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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q3_Welcome_Letter.ENG.pdf
June 16, 2021 - Welcome Letter
Date:
Dear (Mr. / Ms.) _________,
WELCOME to the San Francisco Health Plan Diabetes Telephone Support Project!
We are very excited that you will be participating.
In this letter you will find important information about the Diabetes Project including
how to reach us. Participati…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010
Project Name
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
Principal Investigator
Thomas, Eric
Organization
University of Texas Health Science Center - Houst…
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hcup-us.ahrq.gov/db/vars/dqtr/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form
WBD
DATAFORM 3
Medication Error and Near Miss
Classification Form
1. Study ID Number: ____ ____-____ ____ ____ ____ ____
2. Reviewer ID Number: ____ ____
See below for codes
3.
Case #
4.
Script #
5.
ME o…
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psnet.ahrq.gov/issue/high-risk-medication-home-care-nursing-delphi-study
April 13, 2022 - Study
High-risk medication in home care nursing: a Delphi study.
Citation Text:
Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023.
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psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis
July 31, 2019 - Review
Classic
Preventable medication harm across health care settings: a systematic review and meta-analysis.
Citation Text:
Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis…
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psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
May 05, 2021 - Study
The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.
Citation Text:
Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…
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psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - Study
Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.
Citation Text:
Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…
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psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
July 27, 2022 - Review
Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review.
Citation Text:
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to improve medication manage…
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psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
December 07, 2016 - Review
Complication rates of central venous catheters: a systematic review and meta-analysis.
Citation Text:
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
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psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
May 04, 2016 - Study
The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.
Citation Text:
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Study
Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis.
Citation Text:
Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…
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psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
October 19, 2022 - Study
Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance.
Citation Text:
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…
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psnet.ahrq.gov/issue/my-patient-ready-safe-transfer-lower-intensity-care-setting-nursing-complexity-independent
April 26, 2023 - Study
Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge.
Citation Text:
Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity ca…
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psnet.ahrq.gov/issue/evaluating-serial-strategies-preventing-wrong-patient-orders-nicu
November 03, 2015 - Study
Evaluating serial strategies for preventing wrong-patient orders in the NICU.
Citation Text:
Adelman JS, Aschner JL, Schechter CB, et al. Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-2863.
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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - Study
Associations between attending physician workload, teaching effectiveness, and patient safety.
Citation Text:
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…
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psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower
August 20, 2018 - Study
RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals.
Citation Text:
Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of ex…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0193_08-12-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0184-0193
Document Completion Date: 2-23-10
1
Results of Topic Selection Process & Next Steps
Interventions to improve prescription medication adherence will be considered for refinement as an
umbrella review of systematic reviews to outline current evi…
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - Study
Classic
Incidence and characteristics of potential and actual retained foreign object events in surgical patients.
Citation Text:
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…
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psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility-transport
April 15, 2019 - Study
Critical events during land-based interfacility transport.
Citation Text:
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
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