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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - Study
Interruptions and multitasking in nursing care.
Citation Text:
Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132.
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psnet.ahrq.gov/issue/cyberattack-unitedhealth-still-impacting-prescription-access-these-are-threats-life
March 21, 2024 - Newspaper/Magazine Article
Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life".
Citation Text:
Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". Sganga N, Triay A. CBS Evening News. February 29, 2024.
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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psnet.ahrq.gov/issue/growing-number-primary-care-doctors-are-burning-out-how-does-affect-patients
May 28, 2014 - Newspaper/Magazine Article
A growing number of primary-care doctors are burning out. How does this affect patients?
Citation Text:
A growing number of primary-care doctors are burning out. How does this affect patients? Rabin RC, Kaiser Health News. Washington Post. March 31, 2014.
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psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - Book/Report
Harm Caused by Delays in Transferring Patients to the Right Place of Care.
Citation Text:
Harm Caused by Delays in Transferring Patients to the Right Place of Care. Farnborough, UK: Healthcare Safety Investigation Branch; August 2023.
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psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
November 18, 2015 - Newspaper/Magazine Article
Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1.
Citation Text:
Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…
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psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
October 10, 2018 - Newspaper/Magazine Article
The optimal use of telehealth to deliver safe patient care.
Citation Text:
The optimal use of telehealth to deliver safe patient care. Quick Safety. October 6, 2020;55:1-4.
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psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
June 09, 2011 - Commentary
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Citation Text:
Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-18…
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psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
March 06, 2024 - Book/Report
All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today.
Citation Text:
All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. New York, NY: Harper Wave; 2024. ISBN: 978006…
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psnet.ahrq.gov/issue/improving-safety-information-technology
July 25, 2011 - Commentary
Classic
Improving safety with information technology.
Citation Text:
Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-34.
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psnet.ahrq.gov/issue/patient-and-family-centered-care-error-disclosure-and-investigation
July 15, 2009 - Newspaper/Magazine Article
Patient- and family-centered care: error disclosure and investigation.
Citation Text:
Patient- and family-centered care: error disclosure and investigation. Connor M; Wayman KI; Garcia C; Fischer PR; Consortium for Maximizing Family-Centered Care.
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psnet.ahrq.gov/issue/error-reporting-organizations
May 24, 2006 - Commentary
Error reporting in organizations.
Citation Text:
Error reporting in organizations. Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030.
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psnet.ahrq.gov/issue/serious-reportable-events-massachusetts
May 03, 2023 - Book/Report
Serious Reportable Events in Massachusetts.
Citation Text:
Serious Reportable Events in Massachusetts. Fillo KT, Saunders K. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; 2023.
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - Medication Management: A Closed Computerized Loop
Project Description
Other Resources
Project Details -
Completed
Grant Number
UC1 HS015231
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT…
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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 1
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Monday, September 21, 2009 Quality Engineering
Break Out Session E: Quality Engineering
WHAT SHOUL…
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - Government Resource
Health IT Safety Center Roadmap.
Citation Text:
Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 13, 2019 - Newspaper/Magazine Article
Sterile compounding tragedy is a symptom of a broken system on many levels.
Citation Text:
Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/5MHAProjBenefits011508.pdf
January 15, 2008 - Slide 1
“Linking Clinical Data to
Administrative Data”
AHRQ Contract with MHA
Potential Benefits to
Participants in the Project
Michael Pine, M.D., M.B.A.
Michael Pine and Associates, Inc.
President
January 15, 2008
2
Potential Benefits to Participants
Evaluation and improvement of data quality
Evaluation…