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psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
January 19, 2012 - Study
Types and origins of diagnostic errors in primary care settings.
Citation Text:
Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777.
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - Study
Electronic health record-based surveillance of diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…
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psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
December 21, 2022 - Review
A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important?
Citation Text:
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use electronic prescribing…
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psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
July 22, 2020 - Study
Preliminary study of patient safety and quality use cases for ICD-11 MMS.
Citation Text:
Fenton SH, Giannangelo KL, Stanfill MH. Preliminary study of patient safety and quality use cases for ICD-11 MMS. J Am Med Inform Assoc. 2021;28(11):2346-2353. doi:10.1093/jamia/ocab163.
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
October 19, 2022 - Study
Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults.
Citation Text:
Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in he…
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psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
July 20, 2022 - Study
Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.
Citation Text:
Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…
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psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - Study
Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients.
Citation Text:
Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…
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psnet.ahrq.gov/issue/impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care
August 25, 2021 - Study
Impact of interoperability of smart infusion pumps and an electronic medical record in critical care.
Citation Text:
Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm.…
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www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
February 01, 2024 - UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit
UChicago Medicine (UCM) reduced venous thromboembolism (VTE) incidence by 30% in the perioperative patient population with the use of AHRQ’s Preventing Hospital-Associated Venous Thromboembolism Toolkit . Using the toolkit’s Fra…
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psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
July 27, 2022 - Study
Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators.
Citation Text:
Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national health ca…
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psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best
March 01, 2023 - Organizational Policy/Guidelines
Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.
Citation Text:
Cicero MX, Adelgais K, Hoyle JD, et al.…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/what-are-4e.html
December 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
What Are The 4 Es?
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
Welcome to the Toolkit for MRSA Prevention in ICU & Non-ICU Settings
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Dec…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - Review
Classic
Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis.
Citation Text:
Winters BD, Bharmal A, Wilson RF, et…
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psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
June 22, 2022 - Study
Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps.
Citation Text:
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…
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cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508_0.pdf
January 01, 2024 - Patient Preferences Are Essential to Bringing the Patient Into Focus
Patient Preferences Are
Essential to Bringing
the Patient Into Focus
Patient preferences are an essential component of the patient voice and their
subsequent use in patient-centered clinical decision support
(PC CDS) can advance pati…
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digital.ahrq.gov/technology/clinical-documentation
January 01, 2023 - Clinical Documentation
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial…
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www.ahrq.gov/es/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis.
Citation Text:
Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146.
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.
Citation Text:
Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
March 01, 2020 - Chapter-3 - Sepsis Recognition
Sepsis Recognition 3-1
3. Sepsis Recognition
Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S.
Introduction
Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years,
and accounts for more hospital admissions and spending than…