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psnet.ahrq.gov/issue/fixing-healthcare-inside-today
February 28, 2011 - Commentary
Classic
Fixing healthcare from the inside, today.
Citation Text:
Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158.
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
December 18, 2017 - Commentary
Applying hierarchical task analysis to medication administration errors.
Citation Text:
Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79.
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psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study
January 02, 2017 - Study
Interruptions in a level one trauma center: a case study.
Citation Text:
Brixey J, Tang Z, Robinson DJ, et al. Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41.
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt caregivers.
Citation Text:
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section1_6.pdf
January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 21
EXHIBIT 1.6 Patient Age
1,180
27
86
116
332
605
128
1,115
22
88
122
323
586
131
0 200 400 600 800 1,000 1,200 1,400
<1
1-17
18-44
45-64
65-84
85+
All Ages
Number of Discharges per 1,000 Population
A
ge…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_5.pdf
January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 66
EXHIBIT 5.5 MHSA Inpatient Hospital Discharges by Age
12%
23%
7%
4%
37%
50%
25%
26% 33%
24%
11%
8%
27%
8%
0
10
20
30
40
50
60
70
80
90
100
U.S. Population MHSA Stays All Stays
P
e
rc
e
n
t D
is
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hcup-us.ahrq.gov/db/vars/dsndx/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Careers
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hcup-us.ahrq.gov/db/vars/dsnpr/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Careers
Contact Us
Espanol
…
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psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
February 28, 2024 - Commentary
Conspicuous by its absence: diagnostic expert testing under uncertainty.
Citation Text:
Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201.
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
April 12, 2019 - Image/Poster
ADVERSE drug events: incidence and risk reduction across the care continuum.
Citation Text:
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - Book/Report
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.
Citation Text:
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015.
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - Press Release/Announcement
Age-related COVID-19 vaccine mix-ups.
Citation Text:
Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.
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digital.ahrq.gov/health-care-theme/human-factors
January 01, 2023 - Human Factors
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of art…
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digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
January 01, 2023 - Creating Meaningful Decision Support to Reduce Drug-Drug Interactions
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Patient Safety Using Digital Healthcare Solutions
By individualizing drug–drug interaction alerts to individual patient circumstances, providers can …
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psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial
August 27, 2008 - Study
The effect of drug concentration expression on epinephrine dosing errors: a randomized trial.
Citation Text:
Wheeler DW, Carter JJ, Murray LJ, et al. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Ann Intern Med. 2008;148(1):11-4.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fitzmaurice-da-et-al
January 01, 2023 - Fitzmaurice DA et al. 1996 "Evaluation of computerized decision support for oral anticoagulation management based in primary care."
Reference
Fitzmaurice DA, Hobbs FDR, Murray ET, et al. Evaluation of computerized decision support for oral anticoagulation management based in primary care. Br J Gen Pra…
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digital.ahrq.gov/type-care/behavioral-health
January 01, 2023 - Behavioral Health
Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE)
Description
This research will develop, evaluate, and test the efficacy of Empower NICU – A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE), a mobile he…
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digital.ahrq.gov/health-care-theme/medication-safety
January 01, 2023 - Medication Safety
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning
Description
This research uses large language models and machine learning to retrospectively analyze electronic health records of pa…