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psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
March 28, 2011 - Study
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Citation Text:
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.docx
April 07, 2025 - RED Discharge Preparation Workbook
Patient Name _________________________ MRN ________________ DOB ______________
Room # ______________
Date of admission ______________
Language preference
Interpreter/Translation
Needed (Y/N)
Spoken communication
Written materials
Phone communication
Fil…
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psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
June 28, 2010 - Study
Development of a measure of patient safety event learning responses.
Citation Text:
Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x.
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psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
November 18, 2020 - Review
Nurse workarounds in the electronic health record: an integrative review.
Citation Text:
Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050.
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psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
March 30, 2022 - Study
How can never event data be used to reflect or improve hospital safety performance?
Citation Text:
Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…
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psnet.ahrq.gov/issue/nurse-staffing-burnout-and-health-care-associated-infection
June 02, 2021 - Study
Nurse staffing, burnout, and health care-associated infection.
Citation Text:
Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029.
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Forma…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma
January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow
Project Final Report ( PDF , 3.82 MB)
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Project Description
Annual Summaries
Publications
…
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psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
September 27, 2017 - Study
Emerging Classic
Association of nurse workload with missed nursing care in the neonatal intensive care unit.
Citation Text:
Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Uni…
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psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality
August 20, 2018 - Study
Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety.
Citation Text:
Griffiths P, Dall'Ora C, Simon M, et al. Nurses' shift length and overtime working in 12 European countries: the association with pe…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
January 01, 2009 - How Do I Evaluate Workflow?
What is Workflow?
Defining workflow
Definitions of workflow vary. Here are a couple:
The flow of work through space and time, where work is comprised of three components: inputs are transformed into outputs.[1]
The activities, tools, and processes needed to produce or modify work, pr…
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digital.ahrq.gov/time-and-motion-studies-database
January 01, 2023 - Time and Motion Studies Database
The application of computing to health care changes how, when, and where clinicians collect and retrieve patient information. Measuring the impacts of technology on clinical tasks often involves performing a time and motion study. In a time and…
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www.ahrq.gov/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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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
January 01, 2022 - Research Spotlight
The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding?
Our Nation’s strategy for better healthcare hinges on putting digital technologies to work.
Today’s powerful tools make it easier to capture and share patient information, coordinate care, a…
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digital.ahrq.gov/program-overview/research-stories/integrating-patient-voice-patient-reported-health-outcomes
January 01, 2023 - Integrating the Patient Voice in Patient-Reported Health Outcomes
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Using Patient-Reported Outcomes to Improve Care Delivery
Changing the focus of patient-reported outcomes to be centered on a patient’s individual goals and preferences…
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psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
February 17, 2021 - Study
Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation.
Citation Text:
Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/delpierre-c-et-al-2004
January 01, 2004 - Delpierre C et al. 2004 "A systematic review of computer-based patient record systems and quality of care: more randomized clinical trials or a broader approach?"
Reference
Delpierre C, Cuzin L, Fillaux J, et al. A systematic review of computer-based patient record systems and quality of care: more ra…
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psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
December 13, 2017 - Study
Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency.
Citation Text:
Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…
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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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…
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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…