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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - Special or Theme Issue
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.
Citation Text:
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability.html
June 01, 2018 - Chartbook on Care Affordability
Care Affordability
Previous Page Next Page
Table of Contents
Chartbook on Care Affordability
Acknowledgments
Care Affordability
Care Affordability Trends and Measures
Measures of Access Problems Due to Health Care Costs
Measures of Inefficiency
Supplement…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/half-day.html
May 01, 2023 - Half-Day Training Content
In a half-day training, Module 1 activities should take about 40 minutes (as noted below). Components to include in the Communication Module for a half-day training include:
Introduction and Objectives: 2 minutes
Communication Exercise: 7 minutes
Communication's Importance and …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-2.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Electronic Patient Portals
Previous Page Next Page
Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Introduction
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dansky-kh-et-al-1999
January 01, 1999 - Dansky KH et al. 1999 "Electronic medical records: are physicians ready?"
Reference
Dansky KH, Gamm LD, Vasey JJ, et al. Electronic medical records: are physicians ready? Practitioner application. J Healthc Manag 1999;44(6):440.
Abstract
"The use of electronic medical records [EMR] in healthc…
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digital.ahrq.gov/principal-investigator/dexheimer-judith-w
October 14, 2020 - Dexheimer, Judith W.
Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled trial.
Citation
Wissel BD, Greiner HM, Glauser TA, Mangano FT, Holland-Bouley KD, Zhang N, Szczesniak RD, Santel D, Pestian JP, Dexheimer JW. Automated, m…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023704-adelman-final-report-2019.pdf
January 01, 2019 - of wrong-patient electronic orders, as voluntary reporting is
known to be an unreliable method for identifying … Adverse Events in Hospitals: Methods for Identifying Events. 2010.
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_5_Actions.html
July 25, 2018 - Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults Actions and Directives more-intensive treatment that is, hospitalization Rec_1: Cond_1: Act_1 where appropriate and available, intensive in-home health care services Rec_1…
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psnet.ahrq.gov/node/46123/psn-pdf
January 01, 2020 - Improving patient safety in handover from intensive care
unit to general ward: a systematic review.
June 21, 2017
Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A
Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1097/pts.0000000000000266.
https://p…
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psnet.ahrq.gov/node/72543/psn-pdf
December 09, 2020 - Effects of interorganisational information technology
networks on patient safety: a realist synthesis.
December 9, 2020
Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on
patient safety: a realist synthesis. BMJ Open. 2020;10(10):e036608. doi:10.1136/bmjopen-2019…
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psnet.ahrq.gov/node/60003/psn-pdf
January 01, 2021 - Systemic causes of in-hospital intravenous medication
errors: a systematic review.
March 4, 2020
Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a
systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632.
https://psnet.ah…
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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - Toward the translation of systems thinking methods in
patient safety practice: assessing the validity of Net-
HARMS and AcciMap.
February 1, 2023
Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety
practice: assessing the validity of Net-HARMS and AcciMap. Safety…
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psnet.ahrq.gov/node/34980/psn-pdf
February 15, 2011 - Barriers to implementation of patient safety systems in
healthcare institutions: leadership and policy
implications.
February 15, 2011
Akins RB, Cole BR. J Patient Saf. 2005;1(1):9-16.
https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-
leadership-and-policy
In or…
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psnet.ahrq.gov/node/867535/psn-pdf
January 15, 2025 - Perioperative patient safety recommendations:
systematic review of clinical practice guidelines.
January 15, 2025
Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety
recommendations: systematic review of clinical practice guidelines. BJS Open. 2024;8(6):zrae143.
doi:10.1093/bj…
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psnet.ahrq.gov/node/836965/psn-pdf
April 20, 2022 - We are not there yet: a qualitative system probing study
of a hospital rapid response system.
April 20, 2022
Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital
rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/pts.0000000000001000.
https://psn…
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psnet.ahrq.gov/node/852282/psn-pdf
August 09, 2023 - Implementation of medication reconciliation in outpatient
cancer care.
August 9, 2023
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care.
BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
https://psnet.ahrq.gov/issue/implementation-medication-…
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psnet.ahrq.gov/node/44484/psn-pdf
May 04, 2016 - Failure mode and effects analysis: a comparison of two
common risk prioritisation methods.
May 4, 2016
McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10.1136/bmjqs-2015-004130.
https://psn…
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psnet.ahrq.gov/node/837736/psn-pdf
July 27, 2022 - Body mass index category and adverse events in
hospitalized children.
July 27, 2022
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.
https://psnet.ahrq.gov/issue/body-mass-index-categor…
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psnet.ahrq.gov/node/47538/psn-pdf
January 23, 2019 - What causes medication administration errors in a mental
health hospital? A qualitative study with nursing staff.
January 23, 2019
Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health
hospital? A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233.
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