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psnet.ahrq.gov/issue/transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
July 02, 2019 - Study
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.
Citation Text:
Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …
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psnet.ahrq.gov/issue/examining-medical-office-owners-and-clinicians-perceptions-patient-safety-climate
December 21, 2018 - Study
Examining medical office owners and clinicians perceptions on patient safety climate.
Citation Text:
Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PT…
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psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
August 04, 2021 - Study
Information loss in emergency medical services handover of trauma patients.
Citation Text:
Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260.
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - Review
Medical morbidity and mortality conferences: past, present and future.
Citation Text:
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
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psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior
September 29, 2017 - Study
Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior.
Citation Text:
Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…
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psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly
April 06, 2022 - Commentary
The spectrum of hospitalization-associated harm in the elderly.
Citation Text:
Schattner A. The spectrum of hospitalization-associated harm in the elderly. Eur J Intern Med. 2023;115(Sept):29-33. doi:10.1016/j.ejim.2023.05.025.
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psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
August 02, 2015 - Study
Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays.
Citation Text:
Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…
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psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
April 28, 2021 - Study
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.
Citation Text:
Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. Jt Comm J Qua…
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digital.ahrq.gov/ahrq-funded-projects/access-pediatric-voice-therapy-telehealth-solution
January 01, 2023 - Access to Pediatric Voice Therapy: A Telehealth Solution
Project Final Report ( PDF , 1.16 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ…
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Review
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.
Citation Text:
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…
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digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
June 16, 2021 - Measures of Impact for BLUES project
Measures of Impact for BLUES project
Lead Agency: Delta Health Alliance
There has been significant discussion about how to effectively measure the BLUES project’s
impact during the past quarter. Although no baseline data is available at this time, the table
below solidifie…
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psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
June 19, 2013 - Commentary
Falling through the cracks: the invisible hospital cleaning workforce.
Citation Text:
Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035.
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psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
January 19, 2022 - Commentary
Clinical progress note: situation awareness for clinical deterioration in hospitalized children.
Citation Text:
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety
July 03, 2014 - Study
Classic
Resident work hour limits and patient safety.
Citation Text:
Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60.
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psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Citation Text:
Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
July 05, 2013 - Commentary
Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance.
Citation Text:
Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0652-131114.pdf
May 15, 2013 - Topic 0533 Postpartum Hemorrhage NSD FINALsj
Postpartum Hemorrhage
Nomination Summary Document
Results of Topic Selection Process & Next Steps …
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psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
May 08, 2017 - Study
The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.
Citation Text:
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…