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psnet.ahrq.gov/node/47610/psn-pdf
March 13, 2019 - Patient safety outcomes under flexible and standard
resident duty-hour rules.
March 13, 2019
Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:905-914.
https://psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules
Duty hour reform for…
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - Lost information during the handover of critically injured
trauma patients: a mixed-methods study.
November 18, 2016
Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured
trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/38164/psn-pdf
July 02, 2009 - A Compendium of Strategies to Prevent Healthcare-
Associated Infections in Acute Care Hospitals.
July 2, 2009
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-
hospi…
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psnet.ahrq.gov/node/40656/psn-pdf
October 16, 2012 - Defining health information technology–related errors:
new developments since To Err Is Human.
October 16, 2012
Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is
human. Arch Intern Med. 2011;171(14):1281-4. doi:10.1001/archinternmed.2011.327.
https://psnet.…
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psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - Improving healthcare systems' disclosures of large-scale
adverse events: a Department of Veterans Affairs
leadership, policymaker, research and stakeholder
partnership.
March 26, 2015
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse
events: a Department of Ve…
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psnet.ahrq.gov/node/38710/psn-pdf
September 14, 2009 - Patient readmissions, emergency visits, and adverse
events after software-assisted discharge from hospital:
cluster randomized trial.
September 14, 2009
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after
software-assisted discharge from hospital: cluster rando…
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Analysis of adverse events associated with adult
moderate procedural sedation outside the operating
room.
August 28, 2017
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate
Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121.
doi:10.1…
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Associations between patient factors and adverse events
in the home care setting: a secondary data analysis of
two Canadian adverse event studies.
June 28, 2017
Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home
care setting: a secondary data analysis of two can…
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psnet.ahrq.gov/node/38805/psn-pdf
April 04, 2011 - Disclosing medical errors to patients: it's not what you
say, it's what they hear.
April 4, 2011
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what
they hear. J Gen Intern Med. 2009;24(9):1012-7. doi:10.1007/s11606-009-1044-3.
https://psnet.ahrq.gov/issue/dis…
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digital.ahrq.gov/principal-investigator/ahmad-fahd
January 01, 2023 - Ahmad, Fahd A.
Implementation of Electronic Health Screening in Primary Care to Improve STI Testing - Final Report
Citation
Ahmad F. Implementation of Electronic Health Screening in Primary Care to Improve STI Testing – Final Report. (Prepared by Washington University under Gr…
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digital.ahrq.gov/organization/washington-university
January 01, 2023 - Washington University
EnhanCed HandOffs (ECHO)
Description
This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patient-…
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psnet.ahrq.gov/node/39215/psn-pdf
January 03, 2017 - Adverse drug events among hospitalized Medicare
patients: epidemiology and national estimates from a new
approach to surveillance.
January 3, 2017
Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology
and national estimates from a new approach to surveillance. Jt Co…
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psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - Use of HIT for adverse event reporting in nursing homes:
barriers and facilitators.
April 17, 2013
Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and
facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/43652/psn-pdf
August 04, 2015 - Do clinicians know which of their patients have central
venous catheters?: A multicenter observational study.
August 4, 2015
Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous
catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73…
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psnet.ahrq.gov/node/43687/psn-pdf
November 12, 2014 - Changes in medical errors after implementation of a
handoff program.
November 12, 2014
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff
program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556.
https://psnet.ahrq.gov/issue/changes-medical-er…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident
-
cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
January 01, 2016 - symptoms
RESPOND - de-escalation techniques
REPORT - how to notify, escalate, and properly document an
incident