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psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals
October 20, 2021 - Study
Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.
Citation Text:
Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 202…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit2.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 2. Background: Case for Community Linkages
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Table of Contents
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesi…
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psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
July 17, 2019 - Study
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.
Citation Text:
Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors 1986-2010: an analysis from the N…
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psnet.ahrq.gov/issue/harnessing-implementation-science-improve-care-quality-and-patient-safety-systematic-review
October 20, 2014 - Review
Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature.
Citation Text:
Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted …
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging services: a systematic review.
Citation Text:
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
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psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
February 14, 2017 - Review
Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth: a making healthcare safer rapid evidence review.
Citation Text:
Rosen MA, Stewart CM, Kharrazi H, et al. Potential harms resulting from patient–clinician real-time clinical…
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www.ahrq.gov/news/newsroom/case-studies/201420.html
November 01, 2014 - AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals
Search All Impact Case Studies
November 2014
Two Texas hospitals have used AHRQ's Re-Engineered Discharge (RED) toolkit to help significantly reduce hospital readmissions and as a catalyst for additional progres…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/e-prescribing-pilot-projects
January 01, 2023 - E-Prescribing Pilot Projects (2006-2007)
The inability for multiple systems to share information with a standard format and vocabulary has been a hurdle to effective implementation of e-prescribing. To address this problem, the Medicare Modernization Act of 2003 (MMA) directed the Secretary …
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Study
To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.
Citation Text:
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
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psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
November 21, 2011 - Study
Incorrect surgical procedures within and outside of the operating room.
Citation Text:
Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126.
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digital.ahrq.gov/technology/clinical-messaging
January 01, 2023 - Clinical Messaging
It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.
Citation
Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the co…
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digital.ahrq.gov/technology/bioinformatics-and-genomics
January 01, 2023 - Bioinformatics and Genomics
Annual Conference on Health Information Technology & Analytics (CHITA) - Final Report
Citation
Agarwal R. Annual Conference on Health Information Technology & Analytics (CHITA) - Final Report. (Prepared by the University of Maryland under Grant No. …
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psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
February 02, 2022 - Study
Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.
Citation Text:
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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digital.ahrq.gov/funding-mechanism/exploratory-and-developmental-grant-improve-health-care-quality-through-health
January 01, 2023 - Exploratory and Developmental Grant to Improve Health Care Quality through Health Information Technology (IT) (R21)
CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting
Description
This research explores the effectiveness of an e-prescribin…
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psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
May 08, 2024 - Study
The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.
Citation Text:
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - Study
Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.
Citation Text:
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patie…
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digital.ahrq.gov/ahrq-funded-projects/understanding-development-methods-other-industries-improve-design-consumer/annual-summary/2011
January 01, 2011 - Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT - 2011
Project Name
Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology
Principal Investigator
Montague, Enid
Or…
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psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
January 31, 2024 - Study
Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events.
Citation Text:
Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…