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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/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
February 19, 2020 - Study
Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.
Citation Text:
Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…
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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/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
October 14, 2015 - Study
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours.
Citation Text:
The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
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psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
September 01, 2018 - Study
Structuring patient and family involvement in medical error event disclosure and analysis.
Citation Text:
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…
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psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
June 02, 2010 - Study
Patient error: a preliminary taxonomy.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
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digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2012
January 01, 2012 - Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012
Project Name
Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology
Principal Investigator
Arora, Sanjeev
…
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psnet.ahrq.gov/issue/effect-central-call-center-employee-perceptions-safety-culture-within-community-pharmacies
June 15, 2022 - Study
Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system.
Citation Text:
Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
December 01, 2017 - Menu of Implementation Strategies
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer healing repor…
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psnet.ahrq.gov/issue/relationships-among-work-stress-strain-and-self-reported-errors-uk-community-pharmacy
October 19, 2022 - Study
The relationships among work stress, strain and self-reported errors in UK community pharmacy.
Citation Text:
Johnson SJ, O'Connor EM, Jacobs S, et al. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Social Adm Pharm. 2014;10(6):88…
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psnet.ahrq.gov/issue/restricted-duty-hours-surgeons-and-impact-residents-quality-life-education-and-patient-care
October 08, 2008 - Review
Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.
Citation Text:
Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…
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psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
March 17, 2021 - Study
Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.
Citation Text:
Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive…
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psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
June 08, 2022 - Commentary
Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly.
Citation Text:
Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - Study
The impact of the 80-hour work week on appropriate resident case coverage.
Citation Text:
Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003.
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psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven
June 07, 2023 - Study
The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital.
Citation Text:
Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Q…
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psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system
March 10, 2011 - Study
The development and evaluation of an integrated electronic prescribing and drug management system for primary care.
Citation Text:
Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …
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psnet.ahrq.gov/issue/discrepancies-between-home-interviews-and-electronic-medical-records-regularly-used-drugs
May 25, 2022 - Study
Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients.
Citation Text:
Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home…
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psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
January 06, 2017 - Study
Medication errors involving oral chemotherapy.
Citation Text:
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027.
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psnet.ahrq.gov/issue/developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
June 03, 2020 - Study
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.
Citation Text:
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Provider…
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psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected
December 11, 2024 - Study
How different countries respond to adverse events whilst patients' rights are protected.
Citation Text:
Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1…