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psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
December 09, 2020 - Study
Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.
Citation Text:
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12)…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/logan-et-al-2007-mobile
January 01, 2007 - Logan A et al. 2007 "Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients."
Reference
Logan AG, McIsaac WJ, Tisler A, et al. Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients. Am J Hypertens 2007;2…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mccowan-c-et-al-2001
January 01, 2001 - McCowan C et al. 2001 "Lessons from a randomized controlled trial designed to evaluate computer decision support software to improve the management of asthma."
Reference
McCowan C, Neville RG, Ricketts IW, et al. Lessons from a randomized controlled trial designed to evaluate computer decision support…
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psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
July 29, 2020 - Study
Obstetrician-gynecologist views of pregnancy-related medication safety.
Citation Text:
SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007.
…
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - Commentary
Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.
Citation Text:
Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…
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psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
June 23, 2009 - Study
Injury and liability associated with monitored anesthesia care: a closed claims analysis.
Citation Text:
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
Cop…
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psnet.ahrq.gov/issue/effectiveness-acute-care-remote-triage-systems-systematic-review
March 14, 2022 - Review
Emerging Classic
Effectiveness of acute care remote triage systems: a systematic review.
Citation Text:
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic review. J Gen Intern Med. 2020;35(7):2136-2145.…
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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www.ahrq.gov/news/newsroom/case-studies/ktcoe33.html
October 01, 2014 - Iowa Medicaid Uses AHRQ Research, Data to Improve Quality
Search All Impact Case Studies
March 2010
As a result of participating in the Medicaid Medical Directors Learning Network—an AHRQ Knowledge Transfer project—the Iowa Medicaid Enterprise, in consultation with the Iowa Foundation for Medical Care, used…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-deprescribing.pdf
February 01, 2024 - What patient safety measures or indicators have been used to examine the
harm associated with polypharmacy … We answered Review Questions 1 and 2 by focusing on the harms and patient
safety measures or indicators … the
Centers for Medicare & Medicaid Services (CMS) patient safety measures, AHRQ’s
Patient Safety Indicators … What Patient Safety Measures or
Indicators Have Been Used To Examine the Harm
Associated With Polypharmacy
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOC-PIV-Field-Guide.pdf
June 01, 2015 - The CPQCC analyzes data and reviews current, relevant publications
to define indicators and benchmarks … allow for frequent, rapid improvement cycles
− Include benchmarks or peer comparisons on quality indicators … pre-intervention and post-intervention audits, feedback, and peer
comparisons using evidence-based quality indicators … Balancing
measures (indicators
of unintended
consequences)
Not specified Appropriate balancing
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
October 01, 2011 - A wide variety of indicators demonstrate improvements or shifts in organizational
research culture. … Examples of indicators we found in our
research are shown in Figure 4.
Figure 4. … Indicators of a shift in research culture
Types of Indicators
• Changed performance evaluation system
-
www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
October 01, 2011 - A wide variety of indicators demonstrate improvements or shifts in organizational
research culture. … Examples of indicators we found in our
research are shown in Figure 4.
Figure 4. … Indicators of a shift in research culture
Types of Indicators
• Changed performance evaluation system
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/antiplatelet-treatment_executive.pdf
September 01, 2013 - 1
Comparative Effectiveness Review
Number 125
Testing of CYP2C19 Variants and Platelet
Reactivity for Guiding Antiplatelet Treatment
Executive Summary
Background
Burden of Disease and Clinical
Setting
Approximately 82 million Americans
currently suffer from some form of
cardiovascular disease.1 In the United …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
December 01, 2017 - supplements (e.g., vitamin and supplement information, average weekly meal intake for the report week),
Indicators … Indicators of a decline in ADLs, such as bed mobility, transfer, or toileting, captured from daily nursing
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www.uspreventiveservicestaskforce.org/uspstf/document/-screening-evidence-summary/gestational-diabetes-mellitus-screening-january-2014
May 15, 2013 - Screening for gestational diabetes mellitus by a model based on risk indicators: a prospective study. … Occurrence of gestational diabetes mellitus and the value of different screening indicators for the oral
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_surveillance.pdf
June 01, 2012 - evidence does
not support statements on whether
other clinical features (such as
demographics or indicators … evidence does not support statements on
whether other clinical features (such as demographics or
indicators
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
January 01, 2012 - Gait changes in older adults: predictors of
falls or indicators of fear.