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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - • They do not readily meet the point-of-care needs of patients and health care providers to
understand … • They do not fully capture the “story.” … These
models show how the various entities/agents in the micro-system interact. … Visual Error Reporting Tool
Figure 4 is an example of how a visual reporting tool could be used, based … to have the expertise to do so.
10
Further work is needed to fully operationalize the concepts
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018811-krist-final-report-2012.pdf
January 01, 2012 - We engaged practices to create a shared vision on how to integrate the IPHR into delivery
using practice … “The concern is that it’s going to be something else I have to do.” … [Nurse]
“We want to go back and spy on them and say, did they do it? … into the way they do things and they don’t want to
change.” … Implementation of electronic medical
records in hospitals: two case studies. Health Policy.
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
January 01, 2010 - Veterans Affairs (VA) and a non-VA primary care network to detect diagnostic errors and understand their … The first method applied a trigger algorithm to the EHR to detect patterns of visits that could have … To improve the triggers, a logistics regression model was used to test the additive PPV of integrating … American Journal of Medicine, “ Notification of abnormal lab test results in an electronic medical record: do … It will describe how the team improved the triggers in a way that will allow others to build and improve
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psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
August 12, 2020 - EndNote 7 XML Endnote tagged PubMedId RIS
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Related Resources From the Same Author(s)
How … accurately do older adult emergency department patients recall their medications? … April 12, 2019
Emergency department contribution to the prescription opioid epidemic.
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psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
July 22, 2020 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … A prior AHRQ WebM&M interview with Dr. … September 15, 2015
How structural racism works - racist policies as a root cause of U.S … July 3, 2016
"Excuse me": teaching interns to speak up. … July 2, 2014
Residents' response to duty-hour regulations—a follow-up national survey
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psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
August 30, 2023 - This project report outlines how a health system integrated chemotherapy order sets into a multisite … to improve clinical handovers. … in transitions from mental health hospitals to the community: a prioritisation nominal group technique … April 22, 2017
Medical improv: a novel approach to teaching communication and professionalism … December 29, 2014
Do drug interaction alerts between a chemotherapy order-entry system
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
October 20, 2021 - EndNote 7 XML Endnote tagged PubMedId RIS
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Download PDF … provide good and safe services to children receiving hospital-at-home: a qualitative interview study … multistep approach including a Delphi consensus study. … November 6, 2015
Horus meets Nightingale in the modern age: how nursing communicates
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digital.ahrq.gov/sites/default/files/docs/page/Telehealth_Issue_Paper_Final_1.pdf
December 01, 2008 - Many urban areas also do not have enough specialists
to provide care in fields such as dermatology and … It allows patients to seek care closer to home so they
do not need to travel long distances to receive … received feedback on how they might improve disease
management. … education
and training about patient safety and electronic health records, as well as information about
how … AHRQ has funded a diverse set of health IT projects to examine how applications such as
telehealth
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/prostate-cancer-screening
May 08, 2018 - The sections below provide more information on how this recommendation applies to African American men … Although the USPSTF found inadequate evidence about how benefits may differ for men with a family history … national priority
How to better inform men with a family history of prostate cancer about the benefits … to refine active prostate cancer treatments to minimize harms
How to better understand patient values … The USPSTF continues to find that the benefits of screening do not outweigh the harms in men 70 years
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - patients are using medications, and how to educate and improve communication with patients. … “Do Package Inserts Reflect Side Effects in Practice? The Examples of Varenicline and
Zolpidem.” … Do package inserts reflect symptoms
experienced in practice? … To address user confusion about how to use the
module, we conducted educational visits to each primary … ‘how-to’ forms, e.g., usability designs, plus a implementation guide containing implementation ‘pearls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Research has shown, however, that most physicians do not know
how to appropriately address the issue … The script was written to provoke discussion about the causes and
frequency of error, how to approach … Change how event reporting systems are used
Traditionally, event reporting was a way to warn institutional … superiors.19
Furthermore, staff are often confused as to which events to report and how to
report … Why do errors occur? Ambul Outreach 2000
(Spring):16–20.
21.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Finalreport100109.pdf
October 01, 2009 - to POA coding history, definitions and case study scenarios. … The LOINC issue was dealt
with by asking hospitals to do a preliminary step to map their existing coding … The first has to do with hospital resources. … of how to implement the project. … If
we were to do it over again, we would probably also allow hospitals to use a
standardized text file
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www.ahrq.gov/diagnostic-safety/research/grants-2022.html
July 01, 2025 - establish an infrastructure to systematically collect data on how, when, and why the electronic health … This information can be used to create a series of interventions to address gaps in training, software … Design enhancements to a pilot implementation of a highly reliable and resilient system, accelerate its … Bringing team science to the ambulatory diagnostic process: how do patients and clinicians develop shared … learn how to prevent and reduce harm from diagnostic error.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Sarah Mossburg: Do you think any of these trends had a larger impact on patient safety compared with … What are your thoughts on how organizations can do so? … And it’s time to move beyond lagging indicators of safety to upstream measures and attention to how we … they work, and people are just told to do something without playing a role in codesign and implementation … We are partnering with other academic programs to do the same.
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Sarah Mossburg: Do you think any of these trends had a larger impact on patient safety compared with … What are your thoughts on how organizations can do so? … And it’s time to move beyond lagging indicators of safety to upstream measures and attention to how we … they work, and people are just told to do something without playing a role in codesign and implementation … We are partnering with other academic programs to do the same.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary4/lung-cancer-screening-december-2013
July 30, 2013 - A total of 2052 participants were randomly assigned to LDCT and 2052 to usual care. … A total of 1190 participants were randomly assigned to annual LDCT, 1186 to biennial LDCT, and 1723 to … How effective is screening in persons at average risk? … How do these test characteristics vary by lung cancer risk? … How do test characteristics differ by subgroup (e.g., sex, age, and race)?
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - do so; use of organizational aides or social support; tips on how to communicate
6
mailto:MedicationManagementImprovementGroup … simple thing to do within a visit. … before asking the physician to do it or before advising the
patient to speak to the doctor. … If the nurses do not have this knowledge or comfort level, they
may be hesitant to take these actions … There is still a lot
to learn about how information technology can be maximized to provide information
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - So what we try to do is NOT to promote in-home treatment by saying how terrible our in-center units are … We really want to make sure that patients understand how to do this safely. … shows the patient how to do the process and they just follow the steps. … More uptake, more people choosing to do home hemodialysis, and, if so, how do we support that trend? … How does a clinical community do that?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - the message should be transferred, and how to evaluate the effect. … Change programs often do not work because they fail to involve formal structures and systems.13 Understanding … and how to mitigate them. … Communication—how do you convey the research outcomes? … Evaluation—how do you determine what worked?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - the message should be transferred, and how
to evaluate the effect. … Change programs
often do not work because they fail to involve formal structures and systems.13
Understanding … and how to mitigate
them. … Communication—how do you convey the research outcomes? … Evaluation—how do you determine what worked?