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psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
January 24, 2024 - Book/Report
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida.
Citation Text:
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Washington, DC: Department of Veterans Affairs, Office of Inspect…
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psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
October 12, 2022 - Book/Report
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm.
Citation Text:
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…
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psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health
September 30, 2020 - Book/Report
Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota.
Citation Text:
Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. W…
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psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement
March 28, 2011 - Study
Medication reconciliation in ambulatory care: attempts at improvement.
Citation Text:
Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513.
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psnet.ahrq.gov/issue/exploring-system-features-primary-care-practices-promote-better-providers-clinical-work
May 25, 2022 - Study
Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis.
Citation Text:
Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical …
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psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
July 26, 2023 - Book/Report
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.
Citation Text:
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…
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psnet.ahrq.gov/issue/relationship-between-perceived-practice-quality-and-quality-improvement-activities-and
December 21, 2014 - Study
The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.
Citation Text:
Quinn MA, Wilcox A, Orav J, et al. The relationship between perceived practice quality and q…
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis.
Citation Text:
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
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Format:
DOI Googl…
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psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
July 01, 2020 - Study
Patients managing medications and reading their visit notes: a survey of OpenNotes participants.
Citation Text:
DesRoches CM, Bell SK, Dong Z, et al. Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants. Ann Intern Med. 2019;171(1):69-71. …
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
January 01, 2010 - The Medication Metronome Project - 2010
Project Name
The Medication Metronome Project
Principal Investigator
Grant, Richard
Organization
Massachusetts General Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Technology (IT) to Improve Health Ca…
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psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement
August 20, 2018 - Study
When no news is bad news: improving diagnostic testing communication through patient engagement.
Citation Text:
Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26…
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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/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing
September 23, 2020 - Study
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Citation Text:
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…
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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - Book/Report
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.
Citation Text:
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…
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psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
October 05, 2016 - Study
Developing agreement on never events in primary care dentistry: an international eDelphi study.
Citation Text:
Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;2…
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psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
April 11, 2011 - Study
Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients.
Citation Text:
Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
September 10, 2014 - Book/Report
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020.
Citation Text:
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Washington, DC: Veterans Affairs Office of Inspector General; August …
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psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary-care
February 29, 2012 - Study
The development and psychometric evaluation of a safety climate measure for primary care.
Citation Text:
de Wet C, Spence W, Mash R, et al. The development and psychometric evaluation of a safety climate measure for primary care. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.03…
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digital.ahrq.gov/track-3-improving-health-communities-through-regional-health-information-exchange-hie
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
October 12, 2022 - Government Resource
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin.
Citation Text:
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …