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psnet.ahrq.gov/node/36243/psn-pdf
September 06, 2006 - The Food and Drug Administration's National Drug Code
Directory.
September 6, 2006
Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human
Services: August 2006. Report no OEI-06-05-00060.
https://psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory…
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psnet.ahrq.gov/node/36097/psn-pdf
July 12, 2006 - Clinical Lab Quality: CMS and Survey Organization
Oversight Should Be Strengthened.
July 12, 2006
Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.
https://psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-
strengthened
This government report…
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psnet.ahrq.gov/node/36566/psn-pdf
January 10, 2007 - Department of Defense Health Care Quality.
January 10, 2007
Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
https://psnet.ahrq.gov/issue/department-defense-health-care-quality
This report series discusses activities and achievements of the U.S. Department of Defense's…
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - Commentary
Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.
Citation Text:
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…
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psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001
April 03, 2005 - Study
Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001.
Citation Text:
Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United States, 1995–2001. The Joint Commission Journal on Quality and Patient…
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psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
April 21, 2021 - Study
Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.
Citation Text:
Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-repackaging of medicat…
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psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report
November 30, 2016 - Book/Report
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Citation Text:
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare…
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psnet.ahrq.gov/issue/reducing-risk-delayed-colorectal-cancer-diagnoses-through-ambulatory-safety-net-collaborative
February 28, 2011 - Study
Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative.
Citation Text:
Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses through an ambulatory safety net collaborative. Jt Comm J Qual…
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psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
July 25, 2011 - Commentary
Incomplete EHR adoption: late uptake of patient safety and cost control functions.
Citation Text:
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26.
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…
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psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
February 01, 2011 - Commentary
Classic
Patient participation: current knowledge and applicability to patient safety.
Citation Text:
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010;85(1):53-62. doi:…
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psnet.ahrq.gov/issue/relationship-nursing-practice-environment-quality-care-and-patients-safety-primary-health
March 09, 2022 - Study
Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care.
Citation Text:
Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zandieh-so-et-al-2008
January 01, 2008 - Zandieh SO et al. 2008 "Challenges to EHR implementation in electronic-versus paper-based office practices."
Reference
Zandieh SO, Yoon-Flannery K, Kuperman GJ, et al. Challenges to EHR implementation in electronic-versus paper-based office practices. J Gen Intern Med 2008;23(6):755-761.
[Link]
…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/connecticut
January 01, 2023 - Connecticut
The Connecticut Health Information Security and Privacy Initiative is a one-year project to assess how privacy and security business practices and policies affect the exchange of electronic health information and it is part of a nationwide effort. The funding for the project is …
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psnet.ahrq.gov/issue/were-not-taken-seriously-describing-experiences-perceived-discrimination-medical-settings
August 26, 2020 - Study
"We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women.
Citation Text:
Washington A, Randall J. "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. …
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psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
September 20, 2011 - Review
Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.
Citation Text:
Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists…
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psnet.ahrq.gov/issue/impact-nurse-shortage-hospital-patient-care-comparative-perspectives
March 23, 2011 - Study
Impact of the nurse shortage on hospital patient care: comparative perspectives.
Citation Text:
Buerhaus P, Donelan K, Ulrich BT, et al. Impact of the nurse shortage on hospital patient care: comparative perspectives. Health Aff (Millwood). 2007;26(3):853-62.
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psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
December 23, 2020 - Study
What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists.
Citation Text:
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse event reporting system for chiropractors a…
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psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
April 24, 2018 - Commentary
Flying lessons for clinicians: developing system 2 practice.
Citation Text:
Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003.
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D…
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www.ahrq.gov/news/newsroom/case-studies/202101.html
June 01, 2021 - Duke’s Private Diagnostic Clinic Used TeamSTEPPS to Improve Teamwork and Communications
Search All Impact Case Studies
June 2021
Eighty to 90 percent of medical center leaders at Private Diagnostic Clinic (PDC), a multispecialty physician practice affiliated with Duke Health, reported fewer communications b…
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psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
August 29, 2018 - Review
Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review.
Citation Text:
Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J …