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psnet.ahrq.gov/node/36946/psn-pdf
September 09, 2011 - The Patient Safety Leadership Academy at the University
of Pennsylvania: the first cohort's learning experience.
September 9, 2011
Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of
Pennsylvania: the first cohort's learning experience. Qual Manag Health Care. 2007;16…
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psnet.ahrq.gov/node/38546/psn-pdf
June 16, 2009 - Improved pain resolution in hospitalized patients through
targeting of pain mismanagement as medical error.
June 16, 2009
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain
mismanagement as medical error. J Pain Symptom Manage. 2009;37(6):1039-49.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/40218/psn-pdf
December 29, 2014 - Preventable adverse drug events and their causes and
contributing factors: the analysis of register data.
December 29, 2014
Jylhä V, Saranto K, Bates DW. Preventable adverse drug events and their causes and contributing factors:
the analysis of register data. Int J Qual Health Care. 2011;23(2):187-97. doi:10.1093/i…
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psnet.ahrq.gov/node/72732/psn-pdf
February 10, 2021 - Health care workers in the midst of crisis.
February 10, 2021
Sentinel Event Alert. Feb 2, 2021;(62):1-7.
https://psnet.ahrq.gov/issue/health-care-workers-midst-crisis
Safe patient care is reliant on a healthy healthcare workforce. This alert emphasizes organizational
conditions and supporting the wellb…
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psnet.ahrq.gov/node/37406/psn-pdf
March 28, 2012 - Learning from preventable adverse events in health care
organizations: development of a multilevel model of
learning and propositions.
March 28, 2012
Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care
organizations: development of a multilevel model of learning and propositi…
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psnet.ahrq.gov/node/40328/psn-pdf
September 27, 2016 - Critical phase distractions in anaesthesia and the sterile
cockpit concept.
September 27, 2016
Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit
concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x.
https://psnet.ahrq.gov/issue/critic…
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digital.ahrq.gov/principal-investigator/sim-ida
January 01, 2023 - Sim, Ida
Standardized integration of person-generated data into routine clinical care.
Citation
Zeng B, Bove R, Carini S, Lee JS, Pollak JP, Schleimer E, Sim I. Standardized integration of person-generated data into routine clinical care. JMIR Mhealth Uhealth. 2022 Feb 10;10(…
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/fall
January 01, 2023 - Fall risk management using clinical decision support in a rural nursing-led primary care practice.
Citation
Schentrup D, Middlemas A, Shear K, Bjarnadottir RI, Lucero RJ. Fall risk management using clinical decision support in a rural nursing-led primary care practice. J Am Assoc Nurse Pract. 2022 Aug…
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digital.ahrq.gov/principal-investigator/lucero-robert-j
January 01, 2023 - Lucero, Robert J.
Usability testing of an interoperable computerized clinical decision support tool for fall risk management in primary care
Citation
Shear K, Rice H, Garabedian PM, Bjarnadottir R, Lathum N, Horgas AL, Harle CA, Dykes PC, Lucero R. Usability testing of an inte…
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digital.ahrq.gov/consumer-health-information-technology-home-guide-human-factors-design-considerations-0
January 01, 2023 - Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations
Every day, in households across the country, people engage in behavior to improve their current health states, recover from disease and injury, or cope with chronic, debilitating…
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-in/citation/rta
January 01, 2023 - Real time alert system: a disease management system leveraging health information exchange.
Citation
Anand V, Sheley ME, Xu S, et al. Real time alert system: a disease management system leveraging health information exchange. Online J Public Health Inform. 2012;4(3).
Link
http://www.ncbi.nlm.n…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy/citation/medication
January 01, 2023 - Medication therapy management delivery by community pharmacists: insights from a national sample of Medicare Part D beneficiaries.
Citation
Adeoye OA, Farley JF, Coe AB, Pestka DL, Farris KB, Zillich AJ, Snyder ME. Medication therapy management delivery by community pharmacists: insights from a nation…
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www.ahrq.gov/nursing-home/resources/post-traumatic-stress-symptoms.html
September 01, 2021 - Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Resource: Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs)…
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/managing
January 01, 2023 - Managing multiple perspectives in the collaborative design process of a team health information technology.
Citation
Hose BZ, Carayon P, Hoonakker PLT, Ross JC, Eithun BL, Rusy DA, Kohler JE, Brazelton TB 3rd, Dean SM, Kelly MM. Managing multiple perspectives in the collaborative design process of a t…
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digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr/citation/health
January 01, 2023 - A health system's pilot experience with using Social Knowledge Networking (SKN) technology to enable meaningful use of EHR medication reconciliation technology.
Citation
Rangachari P, Dellsperger KC, Rethemeyer RK. A health system's pilot experience with using Social Knowledge Networking (SKN) technol…
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digital.ahrq.gov/ahrq-funded-projects/showing-health-information-value-community-network/citation/coupling-direct
January 01, 2023 - Coupling direct collection of health risk information from patients through kiosks with decision support for proactive care management.
Citation
Lobach DF, Silvey GM, Willis JM, et al. Coupling direct collection of health risk information from patients through kiosks with decision support for proactiv…
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integrationacademy.ahrq.gov/products/topic-briefs/telehealth
February 01, 2025 - An official website of the Department of Health & Human Services
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement
109
A Process-centered Tool for Evaluating
Patient Safety Performance and Guiding
Strategic Improvement
R. B. Akins
Abstract
This paper presents a patient safety applicator tool for implementing and
assessin…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/sum.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
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Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
Evalua…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-cancer-staging_executive.pdf
September 01, 2014 - 1
Comparative Effectiveness Review
Number 142
Imaging Tests for the Staging of Colorectal
Cancer
Executive Summary
Background
Colorectal Cancer
In the United States each year colon cancer
is diagnosed in approximately 100,000
people and rectal cancer is diagnosed in
another 50,000.1 Colorectal cancer usually…