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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…
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psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
March 30, 2022 - Review
Classic
Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.
Citation Text:
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …
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psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review
July 07, 2021 - Review
Classic
Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.
Citation Text:
Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic re…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.pdf
January 15, 2008 - MHA/AHRQ Kick-Off Event:
Adding Clinical Lab Data to Minnesota’s
Statewide Administrative Database
Tuesday, Jan. 15, 2008
9 a.m. – 4:30 p.m.
MHA was awarded a two-year contract from the Agency for Healthcare Research and Quality to add clinical lab
data to the administrative billing database that is alr…
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
August 26, 2020 - Study
Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.
Citation Text:
Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL24ProcessFlowchart.jsp
April 24, 2011 - Florida AHCA/AHRQ Project
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
February 14, 2024 - Study
A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.
Citation Text:
Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…
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psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
January 15, 2025 - Study
Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system.
Citation Text:
Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …
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psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident
July 28, 2021 - Study
Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.
Citation Text:
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian community pharmacy incident…
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psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
April 06, 2022 - Commentary
High-reliability organisation principles implemented in dentistry.
Citation Text:
Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z.
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DOI G…
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psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
March 18, 2020 - Study
A systems approach to identify factors influencing adverse drug events in nursing homes.
Citation Text:
Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389…
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psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
October 11, 2017 - Study
Interventions in health organisations to reduce the impact of adverse events in second and third victims.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …
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psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
February 14, 2024 - Study
Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system.
Citation Text:
Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…
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psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
May 19, 2021 - Review
Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study.
Citation Text:
Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…
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psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
January 12, 2022 - Study
Improving resident handoffs for children transitioning from the intensive care unit.
Citation Text:
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…
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psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
June 01, 2022 - Study
Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab.
Citation Text:
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…
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psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department
March 10, 2019 - Study
Standardizing medication reconciliation in a pediatric emergency department.
Citation Text:
Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964.
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psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
June 02, 2010 - Study
Relationship between nursing home safety culture and Joint Commission accreditation.
Citation Text:
Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15.
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psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
March 04, 2011 - Study
Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study.
Citation Text:
van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…