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psnet.ahrq.gov/node/49685/psn-pdf
May 01, 2013 - Polypharmacy
May 1, 2013
Guglielmo JB. Polypharmacy. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/polypharmacy
The Case
A 65-year-old man with schizophrenia receives his routine outpatient psychiatric care through an agency.
His case manager visits him weekly regarding medication adherence, which include…
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www.ahrq.gov/patient-safety/resources/learning-lab/physiologic-monitoring-long-desc.html
January 01, 2025 - Pediatric Patient Safety Learning Laboratory to Reengineer Continuous Physiologic Monitoring Systems
Principal Investigator: Christopher Bonafide, M.D., M.S.C.E., Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA AHRQ Grant No.: HS26620 Project Period: 09/30/18-07/31/23 Description: This lab’s goa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
January 01, 2020 - a recognition and respect
for patients’ values, preferences, and expressed needs; coordination and integration … and attention to health literacy and numeracy, as well as other functions such as
behavioral health integration
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - The lack
of integration of the existing information systems requires multiple steps to abstract
comprehensive
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digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - This system had greatest success in settings such as the emergency department and day-
surgery, where integration … a lower-cost solution, digital pens, to customized
electronic medical records (EMRs) to streamline integration
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
January 01, 2014 - Successful Integration: Considering our results, HHAs should be encouraged to consider
integration issues … Many participants
expressed a need to achieve a successful integration of their EHR solution and other … Integration of health care process
analysis in the design of a clinical information system: applying
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - Workflow
Responses relative to integration of the tools into existing processes reflected that users … had some difficulty initially, but with increased usage reported improved integration. … Another person responded, when discussing integration of the toolkit, “That idea failed. … Multiple interviewees suggested EHR integration is key to successful implementation and sustainment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
December 01, 2017 - Workflow
Responses relative to integration of the tools into existing processes reflected that users … had some difficulty initially,
but with increased usage reported improved integration. … Another person responded, when discussing integration of the toolkit, “That idea failed. … Multiple interviewees suggested EHR integration is key to
successful implementation and sustainment.
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - factors that influence adoption of currently available CPOE and e-
prescribing systems to the need for integration … reiterate common themes of technical issues―such as the need for reliability, usability,
standardization, integration … significance was due in part to the burden of the alerts, the
limited scope of the alerts, and the lack of integration … the system, while patient-
centered, is not integrated with other information technology, and such integration
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www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdf
September 26, 2024 - has implemented collective
impact networks, developed technical bodies of work for behavioral health integration … Population Health
Equity Research Institute at The MetroHealth System and the Center for Community Health Integration … rural healthcare delivery,
strengthening primary care infrastructure, and enhancing behavioral health integration … care, scope of
practice for family physicians, factors contributing to primary care burnout and the integration
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
April 15, 2024 - primary care settings, where a large proportion
of mental disorder diagnoses are identified, the
integration … professionals as
team members may facilitate screening and diag-
nosis of mental disorders.106 107 Integration … Five-phase
replication of behavioral health integration in pediatric
primary care. … Public
policy committee of the American college of P. the integration
of care for mental health, substance
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psnet.ahrq.gov/issue/nurse-health-work-environment-presenteeism-and-patient-safety
December 14, 2016 - Study
Nurse health, work environment, presenteeism and patient safety.
Citation Text:
Rainbow JG, Drake DA, Steege LM. Nurse health, work environment, presenteeism and patient safety. West J Nurs Res. 2020;42(5):332-339. doi:10.1177/0193945919863409.
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psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
October 16, 2012 - Commentary
An innovative tool for experiential learning of nursing quality and safety competencies.
Citation Text:
St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…
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psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
September 24, 2014 - Commentary
Why talking is not cheap: adverse events and informal communication.
Citation Text:
Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635.
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psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
August 20, 2018 - Study
Task uncertainty and communication during nursing shift handovers.
Citation Text:
Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x.
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psnet.ahrq.gov/issue/pros-and-cons-ehr-clinical-decision-support-alerts
August 25, 2021 - Newspaper/Magazine Article
The pros and cons of EHR clinical decision support alerts.
Citation Text:
The pros and cons of EHR clinical decision support alerts. Jason C. EHR Intelligence. April 16, 2021.
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psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures
November 24, 2021 - Commentary
Complications in surgery: root cause analysis and preventive measures.
Citation Text:
Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0.
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psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside
October 27, 2010 - Commentary
Bedside handover: quality improvement strategy to "transform care at the bedside."
Citation Text:
Chaboyer W, McMurray A, Johnson J, et al. Bedside handover: quality improvement strategy to "transform care at the bedside". J Nurs Care Qual. 2009;24(2):136-42. doi:10.1097/01…
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psnet.ahrq.gov/issue/activating-knowledge-patient-safety-practices-canadian-academic-policy-partnership
January 08, 2015 - Commentary
Activating knowledge for patient safety practices: a Canadian academic-policy partnership.
Citation Text:
Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):4…
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psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
June 16, 2021 - Review
A critical review of the systems approach within patient safety research.
Citation Text:
Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782.
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