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psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
April 01, 2010 - Study
Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?
Citation Text:
Rosen AK, Rivard PE, Zhao S, et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care. 2005;…
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Book/Report
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio.
Citation Text:
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…
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psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
October 08, 2013 - Study
Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network.
Citation Text:
Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emer…
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psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
October 31, 2014 - Study
Emergency department visits for antibiotic-associated adverse events.
Citation Text:
Shehab N, Patel PR, Srinivasan A, et al. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735-43. doi:10.1086/591126.
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psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care
March 10, 2011 - Study
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Citation Text:
Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/primary-care-pediatricians-interest-diagnostic-error-reduction
March 19, 2018 - Study
Primary care pediatricians' interest in diagnostic error reduction.
Citation Text:
Rinke ML, Singh H, Ruberman S, et al. Primary care pediatricians' interest in diagnostic error reduction. Diagnosis (Berl). 2016;3(2):65-69. doi:10.1515/dx-2015-0033.
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psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
November 26, 2014 - Study
Impact of hospital-acquired conditions on financial liabilities for Medicare patients.
Citation Text:
Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
June 11, 2010 - Study
Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.
Citation Text:
O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…
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psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
June 28, 2017 - Study
Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Citation Text:
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
February 17, 2011 - Study
Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults.
Citation Text:
Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Ph…
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Study
A tool for the concise analysis of patient safety incidents.
Citation Text:
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33.
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
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psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation
April 17, 2017 - Study
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.
Citation Text:
Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…
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psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
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psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
June 16, 2011 - Study
Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.
Citation Text:
Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - Study
Classic
Variation in hospital mortality associated with inpatient surgery.
Citation Text:
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…
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psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
November 26, 2008 - Study
Classic
Operating room briefings and wrong-site surgery.
Citation Text:
Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43.
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