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psnet.ahrq.gov/node/72761/psn-pdf
February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic--
letter to health care providers.
February 17, 2021
Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration;
February 9. 2021.
https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
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psnet.ahrq.gov/node/60357/psn-pdf
May 20, 2020 - Preventing medication errors at small and rural hospitals.
May 20, 2020
McCook A. Preventing medication errors at small and rural hospitals. Pharmacy Practice News. May
6, 2020.
https://psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
Small and rural facilities experience similar m…
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psnet.ahrq.gov/node/45800/psn-pdf
January 18, 2017 - Inpatient Notes: mistakes in the
hospital—communicating, apologizing, and beyond.
January 18, 2017
Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-
Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16-
2545.
https://psnet.ahrq…
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psnet.ahrq.gov/node/47078/psn-pdf
June 13, 2018 - Fake it 'til you make it: pressures to measure up in
surgical training.
June 13, 2018
Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical
Training. Acad Med. 2018;93(5):769-774. doi:10.1097/ACM.0000000000002113.
https://psnet.ahrq.gov/issue/fake-it-til-you-ma…
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psnet.ahrq.gov/node/35157/psn-pdf
August 05, 2009 - Safe medication prescribing: training and experience of
medical students and housestaff at a large teaching
hospital.
August 5, 2009
Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical
students and housestaff at a large teaching hospital. Acad Med. 2005;80(6):59…
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psnet.ahrq.gov/node/45025/psn-pdf
May 04, 2016 - Reducing prognostic errors: a new imperative in quality
healthcare.
May 4, 2016
Khullar D, Jena AB. Reducing prognostic errors: a new imperative in quality healthcare. BMJ.
2016;352:i1417. doi:10.1136/bmj.i1417.
https://psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare
This comment…
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psnet.ahrq.gov/node/42199/psn-pdf
June 12, 2013 - Contextual information influences diagnosis accuracy
and decision making in simulated emergency medicine
emergencies.
June 12, 2013
McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and
decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…
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psnet.ahrq.gov/node/41424/psn-pdf
June 27, 2012 - Practice-based learning and improvement: a two-year
experience with the reporting of morbidity and mortality
cases by general surgery residents.
June 27, 2012
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience
with the reporting of morbidity and mortality cases b…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-diabetes-education-integral-part-electronic-clinic-note/citation/association
January 01, 2023 - Association rule mining of real-world data: Uncovering links between race, glycemic control, lipid profiles, and suicide attempts in individuals with diabetes.
Citation
Narindrarangkura P, Alafaireet PE, Khan U, Kim MS. Association rule mining of real-world data: Uncovering links between race, glycemi…
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digital.ahrq.gov/ahrq-funded-projects/tele-toc-telehealth-education-leveraging-electronic-transitions-care-copd-patients/citation/determining
January 01, 2024 - Determining if COPD self-management televisit-based interventions are evaluated among and equitably effective across diverse patient populations to reduce acute care use: A scoping review.
Citation
Akula M, Nguyen M, Abraham J, Arora VM, Oladosu F, Sunderrajan A, Traeger L, Press VG. Determining if CO…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-pro-data-ra-clinical-encounters-using-health-it-pact/citation/human
January 01, 2023 - "Am I OK?" using human centered design to empower rheumatoid arthritis patients through patient reported outcomes.
Citation
Ragouzeos D, Gandrup J, Berrean B, Li J, Murphy M, Trupin L, Yazdany J, Schmajuk G. "Am I OK?" using human centered design to empower rheumatoid arthritis patients through patien…
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digital.ahrq.gov/ahrq-funded-projects/examining-clinical-workflow-and-outcomes-integrating-health-informatio/citation/evidence
January 01, 2024 - An evidence-based IT program with chatbot to support caregiving and clinical care for people with dementia: The CareHeroes development and usability pilot.
Citation
Ruggiano N, Brown EL, Clarke PJ, Hristidis V, Roberts L, Framil Suarez CV, Allala SC, Hurley S, Kopcsik C, Daquin J, Chevez H, Chang-Lau …
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digital.ahrq.gov/organization/icahn-school-medicine-mount-sinai
January 01, 2023 - Icahn School Of Medicine At Mount Sinai
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, m…
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psnet.ahrq.gov/node/858325/psn-pdf
December 13, 2023 - Patients with low health literacy make more errors
interpreting instructions and warnings.
December 13, 2023
ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
https://psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-
warnings
The inability to understand hea…
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psnet.ahrq.gov/node/43177/psn-pdf
May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal
involvement.
May 14, 2014
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns.
2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…
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psnet.ahrq.gov/node/74057/psn-pdf
November 10, 2021 - Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future
directions.
November 10, 2021
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future directions. Patient Educ …
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digital.ahrq.gov/location/usa-me-presque-isle
January 01, 2023 - USA, ME, Presque Isle
The Aroostook Medical Center Chronic Care Technology Project: Provider Questionnaire
Description
This is a questionnaire designed to be completed by clinical staff and administrators across a health care system. The tool includes questions to assess the c…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/poster
January 01, 2023 - An International Evaluation of Drug-Drug Interaction Alerts That Should be Non-Interruptive in U.K. and U.S. Settings.
Citation
Slight SP, Seger DL, Thomas S, et al. An International Evaluation of Drug-Drug Interaction Alerts That Should be Non-Interruptive in U.K. and U.S. Settings. American Medical …
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psnet.ahrq.gov/node/34778/psn-pdf
December 23, 2008 - Anesthetic mishaps: breaking the chain of accident
evolution.
December 23, 2008
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution.
Anesthesiology. 1987;66(5):670-6.
https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
A review of anesthesia saf…
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digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
June 16, 2021 - Health Information Technology & Patient Safety
Health Information Technology &
Patient Safety
Denni McColm, CIO, Citizens Memorial Healthcare
Fast Facts
• 74 acute beds
• Level III trauma center
• 5 LTC facilities
• Residential care & independent living
• Home care/hospice
• 16 physician offices
• 1,550 e…