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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 02, 2025 - Introduction to the Pediatric Best Practices Tool
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.4
Introduction to the Pediatric Best Practices Tool
What is the purpose of this tool? The purpose of this tool is to provide:
• Detailed description of…
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psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
June 25, 2014 - Study
Classic
Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients.
Citation Text:
Network WG for the CHECKLIST-ICUI and the BR in IC, Cavalcanti AB, Bozza FA, et …
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psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
November 21, 2021 - Study
Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.
Citation Text:
Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
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psnet.ahrq.gov/issue/deferral-care-serious-non-covid-19-conditions-hidden-harm-covid-19
June 22, 2022 - Commentary
Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19.
Citation Text:
DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.401…
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psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
November 16, 2022 - Study
Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.
Citation Text:
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…
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psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
March 18, 2013 - Study
Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model.
Citation Text:
Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Data Collection Strategy, Assessment, and Process Evaluation
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliati…
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www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Chapter 1. Introduction
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA De…
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Review
Disclosing adverse events in clinical practice: the delicate act of being open.
Citation Text:
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
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digital.ahrq.gov/ahrq-funded-projects/user-centered-designed-anticoagulation-shared-decision-making-tool-stroke
January 01, 2023 - A User-Centered Designed Anticoagulation Shared Decision Making Tool for Stroke Prevention in Atrial Fibrillation
Project Final Report ( PDF , 348.7 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its co…
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psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
June 03, 2020 - Study
Classic
An alternative strategy for studying adverse events in medical care.
Citation Text:
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13.
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Fo…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/buchanan-bg-et-al-1995
January 01, 1995 - Buchanan BG et al. 1995 "An intelligent interactive system for delivering individualized information to patients."
Reference
Buchanan BG, Moore JD, Forsythe DE, et al. An intelligent interactive system for delivering individualized information to patients. Artif Intell Med 1995;7(2):117-154.
Abs…
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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integrationacademy.ahrq.gov/sites/default/files/2021-10/Grant_Summary_PA_0.pdf
January 01, 2021 - Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices—R18 Grants
Increasing Access to
Medication-Assisted Treatment (MAT)
in Rural Primary Care Practices—R18 Grants
Enhancing the Access and Quality of MAT
for Individuals with Opioid Use Disorder
(OUD) in Rural Pennsylvania’s …
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-final-rec-bullletin.pdf
November 07, 2023 - U.S. Preventive Services Task Force Issues Final Recommendations on Screening and Preventive Interventions for Oral Health
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Final Recommendations
on Screening and Preventive Interventions for Oral Health
More research is nee…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/oral-health-screening-interventions-draft-rec-bulletin.pdf
June 20, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendations on Oral Health in Primary Care: More research is needed to recommend for or against screening and interventions in school-aged children and adults without symptoms
1
www.uspreventiveservicestaskforce.org
U.S. Preventive Services Task Force Iss…
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digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
January 01, 2023 - Automated Retract-and-Reorder Measures to Improve Medication Safety
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Using Digital Healthcare Tools to Improve Patient Safety
New measures to identify near-miss medication errors are a major advancement in patient safety …
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psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
August 10, 2022 - Study
The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.
Citation Text:
Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up …
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psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
June 16, 2010 - Review
Narrative review: do state laws make it easier to say "I'm sorry"?
Citation Text:
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816.
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