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psnet.ahrq.gov/issue/computerized-prescriber-order-entry-outpatient-oncology-setting-evidence-meaningful-use
June 26, 2019 - Review
Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use.
Citation Text:
Kukreti V, Cosby R, Cheung A, et al. Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. Curr Oncol. 2014;21…
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psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events
September 30, 2015 - Study
The effect of contact precautions on frequency of hospital adverse events.
Citation Text:
Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192.
C…
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psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic
January 24, 2018 - Study
Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity.
Citation Text:
Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in primary care: ins…
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psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
September 15, 2021 - Study
Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.
Citation Text:
Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…
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psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
September 14, 2022 - Study
Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms.
Citation Text:
Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…
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psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality
November 29, 2023 - Study
Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates.
Citation Text:
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):4…
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psnet.ahrq.gov/issue/clinical-reasoning-context-active-decision-support-during-medication-prescribing
February 14, 2024 - Study
Clinical reasoning in the context of active decision support during medication prescribing.
Citation Text:
Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.…
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Study
"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.
Citation Text:
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…
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psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
February 14, 2024 - Study
Classic
The attributes of medical event reporting systems.
Citation Text:
Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…
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www.ahrq.gov/news/newsroom/case-studies/201905.html
September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools
Search All Impact Case Studies
July 2019
The University of Texas Health at San Antonio (UT Health SA) used three AHRQ tools as the basis for developing a multimedia decision aid to help patients fully understand and consent …
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psnet.ahrq.gov/issue/interhospital-transfer-patients-discharged-academic-hospitalists-and-general-internists
August 01, 2018 - Study
Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes.
Citation Text:
Sokol-Hessner L, White AA, Davis KF, et al. Interhospital transfer patients discharged by academic hospitalists and general internists: Character…
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psnet.ahrq.gov/issue/learning-overcome-hierarchical-pressures-achieve-safer-patient-care-interprofessional
November 18, 2016 - Commentary
Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students.
Citation Text:
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve …
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psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project
November 16, 2022 - Study
Are opioid infusions used inappropriately at end of life? Results from a quality/safety project.
Citation Text:
Yeh JC, Chae SG, Kennedy PJ, et al. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. J Pain Symptom Manage. 2022;64(3):e13…
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psnet.ahrq.gov/issue/residents-feel-unprepared-and-unsupervised-leaders-cardiac-arrest-teams-teaching-hospitals
February 07, 2024 - Study
Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.
Citation Text:
Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teachi…
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psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - Study
Body mass index category and adverse events in hospitalized children.
Citation Text:
Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
June 02, 2025 - Job Aid: Facilitator Fundamentals
Primary Care Practice Facilitator
Training Series
1
Job Aid: Facilitator Fundamentals
Adopt a strengths-based not deficit-based mindset
Check yourself by asking:
Am I treating the individual as an "expert" on their own life and work?
Am I starting encounters and meeti…
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
May 19, 2021 - Review
Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias.
Citation Text:
Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…
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psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during-overnight-assignments
November 16, 2022 - Study
Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.
Citation Text:
Patel AG, Pizzitola VJ, Johnson CD, et al. Radiologists Make More Errors Interpreting Off-Hours Body CT Studies during Overnight As…
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psnet.ahrq.gov/issue/cognitive-biases-regarding-utilization-emergency-severity-index-among-emergency-nurses
December 21, 2016 - Study
Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses.
Citation Text:
Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.…