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psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
January 21, 2019 - Commentary
Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions.
Citation Text:
Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - Study
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Citation Text:
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …
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psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
November 06, 2015 - Study
Classic
Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.
Citation Text:
Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of me…
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psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
September 23, 2020 - Study
Communication between primary and secondary care: deficits and danger.
Citation Text:
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
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psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
June 29, 2011 - Study
Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.
Citation Text:
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
April 01, 2020 - Study
Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide.
Citation Text:
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…
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psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
December 01, 2021 - EMERGING INNOVATIONS
Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.
Citation Text:
Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J C…
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psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
December 07, 2011 - Study
Emerging Classic
Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial.
Citation Text:
Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - You're not doing anyone a favor by rigorously evaluating something that's not going to work.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - The team is also evaluating expanded
features of the system, including a Heads-Up Display and integration
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - What do you think
AHRQ's role is in evaluating the ACA and informing decisions about its future?
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psnet.ahrq.gov/node/60872/psn-pdf
September 02, 2020 - How incident reporting systems can stimulate social and
participative learning: a mixed-methods study.
September 2, 2020
de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative
learning: a mixed-methods study. Health Policy (New York). 2020;124(8):834-841.
doi:10.1016/…
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psnet.ahrq.gov/node/60701/psn-pdf
July 22, 2020 - Prevalence and nature of medication errors and
medication-related harm following discharge from
hospital to community settings: a systematic review.
July 22, 2020
Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and medication-related
harm following discharge from hospital to community …
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psnet.ahrq.gov/node/34810/psn-pdf
February 18, 2011 - Should operations be regionalized? The empirical relation
between surgical volume and mortality.
February 18, 2011
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between
surgical volume and mortality. N Engl J Med. 1979;301(25):1364-9.
https://psnet.ahrq.gov/issue/should…
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psnet.ahrq.gov/node/47989/psn-pdf
August 14, 2019 - Ambulatory safety nets to reduce missed and delayed
diagnoses of cancer.
August 14, 2019
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
https://psnet.ahrq.gov/issue/ambula…
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psnet.ahrq.gov/node/35726/psn-pdf
February 09, 2011 - Sleep deprivation and clinical performance.
February 9, 2011
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7.
https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
This review discusses evidence for the role sleep deprivation plays on performance in…
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psnet.ahrq.gov/node/46840/psn-pdf
June 20, 2018 - Interventions to improve employee health and well-being
within health care organizations: a systematic review.
June 20, 2018
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within
health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…
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psnet.ahrq.gov/node/43325/psn-pdf
September 27, 2016 - Quiet please! Drug round tabards: are they effective and
accepted? A mixed method study.
September 27, 2016
Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and
accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.1111/jnu.12092.
https://psnet.ah…
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psnet.ahrq.gov/node/47732/psn-pdf
February 06, 2019 - Surgical safety checklists in children's surgery: surgeons'
attitudes and review of the literature.
February 6, 2019
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes
and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000…
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psnet.ahrq.gov/node/45850/psn-pdf
July 02, 2017 - Learning from the design, development and
implementation of the Medication Safety Thermometer.
July 2, 2017
Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the
Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2):301-309. doi:10.1093/intqhc/mzw149.
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