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psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
September 09, 2015 - Study
Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?
Citation Text:
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…
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psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
August 20, 2018 - Study
Unplanned return to theater: a quality of care and risk management index?
Citation Text:
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
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psnet.ahrq.gov/issue/effect-electronic-health-records-ambulatory-care-retrospective-serial-cross-sectional-study
March 24, 2019 - Study
Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study.
Citation Text:
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study. BMJ. 2005;330(7491):581…
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psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
September 25, 2024 - Study
Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives.
Citation Text:
Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…
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psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
April 10, 2024 - Study
Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine.
Citation Text:
Meterko M, Wright S, Lin H, et al. Mortality among patients with acute myocardial infarction: the influences of patient-centered care and…
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psnet.ahrq.gov/issue/effectiveness-chatgpt-clinical-pharmacy-and-role-artificial-intelligence-medication-therapy
November 11, 2020 - Study
Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management.
Citation Text:
Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy manag…
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psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
June 22, 2011 - Study
Relationship of staff information sharing and advice networks to patient safety outcomes.
Citation Text:
Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…
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psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
October 31, 2011 - Study
Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.
Citation Text:
Etchells E, Adhikari NKJ, Cheung C, et al. Real-time clinical alerting: effect of an automated paging system on response …
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psnet.ahrq.gov/issue/drug-related-morbidity-and-mortality-and-economic-impact-pharmaceutical-care
December 23, 2008 - Study
Drug-related morbidity and mortality and the economic impact of pharmaceutical care.
Citation Text:
Johnson JA, Bootman JL. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. Am J Health Syst Pharm. 1997;54(5):554-8.
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psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative
March 04, 2011 - Study
Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative.
Citation Text:
Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. Jt Comm J Qual Patient Saf…
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digital.ahrq.gov/sites/default/files/docs/page/2006Lamer_052411comp.pdf
January 01, 2006 - Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions
Integrating Health Information
Technology with Clinical Practice:
Documenting Tobacco
Cessation Interventions
Christopher Lamer, PharmD, BCPS, NCPS, CDE
LCDR, U.S. Public Health Service
Patient Safet…
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psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
November 16, 2022 - Study
Weekend and night outcomes in a statewide trauma system.
Citation Text:
Carr BG, Reilly PM, Schwab W, et al. Weekend and night outcomes in a statewide trauma system. Arch Surg. 2011;146(7):810-7. doi:10.1001/archsurg.2011.60.
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psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
December 11, 2024 - Study
The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics.
Citation Text:
Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Center…
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psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
April 14, 2021 - Study
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.
Citation Text:
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Culture Check-Up Tool
AHRQ Safety Program for Perinatal Care
Culture Checkup Tool
Culture Checkup Tool
Problem statement: Improving safety culture in a patient care area takes time.
What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, cre…
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement1.html
February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
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Table of Contents
Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
Background
Methods
Results
Conclusions
References
Appendix A.
Appendix B.
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psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
November 16, 2022 - Study
Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings.
Citation Text:
Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…
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psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
October 18, 2018 - Study
Risk factors for hospital admissions associated with adverse drug events.
Citation Text:
Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287.
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psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
July 19, 2010 - Study
Surgeon agreement at the time of handover, a prospective cohort study.
Citation Text:
Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6.
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psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
December 12, 2014 - Study
Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings.
Citation Text:
Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …