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psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting
June 17, 2020 - Study
Impact of an electronic health record transition on chemotherapy error reporting
Citation Text:
Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…
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psnet.ahrq.gov/issue/antimicrobial-prescription-errors-hospitalized-children-role-antimicrobial-stewardship
April 07, 2021 - Study
Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.
Citation Text:
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship…
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psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
June 28, 2023 - Study
Implementing human factors in clinical practice.
Citation Text:
Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203.
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DOI Google Scholar PubMed …
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psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
May 11, 2022 - Study
Patient safety superheroes in training: using a comic book to teach patient safety to residents.
Citation Text:
Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…
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psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
July 22, 2020 - Commentary
Dual surgeon operating to improve patient safety.
Citation Text:
Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014.
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psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
January 07, 2015 - Study
E-prescribing errors in community pharmacies: exploring consequences and contributing factors.
Citation Text:
Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…
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psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
July 02, 2019 - Study
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.
Citation Text:
Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …
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psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
November 16, 2022 - Study
PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.
Citation Text:
Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…
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psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
May 27, 2011 - Commentary
Improving Weekend Out Of Hours Surgical Handover (WOOSH).
Citation Text:
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
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psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
March 17, 2010 - Commentary
Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.
Citation Text:
Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …
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cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
January 01, 2023 - patient in followup can facilitate the patient/caregiver’s continued thinking after the encounter,
enhancing … Patient portal as a tool for enhancing patient experience and
improving quality of care in primary care
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digital.ahrq.gov/sites/default/files/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
September 01, 2023 - patient in followup can facilitate the patient/caregiver’s continued thinking after the encounter,
enhancing … Patient portal as a tool for enhancing patient experience and
improving quality of care in primary care
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hcup-us.ahrq.gov/db/nation/nis/APS-DRGsV20DefinitionsManual.pdf
January 13, 2015 - In developing and enhancing the APS-DRGs®, clinicians evaluate
diagnoses, procedures and other patient … HSS is dedicated to updating and enhancing the APS-DRGs® to keep them on the
cutting edge of casemix
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025618-solberg-final-report-2023.pdf
January 01, 2023 - Enhancing the patient's voice: standards in the design and selection of patient-
reported outcomes measures
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www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Feasibility-Report.pdf
February 01, 2024 - Future focus should include enhancing programming and statistical techniques for
specialty harmonization
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hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Definitions%20Manual.pdf
August 01, 2006 - In
developing and enhancing the APS-DRGs®, clinicians evaluate diagnoses,
procedures and other patient … HSS is dedicated to updating and enhancing the APS-DRGs® to keep them on the
cutting edge of casemix
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - Management of Cardiac Arrest in Unconventional
Locations.
May 16, 2022
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
The Case
Case #1: An 80-year-old man with history of Parkins…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Improving Safety Using Teamwork and Patient Safety Norms
Creating and Maintaining a Culture of Safety Series
(Session 2)
Improving Safety Using Teamwork and Patient Safety Norms
NATIONAL WEBINAR SERIES
March 18, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA…
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www.ahrq.gov/prevention/resources/depression/depsum2.html
April 01, 2013 - Screening for Depression in Adults (continued)
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemoprevention. They summarize the more detailed Systematic Evidence Reviews, …