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psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
December 29, 2014 - Study
Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
Citation Text:
López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…
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www.ahrq.gov/news/blog/ahrqviews/opportunity-improve-healthcare.html
May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Seizing the Opportunity to Improve Healthcare for All
MAY
10
2022
By
Robert Otto Valdez,
Ph.D., M.H.S.A.
Hello, friends. After many decades of admiring AHRQ—its mission, work, and people—I am deeply honored to lead this organization. I…
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www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
A Boost for Health Services Research
JUN
21
2022
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
R. Valdez, Ph.D., M.H.S.A.
It has been just four months since joining President Biden’s Administration as Director of AHRQ. What a whir…
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psnet.ahrq.gov/issue/impact-contact-isolation-multidrug-resistant-organisms-occurrence-medical-errors-and-adverse
July 08, 2008 - Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Citation Text:
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…
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psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - Commentary
Two fatal cases of accidental intrathecal vincristine administration: learning from death events.
Citation Text:
Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…
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psnet.ahrq.gov/issue/thematic-analysis-nurses-experiences-joint-commissions-medication-management-titration
November 03, 2021 - Study
Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards.
Citation Text:
Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Am…
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psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
December 21, 2018 - Study
Assessing frequency and risk of weight entry errors in pediatrics.
Citation Text:
Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865.
Copy Citation …
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psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
May 18, 2022 - Study
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Citation Text:
Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
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psnet.ahrq.gov/issue/do-user-applied-safety-labels-medication-syringes-reduce-incidence-medication-errors-during
February 28, 2024 - Review
Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review.
Citation Text:
Mikhail J, Grantham H, King L. Do User-Applied Safety Label…
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psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
February 12, 2020 - Study
Emerging Classic
Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study
Citation Text:
Montoy JCC, Coralic Z, Herring AA, et al…
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Study
Making patient safety event data actionable: understanding patient safety analyst needs.
Citation Text:
Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
June 02, 2025 - Job Aid: Practice Assessments and Surveys
Primary Care Practice Facilitator
Training Series
1
Job Aid: Practice Assessments and Surveys
Overview
Practice assessments and surveys are simple and non-threatening ways for a practice to gather
information, generate ideas for improvements, and test and…
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psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade
March 05, 2010 - Review
Classic
Interventions to improve team effectiveness within health care: a systematic review of the past decade.
Citation Text:
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systemati…
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - Tool: STEP
STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…
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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/potential-harm-caused-physicians-priori-beliefs-clinical-effectiveness-hydroxychloroquine-and
November 21, 2021 - Study
Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach.
Citation Text:
Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori belief…
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psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical-medication-orders
August 04, 2021 - Study
Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.
Citation Text:
Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of…
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psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Study
Weekend hospitalization and additional risk of death: an analysis of inpatient data.
Citation Text:
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.1200…
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psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
March 11, 2011 - Review
Classic
The impact of electronic health records on time efficiency of physicians and nurses: a systematic review.
Citation Text:
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…
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psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals
February 01, 2011 - Review
Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene.
Citation Text:
Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare…