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  1. psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
    April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…
  2. psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us
    February 07, 2018 - Study Emerging Classic Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. Citation Text: Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated wi…
  3. psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
    March 19, 2018 - Study Prognosis of undiagnosed chest pain: linked electronic health record cohort study. Citation Text: Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. Copy Citation …
  4. psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
    November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …
  5. psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
    July 08, 2015 - Study Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. Citation Text: Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…
  6. www.ahrq.gov/evidencenow/projects/heart-health/evidence/smoking.html
    March 01, 2021 - Smoking Cessation Evidence and Resources About 42 million people in the United States (nearly 18 percent of the population) currently smoke. Tobacco use is a leading cause of illness, disability, and death in the United States. Cigarette smoking accounts for one out of every five deaths and is estimated to incr…
  7. psnet.ahrq.gov/issue/qualities-and-attributes-safe-practitioner-identification-safety-skills-healthcare
    September 26, 2012 - Study Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. Citation Text: Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:…
  8. psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
    September 07, 2016 - Study Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. Citation Text: Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…
  9. psnet.ahrq.gov/issue/reduction-hospital-mortality-over-time-hospital-without-pediatric-medical-emergency-team
    August 20, 2018 - Study Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. Citation Text: Joffe AR, Anton NR, Burkholder SC. Reduction in hospital mortality over time in a hospital without a pediatric medical e…
  10. psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
    April 24, 2018 - Study Implementation and impact of a rapid response team in a children's hospital. Citation Text: Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. Copy Citation Fo…
  11. psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…
  12. psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
    February 07, 2024 - Review The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. Citation Text: Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community ment…
  13. psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
    September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…
  14. psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
    July 21, 2021 - Study Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. Citation Text: Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…
  15. psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
    July 27, 2022 - Review Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. Citation Text: Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to improve medication manage…
  16. psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
    March 24, 2019 - Study Investigating the long-term consequences of adverse medical events among older adults. Citation Text: Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…
  17. www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures5.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care End-of-Life Care Measures Previous Page   Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communication Measures: H…
  18. psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
    May 20, 2019 - Study Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. Citation Text: Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Elect…
  19. psnet.ahrq.gov/issue/communicating-patient-safety-information-through-video-and-oral-formats-comparison
    November 16, 2022 - Study Communicating patient safety information through video and oral formats-a comparison. Citation Text: Bånnsgård M, Nouri A, Finizia C, et al. Communicating patient safety information through video and oral formats-a comparison. J Patient Saf. 2023;19(2):137-142. doi:10.1097/pts.0000…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
    January 01, 2011 - Project Report - Lean Sigma Two More E’s and How to Spread Learning Objectives To think ahead about ways to make your investment of time and improvements in BSI rates last forever To make sure all patients in your institution have access to the same level of safety in their care Implementation Framework Al…