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psnet.ahrq.gov/issue/minimising-human-error-malaria-rapid-diagnosis-clarity-written-instructions-and-health-worker
December 15, 2010 - Study
Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker performance.
Citation Text:
Rennie W, Phetsouvanh R, Lupisan S, et al. Minimising human error in malaria rapid diagnosis: clarity of written instructions and health worker perform…
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www.ahrq.gov/talkingquality/translate/scores/adjustment-scoring.html
January 01, 2023 - Making Adjustments to Health Care Quality Scores
One of the most thorny topics in quality measurement is the adjustment of scores across different plans or providers to account for differences in the characteristics of their patients or themselves. This page reviews key issues related to adjustments to scores…
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psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
March 24, 2019 - Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Citation Text:
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-c.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Appendix C. Methodological References Cited by Grantees
Previous Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Background
A Practical…
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psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - Journal Article
Combined SNA and LDA methods to understand adverse medical events
Citation Text:
Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix D
CANDOR Tool
PROCESS
QUESTIONS TO REVIEW
Y/N
CONTRIBUTING OR CAUSAL FACTOR Y/N
FINDINGS /
COMMENTS
COMMUNICATION
Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
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psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
September 12, 2016 - Study
The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania.
Citation Text:
Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…
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psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012
January 16, 2019 - Study
National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012.
Citation Text:
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;1…
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psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
August 15, 2016 - Review
Medication safety in neonatal care: a review of medication errors among neonates.
Citation Text:
Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231.
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psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
August 18, 2021 - Commentary
How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event.
Citation Text:
Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…
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psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
June 27, 2011 - Study
Classic
Perceptions of safety culture vary across the intensive care units of a single institution.
Citation Text:
Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…
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psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
February 18, 2011 - Study
Classic
The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.
Citation Text:
Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…
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psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
February 17, 2011 - Study
Classic
Improving patient safety in intensive care units in Michigan.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/home_toolkits.jsp
September 01, 2014 - Clinical Content Enhancement Toolkit
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates …
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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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hcup-us.ahrq.gov/news/exhibit_booth/SEDDBrochure_050218.pdf
May 16, 2018 - What are the SEDD?
The State Emergency Department Databases
(SEDD) are part of the family of databases and
software tools developed for the Healthcare Cost
and Utilization Project (HCUP). The SEDD are a
set of longitudinal State-specific emergency
department databases included in the HCUP
family. The SEDD capture disch…
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psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
September 13, 2023 - Review
Safety of surgical telehealth in the outpatient and inpatient setting.
Citation Text:
Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003.
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digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Project Description
Improving patient engagement in physical therapy (PT) through remote therapeutic monit…
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psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
April 24, 2018 - Study
Classic
Protocol-based computer reminders, the quality of care and the non-perfectability of man.
Citation Text:
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5.
C…
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psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
October 19, 2022 - Review
Incivility in healthcare: the impact of poor communication.
Citation Text:
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717.
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