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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture in Healthcare
John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg
| March 27, 2024
View more articles from the same authors.
Citation Text:
Murray J, Sorra J, Gale B, et al. Ensuring Patient…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - Intubation Mishap
September 1, 2003
Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/intubation-mishap
Case Objectives
To understand and apply a structured method of human factors case analysis
To describe the key components of effective teamwork
To understand the imp…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect
August 29, 2024 - Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Project Final Report ( PDF , 803.9 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…
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meps.ahrq.gov/data_files/publications/st467/stat467.pdf
February 01, 2015 - Statistical Brief #467: Transitions in Health Insurance Coverage Over Time, 2012-2014 (Selected Intervals): Estimates for the U.S. Civilian Noninstitutionalized Adult Population under Age 65)
1
STATISTICAL BRIEF #467
February 2015
Transitions in Health Insurance Coverage Over Time, 2012-2014
(Selected Intervals): E…
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
References
Previous Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
…
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - SPOTLIGHT CASE
A Pill Organizing Plight
Citation Text:
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.
Citation Text:
Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-263-postpartum-hypertensive-pregnancy-executive-summary.pdf
May 01, 2023 - Executive Summary_Comparative Effectiveness Review No. 263: Management of Postpartum Hypertensive Disorders of Pregnancy
Comparative Effectiveness Review
Number 263
Management of Postpartum
Hypertensive Disorders of Pregnancy
Executive Summary
Main Points
• Home Blood Pressure Monitoring (HB…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
425
Systemwide Deployment of Medical
Team Training: Lessons Learned
in the Department of Defense
Heidi B. King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change. Teamw…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons, RN, MSN, CCRN, CCNS; JoAnn Mick, PhD, RN, MBA, AOCN, CNAA,
BC; Krisanne Graves, RN, BSN, CPHQ; Sharon K. Martin, ME…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting: Training
the Next Generation of Physicians
Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne
Abstract
Physician reporting of adverse events and unsafe situations remains extremely
low, despite the increa…
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.
Citation Text:
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depa…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
January 01, 2007 - E-prescribing Impact on Patient Safety, Use and Cost
Grant Final Report
Grant ID: 5 R01 HS015175-02
E-prescribing Impact on Patient Safety, Use and Cost
Inclusive dates: 09/03/04 - 12/31/07
Principal Investigator:
Joel S. Weissman, PhD
Team members:
Christine Vogeli, PhD
Michael Fi…
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - transforming-guidelines-action-slides-06152023
Transforming Guidelines Into Action:
Clinical Decision Support at the Point of Care
Presented by:
Patricia C. Dykes, Ph.D., R.N.
Alex C. Spyropoulos, M.D.
Kensaku Kawamoto, M.D., Ph.D.
Moderated by:
Mario Terán, M.D., M.Sc.
Agency for He…
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cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - July 2023
http://www.ahrq.gov/
i
PURPOSE
The Clinical Decision Support (CDS) Innovation
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-216-telehealth-evidence-summary.pdf
April 01, 2019 - The
Information Technology & Innovation Foundation;
2014. https://itif.org/publications/2014/05/12/
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024541-goss-final-report-2018.pdf
January 01, 2018 - With the rapid innovation taking place in artificial intelligence, we think
solutions like ours will
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs020684-handley-final-report-2012.pdf
January 01, 2012 - Low-Income Health
Plan Implementation of a Diabetes Health IT
Innovation (under review Am J of Managed
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Inouye, MD, MPH, one of the world's leaders in geriatrics research and innovation, is a Professor of