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psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
October 17, 2018 - Commentary
IV medication safety software implementation in a multihospital health system.
Citation Text:
Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151.
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psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
January 16, 2010 - Study
Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose.
Citation Text:
Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …
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psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
March 27, 2024 - Commentary
Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department.
Citation Text:
McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
July 13, 2010 - Study
The incidence and cost of adverse events in Victorian hospitals 2003-04.
Citation Text:
Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5.
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psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
December 01, 2010 - Commentary
Researchers' roles in patient safety improvement.
Citation Text:
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
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psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
April 22, 2016 - Newspaper/Magazine Article
Hospitals often ignore policies on using qualified medical interpreters.
Citation Text:
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20.
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www.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
July 01, 2025 - AHRQ Papers on Diagnostic Safety Topics
Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. As the lead Federal agency investing in research to improve diagnostic safety and reduce diagnostic error, AHRQ is c…
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psnet.ahrq.gov/issue/liquid-medication-dosing-errors-hispanic-parents-role-health-literacy-and-english-proficiency
December 14, 2016 - Study
Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.
Citation Text:
Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;1…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-access.html
September 01, 2015 - Chartbook on Women's Health Care
Access to Health Care
Previous Page Next Page
Table of Contents
Chartbook on Women's Health Care
Acknowledgments
Women's Health Care
Key Findings of the 2014 QDR
2014 Chartbooks
Access to Health Care
Affordability
Communication and Care Coordination
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psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
April 12, 2011 - Study
A multifaceted program for improving quality of care in intensive care units: IATROREF study.
Citation Text:
Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-7…
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psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
June 08, 2022 - Newspaper/Magazine Article
Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives.
Citation Text:
Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affair…
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psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
July 15, 2020 - Study
First year nursing students' viewpoints about compromised clinical safety.
Citation Text:
Killam LA, Mossey S, Montgomery P, et al. First year nursing students' viewpoints about compromised clinical safety. Nurse Educ Today. 2013;33(5):475-80. doi:10.1016/j.nedt.2012.05.010.
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www.ahrq.gov/news/newsroom/case-studies/201706.html
May 01, 2017 - Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program
Search All Impact Case Studies
May 2017
The Pennsylvania Psychiatric Institute in Harrisburg reduced its 30-day readmission rate from 20 percent in 2013 to 10.4 percent in 2015 after implementing a discharge progr…
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psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors
September 02, 2020 - Commentary
Pediatric chest radiographs: common and less common errors.
Citation Text:
Menashe SJ, Iyer RS, Parisi MT, et al. Pediatric Chest Radiographs: Common and Less Common Errors. AJR Am J Roentgenol. 2016;207(4):903-911. doi:10.2214/AJR.16.16449.
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psnet.ahrq.gov/issue/examination-factors-predict-perioperative-culture-safety
May 12, 2021 - Study
An examination of factors that predict the perioperative culture of safety.
Citation Text:
Wright MI, Polivka B, Abusalem S. An examination of factors that predict the perioperative culture of safety. AORN J. 2021;113(5):465-475. doi:10.1002/aorn.13373.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cammisa-m-et-al-2004
January 01, 2004 - Cammisa M et al. 2004 "Design and implementation of an integrated HIS-RIS-PACS system: our experience."
Reference
Cammisa M, Guglielmi G, Zarrelli N, et al. Design and implementation of an integrated HIS-RIS-PACS system: our experience. Radiological Medicine 2004;107(1-2):102-112.
Abstract
"Pu…
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psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Commentary
Telehealth.
Citation Text:
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-review
October 09, 2024 - Review
Conceptualising learning from resilient performance: a scoping literature review.
Citation Text:
Degerman H, Wallo A. Conceptualising learning from resilient performance: a scoping literature review. Appl Ergon. 2024;115:104165. doi:10.1016/j.apergo.2023.104165.
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Context-Based Hand-Gesture Recognition for the Operating Room
AHRQ Grant Final Progress Report
Title of Project: Context-Based Hand-Gesture Recognition for the Operating Room
Principal Investigator:
Juan P. Wachs, Assistant Professor, School of Industrial Engineering, Purdue U…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
September 01, 2015 - Ask learners to take turns sharing their experiences with their partner without sharing the solution … You might share experiences you have
had in the past with other clerks or medical assistants and what … I am a practice facilitator working with the
practice to help them improve patient experiences when … When working with patients or practice members from cultures, backgrounds, or experiences
different