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psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
July 26, 2023 - Study
Factors contributing to preventing operating room "never events": a machine learning analysis.
Citation Text:
Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…
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psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
June 15, 2022 - Study
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.
Citation Text:
Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goldman-re-soran-cs
January 01, 2023 - Goldman RE, Soran CS, Hayward GL, et al. "Doctors' perceptions of laboratory monitoring in office practice."
Reference
Goldman RE, Soran CS, Hayward GL, et al. Doctors' perceptions of laboratory monitoring in office practice. J Eval Clin Pract 2010 Dec;16(6):1136-41.
[Link]
Abstract
Backgrou…
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - Study
Preventing wrong site, procedure, and patient events using a common cause analysis.
Citation Text:
Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…
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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
April 24, 2018 - Commentary
Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety.
Citation Text:
Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…
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psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
April 06, 2016 - Commentary
Classic
Improving the quality of health care: what's taking so long?
Citation Text:
Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809.
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Format: …
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Youtube-fillable-form.pdf
April 01, 2024 - Video Submission Checklist
Video Submission Checklist
Complete this checklist and send it to the OC Managing Editor for your project. If you
need to know who serves as your managing editor, email Bruce Seeman.
1. Submitter’s Name:
Email:
For items with boxes, select the appropriate box to mark it with an X. Do n…
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Youtube-submission-form.pdf
July 01, 2024 - Video Submission Checklist
Video Submission Checklist
Complete this checklist and send it to the OC Managing Editor for your project. If you
need to know who serves as your managing editor, email Bruce Seeman.
1. Submitter’s Name:
Email:
For items with boxes, select the appropriate box to mark it with an X. Do n…
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psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
June 30, 2021 - Study
Variation in the reporting of elective surgeries and its influence on patient safety indicators.
Citation Text:
Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…
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digital.ahrq.gov/ahrq-funded-projects/sponsored-health-it-and-evidence-based-prescribing-among-medical-residents
January 01, 2023 - Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents
Project Final Report ( PDF , 217.5 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…
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psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
November 12, 2014 - Study
Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs.
Citation Text:
Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…
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psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future
June 15, 2022 - Commentary
Quality and safety: learning from the past and (re)imagining the future.
Citation Text:
Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008.
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psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
November 16, 2022 - Commentary
I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources.
Citation Text:
O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…
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psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
July 20, 2022 - Commentary
AI: promise or peril for patient safety.
Citation Text:
Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301.
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DOI Google Scholar BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/crisis-health-care-call-action-physician-burnout
February 05, 2014 - Book/Report
A Crisis in Health Care: A Call to Action on Physician Burnout.
Citation Text:
A Crisis in Health Care: A Call to Action on Physician Burnout. Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvar…
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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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digital.ahrq.gov/program-overview/research-stories/asthmaxcel-voice-mobile-application-improve-chronic-disease
January 01, 2023 - ASTHMAXcel Voice Mobile Application to Improve Chronic Disease Management and Patient Outcomes
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Using Patient-Reported Outcomes for Chronic Disease Management
A mobile app that uses voice biomarkers to assess asthma symptoms h…
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psnet.ahrq.gov/issue/towards-safer-transitions-curriculum-teach-and-assess-hospital-hospice-handoffs
March 20, 2024 - Commentary
Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.
Citation Text:
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j…
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psnet.ahrq.gov/issue/wrong-patient
December 23, 2008 - Commentary
Classic
The wrong patient.
Citation Text:
Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/annual-summary/2010
January 01, 2010 - Improving Guideline Development and Implementation - 2010
Project Name
Improving Guideline Development and Implementation
Principal Investigator
Shiffman, Richard N.
Organization
Yale University
Contract Number
09-587F-07
Project Period
September 2006 – Sept…