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psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further
February 02, 2022 - Study
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.
Citation Text:
Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…
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psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality
September 09, 2011 - Study
Emerging Classic
Association of registered nurse and nursing support staffing with inpatient hospital mortality.
Citation Text:
Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortali…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
January 27, 2016 - Study
Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
October 19, 2022 - Study
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.
Citation Text:
Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…
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psnet.ahrq.gov/issue/leadership-behavior-associations-domains-safety-culture-engagement-and-healthcare-worker-well
February 24, 2021 - Study
Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being.
Citation Text:
Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Co…
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.
Citation Text:
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-improving-quality-care-primary-healthcare
January 01, 2023 - The Virtual Patient for Improving Quality of Care in Primary Healthcare
Project Final Report ( PDF , 439.67 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent …
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digital.ahrq.gov/ahrq-funded-projects/developing-and-using-valid-clinical-quality-metrics-health-information/annual-summary/2010
January 01, 2010 - Developing and Using Valid Clinical Quality Metrics for HIT - 2010
Project Name
Developing and Using Valid Clinical Quality Metrics for Health Information Technology (Health IT) with Health Information Exchange (HIE)
Principal Investigator
Kaushal, Rainu
Organization
Weill Me…
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psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
October 24, 2018 - Study
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.
Citation Text:
Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…
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psnet.ahrq.gov/issue/covid-19-patient-safety-and-quality-improvement-skills-deploy-during-surge
March 23, 2022 - Commentary
COVID-19: patient safety and quality improvement skills to deploy during the surge.
Citation Text:
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.…
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-participants
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Medication Monitoring for Vulnerable Populations via Information Technology (MMITI)
Project Final Report ( PDF , 323.72 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - Study
Influencing a culture of quality and safety through huddles.
Citation Text:
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - Study
A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.
Citation Text:
Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…
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psnet.ahrq.gov/issue/healthcare-associated-adverse-events-alternate-level-care-patients-awaiting-long-term-care
March 17, 2021 - Study
Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.
Citation Text:
Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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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