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  1. psnet.ahrq.gov/issue/impact-pharmacotherapy-alerting-system-medication-errors
    November 10, 2015 - Study Impact of a pharmacotherapy alerting system on medication errors. Citation Text: Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. Copy Citation…
  2. psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
    April 08, 2011 - Study Classic A preliminary taxonomy of medical errors in family practice. Citation Text: Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/user-satisfaction-computerized-order-entry-system-and-its-effect-workplace-level-stress
    August 27, 2017 - Study User satisfaction with computerized order entry system and its effect on workplace level of stress. Citation Text: Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):19…
  4. psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
    January 30, 2019 - Study Multi-professional patterns and methods of communication during patient handoffs. Citation Text: Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…
  5. psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
    September 28, 2016 - Study The nature and occurrence of registration errors in the emergency department. Citation Text: Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011. …
  6. psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
    September 23, 2017 - Commentary Blending evidence and innovation: improving intershift handoffs in a multihospital setting. Citation Text: Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
  7. psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
    November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…
  8. psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
    April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…
  9. psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
    January 06, 2018 - Study An observational study of changes to long-term medication after admission to an intensive care unit. Citation Text: Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…
  10. psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
    September 02, 2020 - Study Surgical skill is predicted by the ability to detect errors. Citation Text: Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…
  11. psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
    January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Citation Text: Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…
  12. psnet.ahrq.gov/issue/safe-injection-infusion-and-medication-vial-practices-health-care-2016
    October 19, 2022 - Organizational Policy/Guidelines Safe injection, infusion, and medication vial practices in health care (2016). Citation Text: Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infectio…
  13. psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
    November 13, 2024 - Journal Article Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. Citation Text: Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…
  14. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
    June 01, 2018 - Chartbook on Care Coordination Care Coordination Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoidable Hospitalizati…
  15. psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
    January 23, 2019 - Study The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. Citation Text: Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…
  16. www.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas Search All Impact Case Studies August 2005 A rural managed care program development project funded by AHRQ has helped create a thriving statewide collaborative telemedicine network. Maine Telehealth Network, in operation since 1998, h…
  17. psnet.ahrq.gov/issue/state-mandated-hospital-infection-reporting-not-associated-decreased-pediatric-health-care
    February 17, 2010 - Study State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections. Citation Text: Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated With Decreased Pediatric Health Care-Associa…
  18. psnet.ahrq.gov/issue/potentially-avoidable-hospitalizations-among-historically-marginalized-nursing-home-residents
    September 09, 2011 - Study Potentially avoidable hospitalizations among historically marginalized nursing home residents. Citation Text: Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312.…
  19. psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…
  20. psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital
    October 19, 2022 - Study Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. Citation Text: Osborne TF, Veigulis ZP, Arreola DM, et al. Assessment of a wearable fall prevention system at a veterans health administration hospital. Digit Health. 2023;9:20552076231187…