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psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
July 07, 2021 - Study
Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports.
Citation Text:
Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…
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digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency
Case Study: Collaborating to Improve the
Quality of Care: Lessons Learned from the
Alabama Medicaid Agency
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human…
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digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/annual-summary/2011
January 01, 2011 - Developing and Evaluating Online Education to Improve Older Adults Health Information - 2011
Project Name
Developing and Evaluating Online Education to Improve Older Adults Health Information
Principal Investigator
Fink, Arlene
Organization
Langley Research Institute
…
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psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health
November 02, 2018 - Review
The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis.
Citation Text:
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospi…
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psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta
October 14, 2015 - Review
Classic
The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis.
Citation Text:
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX) Generators: A Systema…
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psnet.ahrq.gov/issue/never-events-uk-general-practice-survey-views-general-practitioners-their-frequency-and
June 30, 2021 - Study
Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach
Citation Text:
Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General Practiti…
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psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal
July 26, 2023 - Study
Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care.
Citation Text:
Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individual…
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psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
September 09, 2020 - Study
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme.
Citation Text:
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
January 06, 2018 - Review
Surgical checklists: a systematic review of impacts and implementation.
Citation Text:
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
Copy Citation
F…
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psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
March 17, 2021 - Study
Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.
Citation Text:
Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proo…
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psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
July 19, 2019 - Study
Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool.
Citation Text:
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-bloodstream-infections-related-central
March 30, 2022 - Review
Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review.
Citation Text:
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related…
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psnet.ahrq.gov/issue/analysis-readmissions-mobile-integrated-health-transitional-care-program-using-root-cause
June 08, 2022 - Study
Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis.
Citation Text:
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root …
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
May 01, 2017 - Warm Handoff
Patient and Family Engagement in Primary Care
Slide 1: Warm Handoff
AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety in …
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psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and-after
March 17, 2021 - Study
A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.
Citation Text:
Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of hospital, incl…
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psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
July 25, 2011 - Study
Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.
Citation Text:
Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…
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psnet.ahrq.gov/issue/measurable-outcomes-quality-improvement-trauma-intensive-care-unit-impact-daily-quality
February 24, 2010 - Study
Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist.
Citation Text:
DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a dail…
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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events
Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…