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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miyasaka-k-et-al-1997
January 01, 1997 - Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care."
Reference
Miyasaka K, Suzuki Y, Sakai H, et al. Interactive communication in high-technology home care: videophones for pediatric ventilatory care. Pediatrics 1997;99(1):E11-E16…
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Review
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Citation Text:
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.732…
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digital.ahrq.gov/ahrq-funded-projects/devise-data-exchange-vaccine-information-between-immunization-information
January 01, 2023 - DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record
Project Final Report ( PDF , 237.23 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for i…
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psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
July 09, 2018 - Study
Emerging Classic
Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.
Citation Text:
Adelman JS, Applebaum JR, Schechter CB, et al. Effect of Restriction…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017093-schwarz-final-report-2011.pdf
January 01, 2011 - Harnessing Health Information Technology to Prevent Medication-Induced Birth Defects - Final report
AHRQ Grant Final Progress Report
Title of Project:
Harnessing Health IT to Prevent Medication-‐Induced Birth Defects
Principal Investigator:
Eleanor Bimla Schwarz, MD, MS University of Pittsburgh
Team …
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effectivehealthcare.ahrq.gov/sites/default/files/decide16final-mortality-risk-in-copd-pts-using-theophylline.pdf
December 01, 2009 - Outcomes in COPD patients treated with theophylline
The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of
AHRQ's Effective Health Care Program. It is a collaborative network of research centers that
support the rapid development of new scientific information and a…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-management_research.pdf
December 01, 2009 - Outcomes in COPD patients treated with theophylline
The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of
AHRQ's Effective Health Care Program. It is a collaborative network of research centers that
support the rapid development of new scientific information and a…
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www.ahrq.gov/topics/burnout.html
Topic: Burnout
Burnout is a serious and growing problem in many healthcare settings. Burnout can increase worker turnover and reduce quality of care, leading to lower patient satisfaction and patient safety as well as higher costs of care. AHRQ supports a wide range of projects to assess and reduce burnout among clin…
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psnet.ahrq.gov/node/38202/psn-pdf
November 12, 2008 - The tipping point: the relationship between volume and
patient harm.
November 12, 2008
Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual.
2008;23(5):336-41. doi:10.1177/1062860608320628.
https://psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-…
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psnet.ahrq.gov/node/36325/psn-pdf
October 25, 2006 - The Anatomy of Medical Error: Preventing Harm with
People-Based Patient Safety.
October 25, 2006
Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN:
9780966460414.
https://psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
The authors…
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psnet.ahrq.gov/node/38990/psn-pdf
September 30, 2009 - Practice, rehearsal, and performance: an approach for
simulation-based surgical and procedure training.
September 30, 2009
Kneebone RL.
https://psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and-
procedure-training
Understanding how musical expertise is developed could …
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psnet.ahrq.gov/node/37239/psn-pdf
September 27, 2016 - Communication patterns in a UK emergency department.
September 27, 2016
Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann
Emerg Med. 2007;50(4):407-13.
https://psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
This study observed emergency room cha…
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psnet.ahrq.gov/node/35513/psn-pdf
February 22, 2010 - Utility of an online medication-error-reporting system.
February 22, 2010
Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J
Health Syst Pharm. 2005;62(21):2265-70.
https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
The investigators survey…
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psnet.ahrq.gov/node/39081/psn-pdf
September 27, 2016 - Medication room madness: calming the chaos.
September 27, 2016
Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual.
2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d.
https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
Through space and process desi…
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psnet.ahrq.gov/node/35967/psn-pdf
January 02, 2017 - Physician perception of hospital safety and barriers to
incident reporting.
January 2, 2017
Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt
Comm J Qual Patient Saf. 2006;32(6):337-43.
https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-ba…
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psnet.ahrq.gov/node/36417/psn-pdf
April 12, 2011 - Excess mortality caused by medical injury.
April 12, 2011
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med.
2006;4(5):410-6.
https://psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
The authors describe a state-based review of discharge diagnoses to identify medi…
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psnet.ahrq.gov/node/38158/psn-pdf
October 22, 2008 - Predicting patient complaints in hospital settings.
October 22, 2008
Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care.
2008;17(5):346-50. doi:10.1136/qshc.2007.024281.
https://psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
Patient compl…
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psnet.ahrq.gov/node/38419/psn-pdf
February 18, 2009 - Outcomes after out-of-hospital endotracheal intubation
errors.
February 18, 2009
Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors.
Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016.
https://psnet.ahrq.gov/issue/outcomes-after-out-hospital-endo…
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psnet.ahrq.gov/node/35507/psn-pdf
February 22, 2010 - The 100,000 Lives Campaign: crystallizing standards of
care for hospitals.
February 22, 2010
Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals.
Health Aff (Millwood). 2005;24(6):1560-70.
https://psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide36.html
October 01, 2014 - 36. Intervention as a Covered Health Benefit (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Providing tobacco dependence treatments (both medication and counseling) as a paid or covered benefit by health insurance plans has been s…