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psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
October 27, 2021 - Study
Awareness of human factors in the operating theatres during the COVID-19 pandemic.
Citation Text:
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
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psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - Commentary
It is time to define antimicrobial never events.
Citation Text:
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_go_live_planning_checklist.pdf
January 01, 2006 - EHR Go Live Planning Checklist
EHR Go Live Planning Checklist
Note: Your EHR project team should review this list and add any items that might be specific to
your practice.
Staff
Has been trained on new EHR policies and procedures and has signed off
indicating that they understand the new policies and …
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - Commentary
Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.
Citation Text:
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
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psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter
September 24, 2017 - Study
Hospital safety scores: do grades really matter?
Citation Text:
Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-4.
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psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
January 07, 2015 - Review
Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries.
Citation Text:
Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information …
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psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
December 29, 2014 - Study
Measurement for improvement: a survey of current practice in Australian public hospitals.
Citation Text:
Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40.
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psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
May 10, 2023 - Commentary
Prescribing errors resulting in adverse drug events: how can they be prevented?
Citation Text:
Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93.
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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
January 18, 2023 - Commentary
Leveraging consistent communication tools and organizational values to promote accountability among health care providers.
Citation Text:
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
September 22, 2010 - LOINC Maintenance
LOINC® Maintenance
Checklist of Database changes / When to Re-Evaluate LOINC® mapping
Share this checklist with the site staff holding security privileges to make LIS database
changes. This particular staff doesn’t necessarily need to know how to map to LOINC®,
but is now informed to route t…
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psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
August 04, 2021 - Study
Analyzing communication errors in an air medical transport service.
Citation Text:
Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019.
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Citation Text:
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
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psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
February 28, 2024 - Commentary
Conspicuous by its absence: diagnostic expert testing under uncertainty.
Citation Text:
Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201.
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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psnet.ahrq.gov/issue/measures-and-measurement-high-performance-work-systems-health-care-settings-propositions
December 21, 2017 - Commentary
Measures and measurement of high-performance work systems in health care settings: propositions for improvement.
Citation Text:
Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement…
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psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
June 03, 2020 - Commentary
Eliminating preventable death at Ascension Health.
Citation Text:
Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54.
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event.
Citation Text:
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
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DOI Googl…
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-radiology
November 16, 2022 - Study
Diagnostic errors in pediatric radiology.
Citation Text:
Taylor GA, Voss SD, Melvin PR, et al. Diagnostic errors in pediatric radiology. Pediatr Radiol. 2011;41(3):327-34. doi:10.1007/s00247-010-1812-6.
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psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
December 14, 2016 - Study
How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.
Citation Text:
Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…