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psnet.ahrq.gov/node/42445/psn-pdf
September 18, 2013 - Educational agenda for diagnostic error reduction.
September 18, 2013
Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf.
2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622.
https://psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
This review…
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psnet.ahrq.gov/node/42244/psn-pdf
June 27, 2018 - Medical simulation: a holistic approach to highly reliable
healthcare.
June 27, 2018
Fanning RM.
https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
This magazine article describes various ways simulation can be used to augment safety in health care,
including evaluating w…
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psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
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psnet.ahrq.gov/node/38578/psn-pdf
April 22, 2009 - Patient safety and collaboration of the intensive care unit
team.
April 22, 2009
Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse.
2009;29(2):85-91. doi:10.4037/ccn2009281.
https://psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
This arti…
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psnet.ahrq.gov/node/36474/psn-pdf
May 26, 2011 - The checklist--a tool for error management and
performance improvement.
May 26, 2011
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit
Care. 2006;21(3):231-5.
https://psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
This commentar…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/evaluating
January 01, 2023 - Evaluating two approaches for parameterizing the Fellegi-Sunter patient matching algorithm to optimize accuracy.
Citation
Grannis, S., Kasthurirathne, S., Bo, N., Xu, H. (2019). Evaluating two approaches for parameterizing the Fellegi-Sunter patient matching algorithm to optimize accuracy. Medinfo con…
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psnet.ahrq.gov/node/36048/psn-pdf
September 27, 2010 - Can technology improve intershift report? What the
research reveals.
September 27, 2010
Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of
Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007.
https://psnet.ahrq.gov/issue/can-technology-improve-inte…
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psnet.ahrq.gov/node/42015/psn-pdf
April 22, 2013 - Building a culture of safety through team training and
engagement.
April 22, 2013
Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf.
2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011.
https://psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-enga…
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psnet.ahrq.gov/node/43144/psn-pdf
March 29, 2016 - Autopsy advocates.
March 29, 2016
Clark C. HealthLeaders Media. April 11, 2014.
https://psnet.ahrq.gov/issue/autopsy-advocates
Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and
enhance learning opportunities, this news article recommends that these initiatives int…
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psnet.ahrq.gov/node/73617/psn-pdf
August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It.
August 18, 2021
Patient Safety Foundation. August 26, 2021.
https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance
response, engag…
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psnet.ahrq.gov/node/40421/psn-pdf
January 01, 2020 - Safe Surgery 2020.
April 27, 2011
GE Foundation. info@safesurgery2020.org.
https://psnet.ahrq.gov/issue/safe-surgery-2015
This Web site provides programmatic resources building on work to implement the World Health
Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…
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digital.ahrq.gov/principal-investigator/mcculloch-michael
January 01, 2023 - McCulloch, Michael
Improving Pediatric Donor Heart Utilization with Predictive Analytics
Description
This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential…
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digital.ahrq.gov/principal-investigator/porter-michael
January 01, 2023 - Porter, Michael
Improving Pediatric Donor Heart Utilization with Predictive Analytics
Description
This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential fo…
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digital.ahrq.gov/principal-investigator/levit-katharine
January 01, 2023 - Levit, Katharine
Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data - 2010
Principal Investigator
Levit, Katharine
Project Name
Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrat…
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digital.ahrq.gov/principal-investigator/iyer-kishore-r
January 01, 2023 - Iyer, Kishore R.
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (mult…
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digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-and
January 01, 2023 - AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01)
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research…
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digital.ahrq.gov/principal-investigator/abraham-olufunmilola
January 01, 2023 - Abraham, Olufunmilola
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mo…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/quantification
January 01, 2023 - Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load.
Citation
Mosaly PR, Mazur LM, Marks L. Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load. Ergonomics.2017…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
July 22, 2015 - Pennsylvania
The IMPaCT grant in Pennsylvania expanded the Pennsylvania Spreading Primary Care
Enhanced … from public health, mental health,
social services, hospitals, and primary care, which resulted in enhanced … ; NCQA = National Committee for
Quality Assurance; PA SPREAD = Pennsylvania Spreading Primary Care Enhanced
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www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
July 22, 2015 - Pennsylvania
The IMPaCT grant in Pennsylvania expanded the Pennsylvania Spreading Primary Care
Enhanced … from public health, mental health,
social services, hospitals, and primary care, which resulted in enhanced … ; NCQA = National Committee for
Quality Assurance; PA SPREAD = Pennsylvania Spreading Primary Care Enhanced