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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - Study
The impact of computerized provider order entry on medication errors in a multispecialty group practice.
Citation Text:
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
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www.ahrq.gov/news/newsroom/case-studies/202001.html
April 01, 2020 - Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools
Search All Impact Case Studies
April 2020
LincolnHealth, a 25-bed critical access hospital in Damariscotta, Maine, improved the timeliness of admitting patients from the emergency department into a hospital u…
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psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
January 16, 2019 - Commentary
Classic
Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.
Citation Text:
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…
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psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - Study
Classic
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Citation Text:
Dykes PC, Rozenblum R, Dalal A, et a…
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psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
June 14, 2019 - Organizational Policy/Guidelines
CDC guideline for prescribing opioids for chronic pain—United States, 2016.
Citation Text:
Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49. doi:10.15585/mmwr.rr…
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psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality
October 03, 2018 - Study
Classic
Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study.
Citation Text:
Larochelle MR, Bernson D, Land T, et al. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Associat…
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www.ahrq.gov/news/blog/ahrqviews/patient-centered-care-dhr.html
September 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Patient-Centered Care Takes Center Stage in New Report from AHRQ’s Digital Healthcare Research Program
SEP
29
2022
By
Chris
Dymek,
Ed.D.
Chris Dymek, Ed.D.
The goal of patient-centered care supported by digital health…
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psnet.ahrq.gov/issue/comparison-health-care-worker-satisfaction-vs-after-implementation-communication-and-optimal
December 09, 2020 - Study
Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals.
Citation Text:
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementa…
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www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care
DEC
15
2022
By
Members of AHRQ’s National Advisory Council:
Catherine H. Ivory, Ph.D., R.N.; Komal Bajaj, M.D.; MS-HPEd, Jiajie Zhang, Ph.D.; and Kannan Ramar, …
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digital.ahrq.gov/document-type/editorial
January 01, 2024 - Editorial
Engineering safe care journeys: Reenvisioning interhospital transfers.
Citation
Yu A, Chopra V, Mueller SK, Wray CM, Jones CD. Engineering safe care journeys: Reenvisioning interhospital transfers. J Hosp Med. 2024 Jul;19(7):629-634. doi: 10.1002/jhm.13266. Epub 2024…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-10-references
July 10, 2017 - Procedure Manual Section 10. References
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References
Butler M, Talley KM, Burns R, Ripley A, Rothman A, Johnson P, et al. Values of Older Adults Related to Primary and Second…
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - Study
Classic
Outcomes of daytime procedures performed by attending surgeons after night work.
Citation Text:
Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…
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psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered
September 02, 2020 - Study
Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.
Citation Text:
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…
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psnet.ahrq.gov/issue/associations-between-hospital-mortality-health-care-utilization-and-inpatient-costs-2011
June 09, 2021 - Study
Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision.
Citation Text:
Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011…
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digital.ahrq.gov/technology/knowledge-system
August 01, 2024 - Knowledge System
Clinical Decision Support for Chronic Pain Management - Final Report
Citation
Clinical Decision Support for Chronic Pain Management. Prepared under Contract No. 75P00119F37003. AHRQ Publication No.24-0074. Rockville, MD: Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
December 31, 2014 - Study
Classic
Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.
Citation Text:
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …
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psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
June 24, 2020 - Commentary
Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.
Citation Text:
Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated ex…
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psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
October 09, 2024 - Study
How can interventions more directly address drivers of unprofessional behaviour between healthcare staff?
Citation Text:
Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…
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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - Study
So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization.
Citation Text:
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …
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www.ahrq.gov/patient-safety/news-events/psaw-2023/index.html
March 01, 2023 - Patient Safety Awareness Week 2023
AHRQ, together with our colleagues from the U.S. Department of Health and Human Services (HHS), the Health Services Resources Administration, the Institute for Healthcare Improvement , and other dedicated patient safety advocates, are observing Patient Safety Awareness Week. …