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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - Study
The impact of computerized provider order entry on medication errors in a multispecialty group practice.
Citation Text:
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
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digital.ahrq.gov/ahrq-funded-projects/learning-primary-care-ehr-exemplars-about-health-it-safety
January 01, 2023 - Learning From Primary Care EHR Exemplars About Health IT Safety
Project Final Report ( PDF , 730.25 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the view…
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psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
November 10, 2021 - Study
Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17.
Citation Text:
Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…
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psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
April 05, 2023 - Commentary
Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach.
Citation Text:
Black GB, Nicholson BD, Moreland J-A, et al. Doing …
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psnet.ahrq.gov/issue/changes-primary-care-delivery-during-covid-19-pandemic-and-perceived-impact-medication-safety
January 18, 2023 - Study
Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.
Citation Text:
Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a…
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psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
August 19, 2020 - Study
Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system.
Citation Text:
Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…
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psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
November 20, 2015 - Study
Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative
exploration of patient and provider perspectives.
Citation Text:
Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…
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psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
January 29, 2014 - Study
"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.
Citation Text:
Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2…
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www.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Evidence Reviews: Catalysts for Practice Change
JAN
19
2022
By
Lionel Bañez, M.D., and
David Meyers, M.D.
Lionel Bañez, M.D.
Medical research keeps advancing while clinicians are busy taking care of patients. It is a const…
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psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
December 16, 2020 - Study
Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions.
Citation Text:
Patel D, Liu G, Roberts SCM, et al. Association of provider specialty with abortion-related morbidity and adverse events am…
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psnet.ahrq.gov/issue/information-technology-interventions-improve-medication-safety-primary-care-systematic-review
July 29, 2020 - Review
Information technology interventions to improve medication safety in primary care: a systematic review.
Citation Text:
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 20…
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - Study
What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers.
Citation Text:
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…
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psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation
September 27, 2023 - Study
Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies.
Citation Text:
Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;…
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psnet.ahrq.gov/issue/clinical-benefits-electronic-health-record-use-national-findings
November 16, 2022 - Study
Clinical benefits of electronic health record use: national findings.
Citation Text:
King J, Patel V, Jamoom EW, et al. Clinical benefits of electronic health record use: national findings. Health Serv Res. 2014;49(1 Pt 2):392-404. doi:10.1111/1475-6773.12135.
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F…
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psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
July 17, 2024 - Study
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for pa…
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psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
May 07, 2014 - Study
Hospital leadership and quality improvement: rhetoric versus reality.
Citation Text:
Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256.
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Format:
DOI Google Scholar…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety
and Quality in Healthcare
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to convene a cross agency working …
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/front-matter.html
February 01, 2022 - Primary Care Practice Facilitation Curriculum
Preface
Previous Page Next Page
Table of Contents
Primary Care Practice Facilitation Curriculum
Preface
Introduction
Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies
Part 2: Introduction to Practice Facilitation
Part 3:…
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digital.ahrq.gov/principal-investigator/gurwitz-jerry
January 01, 2023 - Gurwitz, Jerry
Factors associated with ordering laboratory monitoring of high-risk medications.
Citation
Fischer SH, Tjia J, Reed G, et al. Factors associated with ordering laboratory monitoring of high-risk medications. J Gen Intern Med 2014 Dec;29(12):1589-98. PMID: 24965280…
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psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
February 09, 2011 - Study
Classic
A surgical safety checklist to reduce morbidity and mortality in a global population.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…