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psnet.ahrq.gov/node/73572/psn-pdf
August 04, 2021 - Center for Innovations in Quality, Effectiveness and
Safety. IQuESt!
August 4, 2021
Houston, TX: Baylor College of Medicine.
https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
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psnet.ahrq.gov/node/42595/psn-pdf
November 25, 2013 - Agency information collection activities: Assessing the
Impact of the National Implementation of TeamSTEPPS
Master Training Program; comment request.
November 25, 2013
Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929.
https://psnet.ahrq.gov/issue/agency-information-colle…
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psnet.ahrq.gov/node/45793/psn-pdf
July 19, 2024 - SHOT Annual Report.
July 19, 2024
S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN:
9781999596859.
https://psnet.ahrq.gov/issue/shot-annual-report-2019
Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides
an anal…
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psnet.ahrq.gov/node/44553/psn-pdf
October 07, 2015 - A medical detective story: why doctors make diagnostic
errors.
October 7, 2015
Landro L. Wall Street Journal. September 26, 2015.
https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
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psnet.ahrq.gov/node/44703/psn-pdf
December 16, 2015 - Defining the Role of Social Sciences in Patient Safety.
December 16, 2015
Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394.
https://psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety
Applying principles from other fields, such as aviation and nuclear pow…
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psnet.ahrq.gov/node/41053/psn-pdf
December 30, 2014 - Time to accelerate integration of human factors and
ergonomics in patient safety.
December 30, 2014
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in
patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
https://psnet.ahrq.gov/issue/time-acc…
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psnet.ahrq.gov/node/41668/psn-pdf
December 21, 2014 - A surgical simulation curriculum for senior medical
students based on TeamSTEPPS.
December 21, 2014
Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students
based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43152/psn-pdf
May 07, 2014 - The trainee's voice: recognising the importance of
preoperative briefings for surgical trainees.
May 7, 2014
Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for
surgical trainees. J Perioper Pract. 2014;24(3):56-58.
https://psnet.ahrq.gov/issue/trainees-voice-recog…
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psnet.ahrq.gov/node/46971/psn-pdf
July 18, 2018 - The Future of NHS Patient Safety Investigation.
July 18, 2018
NHS Improvement. London, UK: National Health Service; 2018.
https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation
Organizational processes to investigate adverse care incidents play an important part in generating the
learning needed for …
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-clinic-exam-room-design-respect-computing-devices-enhance-patient/citation/provider
January 01, 2023 - Provider preference in exam room layout design and computing.
Citation
Read JM, Weiler DT, Satterly T, Soares C, Saleem JJ. Provider preference in exam room layout design and computing. Appl Clin Inform. 2019 Oct;10(5):972-980. doi: 10.1055/s-0039-3401813. Epub 2019 Dec 25. PMID: 31875647.
Link …
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digital.ahrq.gov/location/usa-ky-louisville
January 01, 2023 - USA, KY, Louisville
Ambulatory Clinic Exam Room Design With Respect to Computing Devices to Enhance Patient Centeredness
Description
This project studied the impact of changing the computing layout in a clinical exam room and evaluated its impact on workflow and patient center…
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digital.ahrq.gov/organization/purdue-university
January 01, 2023 - Purdue University
An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes
Description
The research team implemented PatientToc™ - a mobile application for patient-reported outcomes co…
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digital.ahrq.gov/location/usa-west-lafayette
January 01, 2023 - USA, IN, West Lafayette
An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes
Description
The research team implemented PatientToc™ - a mobile application for patient-reported outco…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/relating
January 01, 2023 - Relating task demand, mental effort and task difficulty with physicians’ performance during interactions with electronic health records (EHRs).
Citation
Mosaly P, Mazur LM, Fei Y, et al. Relating task demand, mental effort and task difficulty with physicians’ performance during interactions with elect…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/usability
January 01, 2023 - Association of the usability of electronic health records with cognitive workload and performance levels among physicians.
Citation
Mazur LM, Mosaly PR, Moore C, Marks L. Association of the usability of electronic health records with cognitive workload and performance levels among physicians. JAMA Net…
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digital.ahrq.gov/care-setting/urgent-care-center
January 01, 2023 - Urgent Care Center
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research aims to improve the early detection of venous thromboembolism in primary and urgent care by …
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psnet.ahrq.gov/node/37071/psn-pdf
September 30, 2011 - Improving patient safety in radiotherapy by learning from
near misses, incidents and errors.
September 30, 2011
Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br
J Radiol. 2007;80(953):297-301.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
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digital.ahrq.gov/organization/american-association-homes-and-services-aged
January 01, 2023 - American Association of Homes and Services for the Aged
Telemonitoring in Rural Elder Nutrition Centers: Demonstration Project of Hypertension Management - 2011
Principal Investigator
Resnick, Helaine
Project Name
Telemonitoring in Rural Elder Nutrition Centers: …
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psnet.ahrq.gov/node/44232/psn-pdf
January 29, 2019 - Optimizing medication safety in the home.
January 29, 2019
LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319.
doi:10.1097/NHH.0000000000000246.
https://psnet.ahrq.gov/issue/optimizing-medication-safety-home
Patients who receive home care services are vulnerable to a…
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psnet.ahrq.gov/node/43371/psn-pdf
June 19, 2019 - Medication Safety Officer's Handbook.
June 19, 2019
Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN:
9781585282104.
https://psnet.ahrq.gov/issue/medication-safety-officers-handbook
This book provides information about medication errors and quality improvement to gui…