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digital.ahrq.gov/principal-investigator/holden-richard
January 01, 2023 - Holden, Richard
Naturalistic decision making in everyday self-care among older adults with heart failure.
Citation
Daley CN, Cornet VP, Toscos TR, Bolchini DP, Mirro MJ, Holden RJ. Naturalistic decision making in everyday self-care among older adults with heart failure. J Car…
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psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
June 26, 2019 - Study
Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.
Citation Text:
Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…
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psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
December 05, 2018 - Study
Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.
Citation Text:
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…
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digital.ahrq.gov/principal-investigator/rangachari-pavani
January 01, 2023 - Rangachari, Pavani
A health system's pilot experience with using mobile Social Knowledge Networking (SKN) technology to enable meaningful use of EHR medication reconciliation technology.
Citation
Rangachari P, Dellsperger KC, Rethemeyer RK. A health system's pilot experience w…
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psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
May 18, 2022 - Study
Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.
Citation Text:
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…
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psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
July 02, 2019 - Study
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
Citation Text:
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…
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digital.ahrq.gov/ahrq-funded-projects/planning-implementation-hit-rural-setting
January 01, 2023 - Planning the Implementation of HIT in a Rural Setting
Project Final Report ( PDF , 192.86 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 the views of AHRQ.…
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - Study
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.
Citation Text:
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…
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psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
May 26, 2021 - Book/Report
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri.
Citation Text:
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
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psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
April 08, 2020 - Review
A scoping review of distributed cognition in acute care clinical decision-making.
Citation Text:
Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095.
Copy…
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psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel
September 21, 2022 - Study
The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis.
Citation Text:
Lee SE, Dahinten VS. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. J Nu…
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psnet.ahrq.gov/issue/bracing-storm-one-health-care-systems-planning-covid-19-surge
July 22, 2020 - Commentary
Bracing for the storm: one health care system's planning for the COVID-19 surge.
Citation Text:
Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.202…
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www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Review of
the alerts resulted in a greater
awareness of extant variability
in managing patients with
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/multinational-registries-guide-3rd-ed-addendum-white-paper.pdf
February 01, 2018 - accordingly.
14
Multinational Registries: Challenges and Opportunities
Risk Management
In managing
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Module 3. Falls Prevention
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Cond…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/lumbar-fusion-protocol.pdf
June 20, 2024 - re-affirm methods in the draft protocol, including perspectives on proposed KQ and
PICOTS changes and managing
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
July 18, 2023 - Microsoft PowerPoint - Updated Handouts - Read-Only
Gradually lowering your opioid use
Do not lower your dose without your health care
provider’s supervision.
Medication: _____________________________
Current dose: ____________________________
How will my health care provider lower the dose of my medication?
• …