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psnet.ahrq.gov/node/37923/psn-pdf
July 23, 2008 - Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients.
July 23, 2008
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260.
doi:10.2146/ajhp0…
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psnet.ahrq.gov/node/36150/psn-pdf
September 29, 2010 - Nurse-physician communication during labor and birth:
implications for patient safety.
September 29, 2010
Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for
patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56.
https://psnet.ahrq.gov/issue/nurse-physic…
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psnet.ahrq.gov/node/40405/psn-pdf
February 10, 2015 - The social cost of adverse medical events, and what we
can do about it.
February 10, 2015
Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about
it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256.
https://psnet.ahrq.gov/issue/social-cost-adv…
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psnet.ahrq.gov/node/38489/psn-pdf
November 25, 2009 - Evaluation of the contributions of an electronic web-
based reporting system: enabling action.
November 25, 2009
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based
reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…
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psnet.ahrq.gov/node/849329/psn-pdf
May 24, 2023 - Interorganizational health information exchange-related
patient safety incidents: a descriptive register-based
qualitative study.
May 24, 2023
Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient
safety incidents: a descriptive register-based qualitative study. …
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www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-5
February 01, 2009 - Update on Methods: Insufficient Evidence - Table 5
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Table 5. Application of the 4 Domains: Lung Cancer Screening Using Computed Tomography (CT)
Domain
Information
…
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psnet.ahrq.gov/node/41860/psn-pdf
November 28, 2012 - Stakeholder perspectives on handovers between hospital
staff and general practitioners: an evaluation through the
microsystems lens.
November 28, 2012
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and
general practitioners: an evaluation through the microsyste…
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psnet.ahrq.gov/node/47500/psn-pdf
October 24, 2018 - Use of a novel, electronic health record–centered,
interprofessional ICU rounding simulation to understand
latent safety issues.
October 24, 2018
Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered,
Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. …
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - How useful are voluntary medication error reports? The
case of warfarin-related medication errors.
January 6, 2017
Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of
warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - Content analysis of patient safety incident reports for
older adult patient transfers, handovers, and discharges:
do they serve organizations, staff, or patients?
January 8, 2020
Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult
patient transfers, handovers, an…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-73-timeline-iha-ehr-transition
January 01, 2023 - Tool 7.3: Timeline for IHA EHR Transition
Way before
Go-Live
Process Assessment
Assess Charting process
Begin chart abstraction process using Internet Chart Abstraction Tool (ICAT)
Documentation of paper workflows
3 Month Before
Go-Live
Kickoff
…
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www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - Improving Your Laboratory Testing Process
The tools in this step-by-step guide can increase the reliability of the testing process in your office by helping you examine how tests are managed.
A Step-by-Step Guide for Rapid-Cycle Patient Safety and Quality Improvement
About 40 percent of patient encounters i…
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www.ahrq.gov/ncepcr/reports/cost-guide/items-classified.html
February 01, 2017 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Exhibit 3. Items Classified by Estimating Costs Grantees as Direct and Indirect Cost Elements
Previous Page Next Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide a…
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www.ahrq.gov/evidencenow/tools/care-management.html
November 01, 2019 - Care Management – An Implementation Guide for Primary Care Practices
Resource: Care Management – An Implementation Guide for Primary Care Practices (PDF, 5.5 MB, 111 page)
This guide, based upon research on successful strategies used in practices with documented outcomes, helps primary care practices imple…
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digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - 18%
o All others: <10%
61
Information Interventions
Generated and Distributed
• Reports documents
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/community-health-worker-protocol.pdf
March 26, 2019 - To your knowledge, did we miss any key published or unpublished
documents of interest (studies or reports
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hcup-us.ahrq.gov/db/nation/nis/APS_DRGsWeightsV26Public.pdf
April 01, 2010 - website is updated on a regular basis with new
and timely Industry Insights, as well as access to source documents
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - instructions, and used what we call usability heuristics, or
good design principles, for improving the documents
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digital.ahrq.gov/sites/default/files/docs/care-transitions-qas-092619.pdf
September 26, 2019 - for non-face-to-face services, such as receipt of a discharge summary or continuity
of care (CCD) documents
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoporosis-vibration-therapy_disposition-comments.pdf
November 15, 2011 - Technical Briefs are by design short documents
with limited scope and length.