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2321. Measuring harm in health care: optimizing adverse event review. | PSNet
      psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
      May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

2322. The Theory of Distributed Cognition | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department The Theory of Distributed Cognition Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Dis…

2323. Zandieh SO et al. 2008 "Challenges to EHR implementation in electronic-versus paper-based office practices." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zandieh-so-et-al-2008
      January 01, 2008 - Zandieh SO et al. 2008 "Challenges to EHR implementation in electronic-versus paper-based office practices." Reference Zandieh SO, Yoon-Flannery K, Kuperman GJ, et al. Challenges to EHR implementation in electronic-versus paper-based office practices. J Gen Intern Med 2008;23(6):755-761. [Link] …

2324. Culture Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4b.html
      July 01, 2013 - Eliminating CAUTI: Interim Data Report Culture Measures Previous Page Next Page Table of Contents Eliminating CAUTI: Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture Measures Conclusions Catheter Util…

2325. Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
      April 01, 2010 - Review Safety and risk management interventions in hospitals: a systematic review of the literature. Citation Text: Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…

2326. Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. | PSNet
      psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
      November 30, 2022 - Commentary Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. Citation Text: Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safe…

2327. Time to take hearing loss seriously. | PSNet
      psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
      September 23, 2020 - Commentary Time to take hearing loss seriously. Citation Text: Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. Copy Citation Format: DOI Google Scholar BibTeX E…

2328. LOINC | Digital Healthcare Research
      digital.ahrq.gov/loinc
      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…

2329. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet
      psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
      March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …

2330. CDS Connect Pilot Final Report (doc file)
      cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
      March 01, 2018 - namely the more conservative statin initiation guidance) and the ability to stay within their EHR vs. going

2331. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 2. How will we manage change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure …

2332. Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. | PSNet
      psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
      December 09, 2020 - Study Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. Citation Text: Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…

2333. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. | PSNet
      psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions
      January 29, 2014 - Study Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Citation Text: Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-7…

2334. Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial
      September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

2335. Effect of bar-code technology on the safety of medication administration. | PSNet
      psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
      October 25, 2010 - Study Classic Effect of bar-code technology on the safety of medication administration. Citation Text: Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.10…

2336. Preventing Pressure Ulcers in Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
      February 01, 2024 - Preventing Pressure Ulcers in Hospitals Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer prevention that we want to use? 4. How…

2337. Section 3. Appendix | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf3.html
      October 01, 2014 - Section 3. Appendix Additional Prevention Materials and Resources from AHRQ When you use The Guide to Clinical Preventive Services 2009 in the classroom or in practice, here are some additional products AHRQ developed based on the recommendations that you may find helpful. These items can be printed from yo…

2338. Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet
      psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect
      March 13, 2019 - Study Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. Citation Text: Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order en…

2339. Table 6: Number of Home and Community-Based Services Users by State With Use of 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab6.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 6: Number of Home and Community-Based Services Users by State With Use of 1915(c) Waiver Services, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population A…

2340. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet
      psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
      July 14, 2021 - Study The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. Citation Text: Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…