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  1. psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
    February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
  2. digital.ahrq.gov/ahrq-funded-projects/sinc-synchronized-immunization-notifications
    January 01, 2023 - SINC: Synchronized Immunization Notifications Project Final Report ( PDF , 580.25 KB) 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. No stat…
  3. psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
    December 21, 2014 - Study Burnout and medical errors among American surgeons. Citation Text: Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3. Copy Citation Format: DOI Google Schol…
  4. www.ahrq.gov/sops/about/patient-safety-culture.html
    June 01, 2024 - What Is Patient Safety Culture? Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…
  5. psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
    October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…
  6. psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
    October 20, 2021 - Study Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. Citation Text: Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative exploration of acute…
  7. digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
    January 01, 2012 - Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012 Project Name Enhancing Complex Care through an Integrated Care Coordination Information System Principal Investigator Dorr, David Organization Oregon Health and Science University …
  8. digital.ahrq.gov/ahrq-funded-projects/how-do-you-define-regional-geography-health-information-exchange
    January 01, 2023 - How Do You Define Regional? The Geography of Health Information Exchange Project Final Report ( PDF , 482.38 KB) 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…
  9. digital.ahrq.gov/ahrq-funded-projects/promoting-self-management-stroke-survivors-using-health-it
    January 01, 2023 - Promoting Self-Management in Stroke Survivors Using Health Information Technology Project Final Report ( PDF , 180.67 KB) 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 …
  10. psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
    May 18, 2022 - Study Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. Citation Text: Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive …
  11. psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable
    August 04, 2021 - Review An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Citation Text: Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…
  12. psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
    April 29, 2018 - Study Structured override reasons for drug–drug interaction alerts in electronic health records. Citation Text: Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…
  13. psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
    September 09, 2020 - Study Association of surgeon-patient sex concordance with postoperative outcomes. Citation Text: Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. Copy Citat…
  14. psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
    April 21, 2021 - Study Emerging Classic Impact of the COVID-19 pandemic on cancer care: a global collaborative study. Citation Text: Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6)(6…
  15. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 3.82 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  16. psnet.ahrq.gov/issue/comorbid-conditions-delay-diagnosis-colorectal-cancer-cohort-study-using-electronic-primary
    January 13, 2021 - Study Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. Citation Text: Mounce LTA, Price S, Valderas JM, et al. Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records. Br…
  17. psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
    June 01, 2022 - Study Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. Citation Text: Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589…
  18. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mayo-smith-mf-et-al
    January 01, 2023 - Mayo-Smith MF et al. 2007 "Factors associated with improved completion of computerized clinical reminders across a large healthcare system." Reference Mayo-Smith MF, Agrawal A. Factors associated with improved completion of computerized clinical reminders across a large healthcare system. Int J Med In…
  19. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/roland-mo-et-al-1985
    January 01, 2023 - Roland MO et al. 1985 "Evaluation of a computer assisted repeat prescribing programme in a general practice." Reference Roland MO, Zander LI, Evans M, et al. Evaluation of a computer assisted repeat prescribing programme in a general practice. Br Med J (Clin Res Ed) 1985;291(6493):456-458. [Link] …
  20. psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
    November 04, 2020 - Study Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. Citation Text: Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …