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psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
January 15, 2025 - Review
Methodological variations and their effects on reported medication administration error rates.
Citation Text:
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…
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psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
May 01, 2024 - Study
Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study.
Citation Text:
Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of pati…
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psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - Study
Classic
Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients.
Citation Text:
Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…
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psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
May 18, 2022 - Study
Clinically inconsequential alerts: the characteristics of opioid drug alerts and their utility in preventing adverse drug events in the emergency department.
Citation Text:
Genco EK, Forster JE, Flaten H, et al. Clinically Inconsequential Alerts: The Characteristics of Opioid Drug …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
April 02, 2025 - Available Comprehensive Quality Improvement Guides
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Available Comprehensive Quality Improvement Guides
What is the purpose of this tool? This tool provides information on oth…
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psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
September 07, 2022 - Study
Improving the specificity of drug-drug interaction alerts: can it be done?
Citation Text:
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
Copy Cita…
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psnet.ahrq.gov/issue/outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national-surveillance
March 10, 2021 - Study
Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.
Citation Text:
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin‐related adverse events due to mix‐up errors: Findings from two nation…
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psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
June 02, 2021 - Study
Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.
Citation Text:
Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…
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psnet.ahrq.gov/issue/determinants-burnout-and-other-aspects-psychological-well-being-healthcare-workers-during
September 02, 2020 - Study
Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study.
Citation Text:
Denning M, Goh ET, Tan B, et al. Determinants of burnout and other aspects of psychological well-being in …
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - Study
Classic
The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial.
Citation Text:
Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…
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psnet.ahrq.gov/issue/effect-changes-hospital-nursing-resources-improvements-patient-safety-and-quality-care-panel
July 19, 2023 - Study
Emerging Classic
Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study.
Citation Text:
Sloane DM, Smith HL, McHugh MD, et al. Effect of Changes in Hospital Nursing Resources on Improvements in …
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psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
July 19, 2019 - Book/Report
Emerging Classic
Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study.
Citation Text:
Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hos…
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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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psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
June 02, 2021 - Study
Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests.
Citation Text:
Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and …
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www.ahrq.gov/professionals/systems/primary-care/pcp-costs/valko-costs.html
May 01, 2015 - Patient-Centered Medical Home Cost of Sustaining and Transforming
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: George Paul Valko, MD
Institution: Thomas Jefferson University
AHRQ Grant Number: R03 HS22630
Overview of Estimating Costs G…
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digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2012
January 01, 2012 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2012
Project Name
Text Messaging to Improve Hypertension Medication Adherence in African Americans
Principal Investigator
Buis, Lorraine
Organization
Wayne State University
Funding Mech…
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digital.ahrq.gov/ahrq-funded-projects/support-united-states-health-information-knowledgebase-ushik/annual-summary/2012
January 01, 2012 - United States Health Information Knowledgebase (USHIK) - 2012
Project Name
United States Health Information Knowledgebase (USHIK)
Principal Investigator
Penoza, Chuck
Organization
Data Consulting Group
Funding Mechanism
Health IT Contracts
Contract Number
29…
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www.ahrq.gov/teamstepps-program/evidence-base/labor.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Labor and Delivery
Block M., Ehrenworth J. F., et al. (2013). Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Joint Commission Journal on Quality and Patient Safety 3…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-6.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 3-6. Examples of Instructions, Phrasing, and Terminology to Capture Race and Ethnicity Data
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Qual…
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psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication
January 07, 2015 - Study
Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system.
Citation Text:
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …