effect-electronic
January 01, 2023 - Effect of electronic prescribing with formulary decision support on medication use and cost.
Citation
Fischer MA, Vogeli C, Stedman M, et al. Effect of electronic prescribing with formulary decision support on medication use and cost. Arch Intern Med 2008 Dec 8;168(22):2433-9.
Link
Fischer MA,…
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digital.ahrq.gov/ahrq-funded-projects/accessing-cutting-edge-implementing-technology-transform-quality-se-kern-2
January 01, 2023 - Against all odds: designing and implementing a grassroots, community-designed RHIO in a rural region.
Citation
Nocella KC, Horowitz KJ, Young JJ. Against all odds: designing and implementing a grassroots, community-designed RHIO in a rural region. J Healthc Inf Manag 2008 Spring;22(2):34-41.
Lin…
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psnet.ahrq.gov/node/41470/psn-pdf
November 15, 2024 - Hospital Safety Grade.
November 15, 2024
Leapfrog Group
https://psnet.ahrq.gov/issue/hospital-safety-grade
Drawing from data reported by the Leapfrog Hospital Survey, the Agency for Healthcare Research and
Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and
Medic…
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psnet.ahrq.gov/node/36525/psn-pdf
January 07, 2011 - Hallmarks of quality and patient safety recommended
baccalaureate competencies and curricular guidelines to
ensure high-quality and safe patient care.
January 7, 2011
Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular
guidelines to ensure high-quality and safe patient ca…
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psnet.ahrq.gov/node/44561/psn-pdf
October 30, 2023 - AHRQ Impact Case Studies: Patient Safety.
October 30, 2023
Agency for Healthcare Research and Quality. 2019-2023.
https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
AHRQ supports the development and testing of various resources for health care organizations to
implement as safety improvement stra…
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psnet.ahrq.gov/node/41815/psn-pdf
July 02, 2014 - Examining the diagnostic justification abilities of fourth-
year medical students.
July 2, 2014
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students.
Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
https://psnet.ahrq.gov/issue/examining-diagnostic…
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psnet.ahrq.gov/node/38599/psn-pdf
May 06, 2009 - Safety on an inpatient pediatric otolaryngology service:
many small errors, few adverse events.
May 6, 2009
Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small
errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:10.1002/lary.20208.
https://psnet.ahrq…
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psnet.ahrq.gov/node/60164/psn-pdf
March 25, 2020 - Patient Safety, Spring 2019 Final CDP Report.
March 25, 2020
Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February
2020.
https://psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
The development of effective measures to document and track patient safety…
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psnet.ahrq.gov/node/47466/psn-pdf
October 17, 2018 - ASHP guidelines on preventing medication errors in
hospitals.
October 17, 2018
Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in
Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811.
https://psnet.ahrq.gov/issue/ashp-guidelines-preven…