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psnet.ahrq.gov/issue/australian-hospital-leaders-provision-safe-care-implications-safety-i-and-safety-ii
August 18, 2021 - Study
Australian hospital leaders on the provision of safe care: implications for safety I and safety II.
Citation Text:
Leggat SG, Balding C, Bish M. Perspectives of Australian hospital leaders on the provision of safe care: implications for safety I and safety II. J Health Org Manag. 2…
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psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
May 12, 2021 - Commentary
Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.
Citation Text:
Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
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psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
February 26, 2020 - Study
Patient safety in emergency departments: a problem for health care systems? An international survey.
Citation Text:
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…
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psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - Study
Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.
Citation Text:
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - Study
I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.
Citation Text:
Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Electronic Medication Management - 2010
Project Name
Electronic Medication Management
Principal Investigator
Vawdrey, David Kent
Organization
Columbia University
Funding Mechanism
PAR: HS08-268: Small Research Grant to Improve Health Care Quality Through Health Info…
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digital.ahrq.gov/medical-condition/viral-infection
January 01, 2023 - Viral Infection
Personalized reminders for immunization using short messaging systems to improve human papillomavirus vaccination series completion: Parallel-group randomized trial.
Citation
Wynn CS, Catallozzi M, Kolff CA, Holleran S, Meyer D, Ramakrishnan R, Stockwell MS. Pe…
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - Organizational Policy/Guidelines
Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.
Cit…
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psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter
December 01, 2021 - Study
Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.
Citation Text:
Calder LA, Perry J, Yan JW, et al. Adverse events among emergency department patients with cardiovascular conditions: a multicenter study. Ann Emerg Med. 2021;77(6…
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psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
July 11, 2012 - Study
High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.
Citation Text:
Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - Study
Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.
Citation Text:
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-pediatric-emergency-care-using-electronic-medical-records/annual-summary/2011
January 01, 2011 - Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Records - 2011
Project Name
Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry and Clinician Feedback
Principal Investigator
Alpern, Elizabeth
Organization
…
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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - Study
Frequency of failure to inform patients of clinically significant outpatient test results.
Citation Text:
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-mental-health-way-forward
January 01, 2023 - Health Information Technology and Mental Health: The Way Forward
Project Final Report ( PDF , 638.39 KB)
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Annual Summaries
Publications
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psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4
October 28, 2020 - Study
The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.
Citation Text:
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department boarders to inpatient hallways and mortali…
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - Review
Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.
Citation Text:
van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at…
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psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
August 04, 2021 - Study
Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.
Citation Text:
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scori…
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psnet.ahrq.gov/issue/teamwork-and-during-covid-19-good-same-and-ugly
September 14, 2022 - Study
Teamwork before and during COVID-19: the good, the same, and the ugly….
Citation Text:
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
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digital.ahrq.gov/ahrq-funded-projects/rural-health-information-technology-cooperative-promote-clinical-improvement
January 01, 2023 - A Rural Health Information Technology Cooperative to Promote Clinical Improvement
Project Final Report ( PDF , 203.76 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 …
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - Study
Classic
The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial.
Citation Text:
Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…