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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%202.pdf
September 22, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Tuesday, September 22, 2009 Quality Engineering
Day 2, Break Out Session E: Quality Engineering
Re…
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psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
November 18, 2020 - Review
Exploring the concept of medication discrepancy within the context of patient safety to improve population health.
Citation Text:
Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2011
January 01, 2011 - Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision Support and Feedback - 2011
Project Name
Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision Support and Feedback
Principal Investigator
Forrest, Christopher
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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - Review
Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.
Citation Text:
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - Study
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.
Citation Text:
Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …
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psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronic
December 21, 2014 - Study
Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.
Citation Text:
O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge …
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - Commentary
Beyond the corrective action hierarchy: a systems approach to organizational change.
Citation Text:
Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
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psnet.ahrq.gov/issue/implementation-preoperative-briefing-protocol-improves-accuracy-teamwork-assessment-operating
February 25, 2009 - Study
Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of teamwork assessment in the operating room. …
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psnet.ahrq.gov/issue/first-curriculum-cultivating-speaking-behaviors-clinical-learning-environment
May 25, 2022 - Commentary
The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment.
Citation Text:
Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/002201…
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psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
May 25, 2022 - Commentary
RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice.
Citation Text:
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…
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psnet.ahrq.gov/issue/pragmatic-insights-patient-safety-priorities-and-intervention-strategies-ambulatory-settings
January 06, 2018 - Commentary
Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings.
Citation Text:
Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of Pennsylvania and national data.
Citation Text:
da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…
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psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
August 15, 2018 - Review
Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies.
Citation Text:
Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: resul…
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psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery
February 09, 2011 - Study
ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery.
Citation Text:
Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…
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psnet.ahrq.gov/issue/safety-culture-transformation-its-effects-childrens-hospital
November 04, 2014 - Study
A safety culture transformation: its effects at a children's hospital.
Citation Text:
Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744.
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psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
October 25, 2023 - Commentary
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.
Citation Text:
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Commentary
Advancing the next generation of handover research and practice with cognitive load theory.
Citation Text:
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…
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psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital
July 22, 2020 - Commentary
Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital.
Citation Text:
Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. …
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psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
September 01, 2021 - Study
A customized triggers program: a children's hospital's experience in improving trigger usability.
Citation Text:
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
September 07, 2016 - Government Resource
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care.
Citation Text:
Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…