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psnet.ahrq.gov/node/42758/psn-pdf
October 17, 2016 - Suffering in silence: a qualitative study of second victims
of adverse events.
October 17, 2016
Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of
adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035.
https://psnet.ahrq.gov/issue/suffer…
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psnet.ahrq.gov/node/37386/psn-pdf
January 06, 2017 - Medication reconciliation in ambulatory oncology.
January 6, 2017
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual
Patient Saf. 2007;33(12):750-7.
https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
The Joint Commission mandates systems…
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - Perceptions of the impact of a large-scale collaborative
improvement programme: experience in the UK Safer
Patients Initiative.
April 5, 2010
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement
programme: experience in the UK Safer Patients Initiative. J Eval Cl…
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/clinical-pathway-methods-report.pdf
December 01, 2018 - Use of a Clinical Pathway To Facilitate the Translation and Utilization of AHRQ EPC Report Findings
Methods Research Report
Use of a Clinical Pathway To Facilitate the Translation
and Utilization of AHRQ EPC Report Findings
FY2018 Dissemination Pilot: Early Diagnosis, Prevention, and Trea…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-future-research-steps-framework_research.pdf
June 01, 2011 - We obtained feedback from two technical experts at
our institution and pilot-tested this framework on … other
EPCs and organizations involved with evidence synthesis, and consultation with experts at our
institution … developed the initial version of the framework, we sought feedback from two
technical experts from our institution … other EPCs and organizations involved with evidence synthesis, and consultation with experts at
our institution … from around the world
which are involved with evidence synthesis, and two technical experts from our institution
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Double Dosing, by the Rules
March 21, 2009
Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/double-dosing-rules
The Case
A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was
admitted to a medical unit during the night with wo…
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www.uspreventiveservicestaskforce.org/uspstf/document/screening-for-hiv-in-adolescents-and-adults-evidence-summary/human-immunodeficiency-virus-hiv-infection-screening-2013
November 20, 2012 - Dana: Grant (money to institution) : Agency for Healthcare Research and Quality; Grants/grants pending … Zakher: Grant (money to institution) : Agency for Healthcare Research and Quality; Support for travel … to meetings for the study or other purposes (money to institution) : Agency for Healthcare Research … Blazina: Grant (money to institution) : Agency for Healthcare Research and Quality; Support for travel … to meetings for the study or other purposes (money to institution) : Agency for Healthcare Research
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
January 31, 2024 - Individual Cooperatives
• The Alabama Cardiovascular Cooperative (ACC) is led by an academic institution … in
collaboration with another academic institution, a primary care association, and a QI organization … • Heart Healthy Ohio Initiative (HHOI) is led by an academic institution with support from regional … • Tennessee Heart Health Network (THHN) is led by an academic institution with support from a QI … These academic institution partners were able to provide expertise in both qualitative and
quantitative
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hcup-us.ahrq.gov/reports/methods/2009_01.pdf
January 01, 2009 - but
not contributing data for one or more quarters were weighted up to annual estimates for
that institution
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psnet.ahrq.gov/issue/training-program-nurses-shift-work-and-long-work-hours
October 28, 2020 - Audiovisual
Training Program for Nurses on Shift Work and Long Work Hours.
Citation Text:
Training Program for Nurses on Shift Work and Long Work Hours. Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health…
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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digital.ahrq.gov/ahrq-funded-projects/united-states-health-information-knowledgebase-ushik
January 01, 2023 - United States Health Information Knowledgebase (USHIK)
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-09-00002I-3
Funding Mechanism(s)
National Resource Center for Health IT…
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psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
October 21, 2015 - Book/Report
Examining the Copy and Paste Function in the Use of Electronic Health Records.
Citation Text:
Examining the Copy and Paste Function in the Use of Electronic Health Records. Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technol…
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psnet.ahrq.gov/issue/re-examining-high-reliability-actively-organising-safety
October 13, 2018 - Commentary
Re-examining high reliability: actively organising for safety.
Citation Text:
Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698.
Copy Citation
Format:
…
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psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
July 05, 2008 - Book/Report
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.
Citation Text:
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…
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psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
April 01, 2015 - Press Release/Announcement
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL.
Citation Text:
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…
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psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
April 20, 2011 - Commentary
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Citation Text:
Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9.
Copy Citation
Format:
Google Sc…
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psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
April 22, 2017 - Commentary
The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings.
Citation Text:
Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication…
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www.ahrq.gov/cahps/surveys-guidance/cancer/index.html
July 01, 2020 - CAHPS Cancer Care Survey
The CAHPS ® Cancer Care Survey assesses the experiences of adult patients with cancer treatment provided in outpatient and inpatient settings, including:
Independent community oncology practices.
Cancer centers at community hospitals.
Cancer centers at academic medical centers …