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digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2010
January 01, 2010 - Optimizing Medication History Value in Clinical Encounters with Elderly Patients - 2010
Project Name
Optimizing Medication History Value in Clinical Encounters with Elderly Patients
Principal Investigator
Lapane, Kate
Organization
Virginia Commonwealth University
Fund…
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digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2011
January 01, 2011 - Optimizing Medication History Value in Clinical Encounters with Elderly Patients - 2011
Project Name
Optimizing Medication History Value in Clinical Encounters with Elderly Patients
Principal Investigator
Lapane, Kate
Organization
Virginia Commonwealth University
Fund…
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digital.ahrq.gov/ahrq-funded-projects/phenotype-modeling-and-outcome-mapping-pain-management-decision-support
January 01, 2023 - Phenotype Modeling and Outcome Mapping for Pain Management Decision Support
Project Final Report ( PDF , 708.1 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 represe…
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digital.ahrq.gov/principal-investigator/carayon-pascale
January 25, 2018 - Carayon, Pascale
Team adaptation to complex clinical situations: The case of VTE prophylaxis in hospitalized patients.
Citation
Salwei M.E., Carayon, P., Hundt, A.S., Kleinschmidt, P., Hoonakker, P.L.T., Patterson, B.W., Wiegmann, D. (2018). Team adaptation to complex clinical…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Surgical services uses Horizon Service Manager, which includes a strong IS support system. … For example, the D2B team included a risk manager from HAU Care. … The "fresh eyes" included the risk manager and the chief nursing officer (CNO).
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cmext.ahrq.gov/confluence/download/temp/download4xDU2114729.zip?contentType=application/zip
August 05, 2021 - QualityImprovement.pptx
Guidance Implementation Playbooks.pptx
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PowerPoint Presentation
Quality improvement
Quality Improvement Team uses portal to find 'guidance implementation / QI playbook(s)/toolki…
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cmext.ahrq.gov/confluence/download/export/downloadx88xn131620.zip?contentType=application/zip
August 05, 2021 - QualityImprovement.pptx
Guidance Implementation Playbooks.pptx
/docProps/thumbnail.jpeg
PowerPoint Presentation
Quality improvement
Quality Improvement Team uses portal to find 'guidance implementation / QI playbook(s)/toolki…
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cmext.ahrq.gov/confluence/download/export/downloadd7k0T152024.zip?contentType=application/zip
August 05, 2021 - QualityImprovement.pptx
Guidance Implementation Playbooks.pptx
/docProps/thumbnail.jpeg
PowerPoint Presentation
Quality improvement
Quality Improvement Team uses portal to find 'guidance implementation / QI playbook(s)/toolki…
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cmext.ahrq.gov/confluence/download/export/downloadHJfmK083024.zip?contentType=application/zip
August 05, 2021 - QualityImprovement.pptx
Guidance Implementation Playbooks.pptx
/docProps/thumbnail.jpeg
PowerPoint Presentation
Quality improvement
Quality Improvement Team uses portal to find 'guidance implementation / QI playbook(s)/toolki…
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psnet.ahrq.gov/issue/practice-review-medication-reconciliation-ambulatory-setting
March 17, 2021 - Commentary
Practice review: medication reconciliation in the ambulatory setting.
Citation Text:
Marshall SE. Practice review: medication reconciliation in the ambulatory setting. Nurs Manage. 2023;54(11):30-35. doi:10.1097/nmg.0000000000000070.
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DOI Goo…
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psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
April 03, 2019 - Study
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Citation Text:
Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …
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psnet.ahrq.gov/issue/novice-nurse-and-clinical-decision-making-how-avoid-errors
May 04, 2022 - Review
The novice nurse and clinical decision-making: how to avoid errors.
Citation Text:
Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x.
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psnet.ahrq.gov/issue/improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and
March 23, 2011 - Study
Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.
Citation Text:
Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…
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psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
April 29, 2018 - Commentary
Unintended errors with EHR-based result management: a case series.
Citation Text:
Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294.
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psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
March 22, 2017 - Special or Theme Issue
High-Performance Work Systems in Health Care Management: Parts 1-5.
Citation Text:
High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020.
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - Study
Managing the care of patients discharged from home health: a quiet threat to patient safety?
Citation Text:
Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90.
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…
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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation of adverse events in health care.
Citation Text:
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…
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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Commentary
Patient safety: this is public health.
Citation Text:
Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145.
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