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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - each of the steps in a hypothetical PDSA cycle that could be used to measure the effects of
a change implemented … staff person met biweekly
to discuss how the course was proceeding and any modifications that could be implemented
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/integrating-evidence-based-clinical-and-community-strategies-improve-health
March 12, 2021 - potential synthesis or integration of preventive strategies in clinical and community settings that are implemented … information about effective clinical and community-level strategies is plentiful and interventions have been implemented
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - She loves to look at data and is very interested in seeing On-Time implemented.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
January 01, 2009 - We implemented sequential HIT interventions in the OHSU, Family Medicine, Obstetric, and
Midwifery clinics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - MEDMARX was implemented initially at five military hospitals in fall
2000 as part of a patient safety
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psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
January 31, 2024 - Study
Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.
Citation Text:
Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…
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psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
March 11, 2013 - Study
Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist.
Citation Text:
Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22…
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
May 27, 2011 - Study
Classic
Relationship between medication errors and adverse drug events.
Citation Text:
Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205.
Copy Citation
Format:…
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psnet.ahrq.gov/issue/family-safety-reporting-medically-complex-children-parent-staff-and-leader-perspectives
July 20, 2022 - Study
Family safety reporting in medically complex children: parent, staff, and leader perspectives.
Citation Text:
Khan A, Baird JD, Kelly MM, et al. Family safety reporting in medically complex children: parent, staff, and leader perspectives. Pediatrics. 2022;149(6):e2021053913. doi:1…
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psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
December 11, 2024 - Study
Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.
Citation Text:
Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - Review
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.
Citation Text:
Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…
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digital.ahrq.gov/funding-mechanism/ahrq-conference-grant-program-r13
January 01, 2023 - AHRQ Conference Grant Program (R13)
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the…
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psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
July 10, 2008 - Study
Classic
The care transitions intervention: results of a randomized controlled trial.
Citation Text:
Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…
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digital.ahrq.gov/population/home-health-worker
January 01, 2023 - Home Health Worker
Home care nurses' perspectives regarding health information management among older adults.
Citation
Kang Y, Taylor JO, Osterhage K, Turner AM. Home care nurses' perspectives regarding health information management among older adults. Home Healthc Now. 2019 N…
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psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
July 14, 2010 - Study
Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.
Citation Text:
Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…
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psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
August 12, 2015 - Study
The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit.
Citation Text:
Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…
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psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies
May 04, 2011 - Study
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.
Citation Text:
Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2016
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2016. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
December 05, 2012 - Study
Emerging Classic
Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.
Citation Text:
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…