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psnet.ahrq.gov/issue/can-aviation-based-team-training-elicit-sustainable-behavioral-change
July 19, 2023 - Study
Can aviation-based team training elicit sustainable behavioral change?
Citation Text:
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
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www.ahrq.gov/professionals/systems/primary-care/pcp-costs/valko-costs.html
May 01, 2015 - Patient-Centered Medical Home Cost of Sustaining and Transforming
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: George Paul Valko, MD
Institution: Thomas Jefferson University
AHRQ Grant Number: R03 HS22630
Overview of Estimating Costs G…
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www.ahrq.gov/ecareplan/about/index.html
August 01, 2024 - About the eCare Plan for Multiple Chronic Conditions
The eCare Plan project aims to build care planning tools that will improve how we do research and provide healthcare for people with multiple chronic conditions (MCC). These tools include data standards and electronic care plan applications that allow all mem…
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - Study
Classic
Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial.
Citation Text:
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Study
Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.
Citation Text:
Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…
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psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
April 24, 2018 - Study
Implementation and impact of a rapid response team in a children's hospital.
Citation Text:
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
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psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
October 13, 2021 - Study
Medical errors during training: how do residents cope?: a descriptive study.
Citation Text:
Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1.
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www.ahrq.gov/evidencenow/projects/urinary/wi-intuit-interview.html
November 01, 2024 - Interview with the WI-INTUIT Project Team
Project Overview: The Wisconsin Improving Nonsurgical Treatment of Urinary Incontinence among Women in Primary Care (WI-INTUIT) team from the University of Wisconsin Madison is comparing streamlined practice facilitation (SPF) and SPF in combination with partnership bu…
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psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - Study
Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions.
Citation Text:
Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide.html
May 01, 2017 - Implementation Guide
The Implementation Guide discusses the importance of using the safe surgery checklist as a teamwork and communication tool to improve patient safety.
Implementation Guide ( PDF , 441 KB; Text Version )
Appendixes
Appendix A. Facility Spreadsheet for One-on-One Conversations ( Word …
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psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study
May 01, 2024 - Study
Emerging Classic
Assessing patient safety in a pediatric telemedicine setting: a multi-methods study.
Citation Text:
Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Rationale for Improvement Tools
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…
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psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
October 29, 2012 - Study
Classic
Contextual errors and failures in individualizing patient care: a multicenter study.
Citation Text:
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…
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www.ahrq.gov/talkingquality/explain/numbers.html
November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report?
Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary.
Quality Information Is New
Som…
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psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients
March 14, 2016 - Study
Clinical impact of intraoperative electronic health record downtime on surgical patients.
Citation Text:
Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
March 01, 2019 - State at a Glance: Maryland
Learn more about the CHIPRA quality demonstration projects being implemented in Maryland.
Maryland is featured in the following reports from the National Evaluation:
Evaluation Highlight No . 4: How the CHIPRA quality demonstration elevated children on State health policy agend…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/wv.html
March 01, 2019 - State at a Glance: West Virginia
Learn more about the CHIPRA quality demonstration projects being implemented in West Virginia.
West Virginia is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIP…
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - Study
Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic.
Citation Text:
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
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www.ahrq.gov/talkingquality/distribute/promote/social-marketing.html
June 01, 2019 - Applying the Lessons of Social Marketing to a Quality Report
Social marketing is the application of the principles and techniques of commercial marketing to promote socially desirable goals. It has been applied extensively, and with considerable success, in efforts to encourage/discourage specific health beha…
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Study
Discontinuity of chronic medications in patients discharged from the intensive care unit.
Citation Text:
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
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