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psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes
April 12, 2023 - Study
Impact of resident workload and handoff training on patient outcomes.
Citation Text:
Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005.
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digital.ahrq.gov/sites/default/files/docs/page/2006Ralston_052411comp.pdf
May 01, 2006 - MyGroupHealth Web Portal and Shared Medical Records with Patients
James D Ralston, MD MPH
MyGroupHealth Web Portal and
Shared Medical Records with
Patients
James D Ralston, MD MPH
Group Health Center for Health Studies
Seattle, Washington
James D Ralston, MD MPH
Patient Web Portals
• Walled online gardens
–…
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey
September 13, 2023 - Study
General practitioners' attitudes toward reporting and learning from adverse events: results from a survey.
Citation Text:
Mikkelsen TH, Sokolowski I, Olesen F. General practitioners' attitudes toward reporting and learning from adverse events: results from a survey. Scand J Prim …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - About the Toolkit Development
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
The toolkit was developed based on the experiences of approximately 500 nursing homes across the country that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI, a 3-year implementation projec…
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psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-perceptions-patient-safety
November 09, 2016 - Study
The role of safety culture in influencing provider perceptions of patient safety.
Citation Text:
Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209.
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psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-support-staff-views
June 17, 2020 - Study
Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views.
Citation Text:
Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):…
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www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
December 01, 2008 - Study
The impact of the medical emergency team on the resuscitation practice of critical care nurses.
Citation Text:
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…
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psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients
September 08, 2016 - Study
Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients.
Citation Text:
Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…
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psnet.ahrq.gov/issue/utilizing-information-technology-mitigate-handoff-risks-caused-resident-work-hour
March 17, 2010 - Commentary
Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.
Citation Text:
Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin …
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psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - Commentary
A theoretical framework and competency-based approach to improving handoffs.
Citation Text:
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
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psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
June 27, 2012 - Study
In situ simulated cardiac arrest exercises to detect system vulnerabilities.
Citation Text:
Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…
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psnet.ahrq.gov/issue/taking-patients-narratives-about-clinicians-anecdote-science
March 20, 2019 - Commentary
Taking patients' narratives about clinicians from anecdote to science.
Citation Text:
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
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digital.ahrq.gov/track-9-emerging-approaches-drive-change-healthcare
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
January 07, 2015 - Study
E-prescribing errors in community pharmacies: exploring consequences and contributing factors.
Citation Text:
Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.
Citation Text:
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…
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psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
December 29, 2014 - Commentary
Measuring preventable harm: helping science keep pace with policy.
Citation Text:
Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA. 2009;301(12):1273-5. doi:10.1001/jama.2009.388.
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - Book/Report
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer.
Citation Text:
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…
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psnet.ahrq.gov/issue/role-error-organizing-behaviour
April 21, 2011 - Study
Classic
The role of error in organizing behaviour.
Citation Text:
Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377.
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