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psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
November 16, 2022 - Commentary
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists.
Citation Text:
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…
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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - Study
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Citation Text:
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - Review
Always having to say you're sorry: an ethical response to making mistakes in professional practice.
Citation Text:
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76.
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psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
May 26, 2021 - Commentary
Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Citation Text:
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
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psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning
October 19, 2022 - Commentary
Preparing challenging medications for barcode scanning.
Citation Text:
Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454.
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psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric
September 23, 2020 - Study
Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.
Citation Text:
Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…
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psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
January 17, 2024 - Special or Theme Issue
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records.
Citation Text:
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…
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psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
July 14, 2010 - Study
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications.
Citation Text:
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …
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digital.ahrq.gov/health-care-theme/adverse-events
January 01, 2023 - Adverse Events
Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions
Description
This research will implement, evaluate, and disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm …
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/oregon
January 01, 2023 - Oregon
In a recent press conference, Governor Kulongoski made the following statement regarding Oregonian's health information.
"We want to ensure that all of our citizens' health records are available to them and their healthcare provider anytime, anywhere they are needed and that those h…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
January 01, 2023 - Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)."
Reference
Lesselroth BJ, Felder RS, Adams SM, et al. Design and implementation of a medication reconciliation kiosk: the Automated Patient H…
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www.ahrq.gov/patient-safety/reports/engage/medlist.html
October 01, 2022 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Create a Safe Medicine List Together
"A lot of times patients come in and say, "I take a white pill or I take a purple pill or a green pill" and I have no idea what it is or how much they are taking. This strategy hel…
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digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2010
January 01, 2010 - Improving Management of Test Results that Return After Hospital Discharge - 2010
Project Name
Improving Management of Test Results that Return After Hospital Discharge
Principal Investigator
Were, Martin
Organization
Indiana University
Funding Mechanism
PAR: HS09-08…
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psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
March 04, 2020 - Study
Finding blunders in thyroid testing: experience in newborns.
Citation Text:
Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247.
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
December 01, 2012 - clinicians with assistance to ensure that institutional changes promoting tobacco dependence treatment are implemented
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digital.ahrq.gov/ahrq-funded-projects/hit-plan-region-v-behavioral-health-care-providers
January 01, 2023 - HIT Plan for Region V Behavioral Health Care Providers
Project Description
Project Details -
Completed
Grant Number
P20 HS015039
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gran…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide In Practice
In 2004, more than 100 intensive care units in Michigan implemented CUSP in their
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
AHRQ Publication No. 17-0003-20-EF
October 2017
1
Learning Objectives
AHRQ Safety Program for Perinatal Care
2
Rapid Response
Perinatal Safety
2
Rapid Respons…
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digital.ahrq.gov/health-it-tools-and-resources/clinical-decision-support-cds
January 01, 2023 - Clinical Decision Support (CDS)
Below is an introduction to AHRQ’s CDS program and useful links to AHRQ CDS resources. What is CDS, and why is it important? CDS is a digital tool that provides timely information to help inform decisions about a patient's care, improve patient outcomes, and l…