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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - They are welcome to attend meetings, and many take advantage of this
opportunity to enhance their understanding
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report
Grant Final Report
Grant ID: R03HS018830
Synthesizing Lessons Learned Using Health
Information Technology
Inclusive Project Dates: 05/01/10 – 04/30/13
Principal Investigator:
Lynne S. Nemeth, PhD, RN
Tea…
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare
Patients With Complex Postdischarge Needs
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-
postdischarge-needs
Summary
Under a program kn…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
May 01, 2025 - o TeamSTEPPS (Team Strategies and Tools to Enhance Performance
and Patient Safety)25: an evidence-based … When paired together, these strategies
enhance communication and information sharing within the patient
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - For example, the proposed measure may enhance an
existing measure in the initial core set, it may lower … systems, what is the potential for modifying current data systems or creating new data
systems to enhance … Health IT Enhancement
Please describe how health IT may enhance the use of this measure. … implementation of other health IT functions (e.g., computerized decision support systems in
an EHR) enhance … Description and evaluation of adaptations to the
global trigger tool to enhance value to adverse event
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psnet.ahrq.gov/issue/road-map-advancing-practice-respect-health-care-results-interdisciplinary-modified-delphi
August 01, 2018 - Study
A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study.
Citation Text:
Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an In…
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psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
September 01, 2018 - Study
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.
Citation Text:
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - Study
SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.
Citation Text:
Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…
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psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
November 16, 2022 - Study
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Citation Text:
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - Study
Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17…
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psnet.ahrq.gov/issue/national-study-links-nurses-physical-and-mental-health-medical-errors-and-perceived-worksite
July 14, 2021 - Study
A national study links nurses' physical and mental health to medical errors and perceived worksite wellness.
Citation Text:
Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…
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psnet.ahrq.gov/issue/association-differences-treatment-intensification-missed-visits-and-scheduled-follow-interval
May 18, 2022 - Study
Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control.
Citation Text:
Fontil V, Pacca L, Bellows BK, et al. Association of differences in treatment intensification, missed…
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psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
January 03, 2017 - Study
Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.
Citation Text:
Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…
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psnet.ahrq.gov/issue/cross-sectional-observational-study-high-override-rates-drug-allergy-alerts-inpatient-and
July 02, 2019 - Study
A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.
Citation Text:
Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug al…
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - Study
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.
Citation Text:
Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…
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psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
September 04, 2024 - Study
Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.
Citation Text:
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…
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digital.ahrq.gov/ahrq-funded-projects/consumer-engagement-developing-electronic-health-information-systems/annual-summary/2009
January 01, 2009 - Consumer Engagement in Developing Electronic Health Information Systems - 2009
Project Name
Consumer Engagement in Developing Electronic Health Information Systems
Organization
Westat
Contract Number
PSC TO#07R000131
Project Period
09/07 – 06/09
AHRQ Funding Amoun…
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - Organizational Policy/Guidelines
Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.
Cit…
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - Study
Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.
Citation Text:
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…