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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Study
An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences.
Citation Text:
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…
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psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
August 10, 2022 - Study
Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study.
Citation Text:
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…
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psnet.ahrq.gov/issue/interventions-reduce-medication-dispensing-administration-and-monitoring-errors-pediatric
June 23, 2021 - Review
Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review.
Citation Text:
Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and monitorin…
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psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
August 19, 2020 - Study
The delivery of safe and effective test result communication, management and follow-up.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…
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psnet.ahrq.gov/issue/patient-safety-complementary-medicine-through-application-clinical-risk-management-public
February 15, 2023 - Study
Patient safety in complementary medicine through the application of clinical risk management in the public health system.
Citation Text:
Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the Public…
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psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
September 22, 2021 - Review
Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review.
Citation Text:
Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis a…
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digital.ahrq.gov/sites/default/files/docs/page/Utah%204-VI.ppt
June 16, 2021 - Medication History Settings
Utah Health Information Network
Evaluation Method Summary
AHRQ 2006
Jan Root, Ph.D.
Assistant Executive Director
UHIN Pilot
Submitter Receiver Message Format
Hospital Providers (clinical messages)
Payers (claim attachments) Discharge summaries, etc. HL7, pdf
Clinics Hospitals (clinic…
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psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
February 10, 2015 - Study
The value from investments in health information technology at the U.S. Department of Veterans Affairs.
Citation Text:
Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…
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psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
December 07, 2022 - Study
Systems engineering analysis of diagnostic referral closed-loop processes.
Citation Text:
Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603.
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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - Book/Report
The Economic Measurement of Medical Errors.
Citation Text:
The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010.
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psnet.ahrq.gov/issue/description-development-and-validation-canadian-paediatric-trigger-tool
January 25, 2017 - Study
Description of the development and validation of the Canadian Paediatric Trigger Tool.
Citation Text:
Matlow A, Cronin CMG, Flintoft V, et al. Description of the development and validation of the Canadian Paediatric Trigger Tool. BMJ Qual Saf. 2011;20(5):416-23. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - Review
Crying wolf, alarm safety and management in paediatrics: a scoping review.
Citation Text:
Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398.
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful
September 23, 2020 - Commentary
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Citation Text:
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…
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psnet.ahrq.gov/issue/you-can-campaign-teamwork-training-patients-and-families-ambulatory-oncology
September 01, 2016 - Study
The You CAN campaign: teamwork training for patients and families in ambulatory oncology.
Citation Text:
Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63-71.…
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psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
October 02, 2024 - Study
Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process.
Citation Text:
Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…
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psnet.ahrq.gov/issue/assessing-resident-and-attending-error-and-adverse-events-emergency-department
November 25, 2020 - Study
Assessing resident and attending error and adverse events in the emergency department.
Citation Text:
Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022…
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psnet.ahrq.gov/issue/factors-influencing-reporting-medication-errors-and-near-misses-among-nurses-systematic-mixed
April 23, 2014 - Review
Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods review.
Citation Text:
Braiki R, Douville F, Gagnon M‐P. Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods …
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential care facilities.
Citation Text:
McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128.
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psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
April 06, 2022 - Commentary
Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare.
Citation Text:
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…
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psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box
March 20, 2024 - Study
Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis.
Citation Text:
Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …