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psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review
July 14, 2010 - Study
Classic
Prevention of ventilator-associated pneumonia: an evidence-based systematic review.
Citation Text:
Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Ann Intern Med. 2003;138(6):49…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, MATCH Resources for Patients
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. B…
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - Study
What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers.
Citation Text:
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster
March 09, 2022 - Study
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial.
Citation Text:
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…
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psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care
December 14, 2022 - Commentary
Early diagnosis of cancer: systems approach to support clinicians in primary care.
Citation Text:
Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225…
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psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
March 11, 2020 - Review
Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.
Citation Text:
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…
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psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
July 20, 2022 - Study
Assessing patient work system factors for medication management during transition of care among older adults: an observational study.
Citation Text:
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…
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psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
September 30, 2020 - Commentary
When disasters strike the emergency department: a case series and narrative review.
Citation Text:
Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…
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psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
October 19, 2022 - Study
Improving emergency medicine clinician awareness of prehospital-administered medications.
Citation Text:
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - Study
Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery.
Citation Text:
Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…
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digital.ahrq.gov/principal-investigator/gustafson-david-h
October 11, 2023 - Gustafson, David H.
Digital Healthcare Innovations to Engage and Empower Patients in Their Care
Event Date
October 11, 2023 - 12:30pm
- October 11, 2023 - 2:00pm
AHRQ hosted a presentation highlighting how patient engagement in healthcare allows patients and their fam…
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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psnet.ahrq.gov/issue/my-patient-ready-safe-transfer-lower-intensity-care-setting-nursing-complexity-independent
April 26, 2023 - Study
Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge.
Citation Text:
Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity ca…
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psnet.ahrq.gov/issue/overdiagnosis-low-dose-computed-tomography-screening-lung-cancer
August 04, 2021 - Study
Classic
Overdiagnosis in low-dose computed tomography screening for lung cancer.
Citation Text:
Patz EF, Pinsky P, Gatsonis C, et al. Overdiagnosis in low-dose computed tomography screening for lung cancer. JAMA Intern Med. 2014;174(2):269-74. doi:10.1001/…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging services: a systematic review.
Citation Text:
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
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psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
March 24, 2021 - Study
Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.
Citation Text:
Balshi AN, Al-Odat MA, Alharthy AM, et al. Tele-Rapid Response Team (Tele-RRT): The effect of implementing …
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - Study
Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study.
Citation Text:
Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - Study
Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.
Citation Text:
McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study. Nurs Crit Care. 2…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Opportunities and Challenges Ahead
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Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testi…