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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician
January 01, 2023 - Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician Practices
Project Final Report ( PDF , 4.96 MB)
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Annual Summaries
Publications
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psnet.ahrq.gov/issue/resolving-malpractice-claims-after-tort-reform-experience-self-insured-texas-public-academic
December 19, 2018 - Study
Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system.
Citation Text:
Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health System. Health …
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psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
October 31, 2011 - Study
Extent of diagnostic agreement among medical referrals.
Citation Text:
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
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psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
November 03, 2021 - Study
Discrepancies between home medications listed at hospital admission and reported medical conditions.
Citation Text:
Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…
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psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
February 14, 2015 - Study
An educational intervention to enhance nurse leaders' perceptions of patient safety culture.
Citation Text:
Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - Study
Do hospitals provide lower quality care on weekends?
Citation Text:
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
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psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review
Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.
Citation Text:
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…
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psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
February 09, 2022 - Study
The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events.
Citation Text:
Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…
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psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer
January 23, 2019 - Study
Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer.
Citation Text:
Brewster L, Tarrant C, Willars J, et al. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Qual Saf. 2018;27(8):625-6…
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psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization
February 27, 2009 - Study
Classic
Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization.
Citation Text:
Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …
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psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
September 25, 2008 - Study
Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs.
Citation Text:
Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…
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psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
January 23, 2013 - Study
Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center.
Citation Text:
Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…
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psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
October 24, 2012 - Study
The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems.
Citation Text:
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
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psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
January 02, 2017 - Study
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Citation Text:
Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance
July 14, 2009 - Study
Competition and health plan performance: evidence from health maintenance organization insurance markets.
Citation Text:
Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…
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psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
November 16, 2022 - Study
Handoff tool improves transitions from the operating room to the neonatal intensive care unit.
Citation Text:
Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…
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psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
September 02, 2020 - Study
Medication errors in the care transition of trauma patients
Citation Text:
Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3.
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psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - Study
A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study.
Citation Text:
Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…
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psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
September 04, 2024 - Study
Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study.
Citation Text:
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…
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psnet.ahrq.gov/issue/perceptions-working-conditions-and-safety-concerns-community-pharmacy
September 01, 2015 - Study
Perceptions of working conditions and safety concerns in community pharmacy.
Citation Text:
Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.0…