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psnet.ahrq.gov/node/37762/psn-pdf
May 14, 2008 - Revitalizing an established rapid response team.
May 14, 2008
Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care
Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c.
https://psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
This commentary…
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digital.ahrq.gov/principal-investigator/feldman-jonathan-m
January 01, 2023 - Feldman, Jonathan M
A Novel Patient-Facing Mobile Platform to Collect and Implement Patient-Reported Outcomes and Voice Biomarkers in Underserved Adult Patients with Asthma
Description
This research will enhance an existing mobile platform to support self-management and shared…
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digital.ahrq.gov/principal-investigator/chen-jin
January 01, 2023 - Chen, Jin
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 using mix…
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www.ahrq.gov/news/events/qi-listening-session.html
March 01, 2025 - AHRQ QI Listening Session
Registration Open March 12 from 1 to 2:30 p.m. ET: AHRQ Quality Indicators Listening Session will offer an opportunity for hospitals, health systems, accountable care organizations, health and hospital associations, health plans, health departments and federal entities to provide …
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digital.ahrq.gov/organization/pennsylvania-state-university-hershey-medical-center
January 01, 2023 - Pennsylvania State University Hershey Medical Center
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering …
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Finalreport100109.jsp
July 01, 2016 - The hope is the emergence of clinically-enhanced hybrid data sets could eliminate the need for labor-intensive … stakeholders about the feasibility of creating a hybrid database, its use in creating and implementing enhanced
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psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
July 02, 2014 - Study
Does teamwork improve performance in the operating room? A multilevel evaluation.
Citation Text:
Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42.
Copy Citat…
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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - Study
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.
Citation Text:
Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…
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psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
December 11, 2024 - Study
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Citation Text:
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…
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psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
July 20, 2022 - Study
Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.
Citation Text:
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…
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psnet.ahrq.gov/issue/barriers-and-facilitators-patient-engagement-patient-safety-patients-and-healthcare
June 09, 2021 - Review
Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.
Citation Text:
Chegini Z, Arab‐Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in…
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psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - Study
Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.
Citation Text:
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…
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psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference
July 22, 2020 - Study
Classic
A systems approach to morbidity and mortality conference.
Citation Text:
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
Co…
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psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - Study
Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.
Citation Text:
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
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psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
September 27, 2023 - Study
Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.
Citation Text:
Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-mental-health-way-forward
January 01, 2023 - Health Information Technology and Mental Health: The Way Forward
Project Final Report ( PDF , 638.39 KB)
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Annual Summaries
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psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
June 29, 2009 - Study
Classic
A look into the nature and causes of human errors in the intensive care unit.
Citation Text:
Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300.
Co…
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psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
January 24, 2018 - Study
Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study.
Citation Text:
Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication …
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psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
August 19, 2020 - Commentary
Emerging Classic
COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada.
Citation Text:
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulat…
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psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
December 23, 2020 - Commentary
The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic.
Citation Text:
Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…