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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…
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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…
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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
…
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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…
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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.
…
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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…
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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…
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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…
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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…
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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…
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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…
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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.…
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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…
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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…
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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…
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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:…
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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…
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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…
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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.
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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