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  1. psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…
  2. psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer
    February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…
  3. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/3_barbara_burke.pdf
    June 09, 2012 - Introducing the CAHPS Child Hospital Survey Child HCAHPS Barbara Burke, Administrator, Patient Family Experience Center of Excellence Ann & Robert H. Lurie Children’s Hospital of Chicago 37 Outline • An introduction to Lurie Children’s • Impetus for change • Child HCAHPS • Moving forward …
  4. psnet.ahrq.gov/issue/exploring-intersection-structural-racism-and-ageism-healthcare
    January 18, 2023 - Commentary Exploring the intersection of structural racism and ageism in healthcare. Citation Text: Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105. Copy Citat…
  5. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - CANDOR Event Checklist AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide a checklist for the required actions that need to be taken following an event. Who should use this tool?   The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated. …
  6. psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
    August 20, 2018 - Study Measuring the rate of manual transcription error in outpatient point-of-care testing. Citation Text: Mays JA, Mathias PC. Measuring the rate of manual transcription error in outpatient point-of-care testing. J Am Med Inform Assoc. 2019;26(3):269-272. doi:10.1093/jamia/ocy170. Cop…
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/debra-rosen-slides.pdf
    March 15, 2016 - Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores Improving CG-CAHPS Scores in a Federally Qualified Health Center Presented By Debra Rosen, RN, MPH Director, Quality & Health Education “Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores” A Webcast Pres…
  8. psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic
    July 07, 2021 - Commentary Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? Citation Text: Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for te…
  9. psnet.ahrq.gov/issue/impact-remote-consultations-antibiotic-prescribing-primary-healthcare-systematic-review
    November 30, 2022 - Review Emerging Classic Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. Citation Text: Han SM, Greenfield G, Majeed A, et al. Impact of remote consultations on antibiotic prescribing in primary healthcare: syste…
  10. psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
    June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…
  11. digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2011
    January 01, 2011 - An Automatic Notification System for Test Results Finalized after Discharge - 2011 Project Name An Automatic Notification System for Test Results Finalized after Discharge Principal Investigator Dalal, Anuj K. Organization Brigham and Women's Hospital Funding Mechanis…
  12. psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic
    September 01, 2016 - Study Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. Citation Text: Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.…
  13. www.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
    October 01, 2016 - AHRQ Comparative Health System Initative Comparative Health System Performance Initiative The Agency for Healthcare Research and Quality (AHRQ) created the Comparative Health System Performance Initiative to study how health care systems promote evidence-based practices in delivering care. The initiative provid…
  14. psnet.ahrq.gov/issue/abrupt-expansion-ambulatory-telemedicine-implications-patient-safety
    July 13, 2022 - Commentary The abrupt expansion of ambulatory telemedicine: implications for patient safety. Citation Text: Khoong EC, Sharma AE, Gupta K, et al. The abrupt expansion of ambulatory telemedicine: implications for patient safety. J Gen Intern Med. 2022;37(5):1270-1274. doi:10.1007/s11606-0…
  15. psnet.ahrq.gov/issue/evidence-respiratory-infection-transmission-within-physician-offices-could-inform-outpatient
    June 30, 2021 - Study Evidence of respiratory infection transmission within physician offices could inform outpatient infection control. Citation Text: Neprash HT, Sheridan B, Jena AB, et al. Evidence of respiratory infection transmission within physician offices could inform outpatient infection contro…
  16. psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
    June 15, 2022 - Study Identifying and reconciling patients' allergy information within the electronic health record. Citation Text: Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…
  17. psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy
    October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…
  18. psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
    January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…
  19. hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS61997Final.pdf
    August 09, 2000 - Most of the difference can be explained by the underreporting of managed care patients in the MedPAR … The largest factor is that the MedPAR data exclude most discharges for enrollees in managed care programs … The MedPAR under-reports Medicare managed care claims by slightly over 10 percent. … This discrepancy could be explained, in part, by the undercount of managed care enrollees from the MedPAR … One difference noted earlier is the absence of most managed care discharges from the MedPAR data.
  20. digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
    February 01, 2009 - Managed care penetration and other factors affecting computerized physician order entry in the ambulatory