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psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
May 20, 2009 - Commentary
The importance of simulation: preventing hand-off mistakes.
Citation Text:
Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007.
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psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
January 09, 2019 - Measurement Tool/Indicator
Classic
IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition.
Citation Text:
IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…
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digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
January 01, 2019 - Using Smartphone Location Data for Care Coordination
A smartphone app that uses location data to notify PCPs when a patient arrives in the hospital or ER is a simple, potentially scalable approach to improve care coordination after a hospital visit.
Principal Investigator: Liss, David T. Orga…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/HDRS.pdf
January 01, 2020 - Hamilton Depression Rating Scale
HAMILTON DEPRESSION RATING SCALE
The total Hamilton Depression (HAM-D) Rating Scale provides and indication of depression and, over time,
provides a valuable guide to progress.
• Classification of symptoms which may be difficult to obtain can be scored as:
0 - absent: 1 - …
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - Book/Report
Advancing the Safety of Acute Pain Management.
Citation Text:
Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cauldwell-m
January 01, 2023 - Cauldwell M et al. 2007 "The impact of electronic patient records on workflow in general practice."
Reference
Cauldwell M, Beattie C, Cox B, et al. The impact of electronic patient records on workflow in general practice. Health Informatics J 2007;13(2):155-160.
Abstract
"[A patient access sys…
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psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - Commentary
Emerging Classic
Adaptive expertise in medical decision making.
Citation Text:
Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
January 01, 1999 - Shiffman RN et al. 1999 "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness."
Reference
Shiffman RN, Liaw Y, Brandt CA, et al. Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform A…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/christakis-da-et-al
January 01, 2023 - Christakis DA et al. 2001 "A randomized controlled trial of point-of-care evidence to improve the antibiotic prescribing practices for otitis media in children."
Reference
Christakis DA, Zimmerman FJ, Wright JA, et al. A randomized controlled trial of point-of-care evidence to improve the antibiotic p…
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psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare
February 28, 2018 - Audiovisual Presentation
Joint Commission Center for Transforming Healthcare.
Citation Text:
Joint Commission Center for Transforming Healthcare. Joint Commission.
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psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
January 09, 2019 - Book/Report
Moving Measurement into Action: Global Principles for Measuring Patient Safety.
Citation Text:
Moving Measurement into Action: Global Principles for Measuring Patient Safety. IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar…
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psnet.ahrq.gov/issue/how-safe-your-hospital
December 03, 2014 - Book/Report
How Safe Is Your Hospital?
Citation Text:
How Safe Is Your Hospital? Dr Foster Intelligence Unit. London, UK: Imperial College London; 2009.
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psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-based-results-2019
June 21, 2023 - Book/Report
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey.
Citation Text:
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital S…
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psnet.ahrq.gov/issue/findings-and-lessons-ahrq-ambulatory-safety-and-quality-program
January 07, 2015 - Book/Report
Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program.
Citation Text:
Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. Rockville, MD: Agency for Healthcare Research and Quality; August 2013. AHRQ Publication No. 13-0067-EF.
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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Book/Report
Unintended Consequences: New Problems and New Solutions.
Citation Text:
Unintended Consequences: New Problems and New Solutions. Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Errors Reporting Program.
Citation Text:
ISMP Medication Errors Reporting Program. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/handoffs-and-fumbles
June 12, 2007 - Book/Report
Handoffs and fumbles.
Citation Text:
Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004.
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psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
September 29, 2021 - Commentary
Comparing perspectives on organisational silence: an analysis of the Gosport inquiry.
Citation Text:
Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. Powell M. J Health Org Manag. 2023;37(1):67-83.
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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/costs-and-benefits-health-information-technology
July 27, 2018 - Government Resource
Costs and Benefits of Health Information Technology.
Citation Text:
Costs and Benefits of Health Information Technology. Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
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