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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
January 01, 2010 - Enhancing Complex Care through an Integrated Care Coordination Information System - 2010
Project Name
Enhancing Complex Care through an Integrated Care Coordination Information System
Principal Investigator
Dorr, David
Organization
Oregon Health and Science University
…
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digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-interview-script.pdf
June 16, 2021 - Baseline Clinician Interview Script
Baseline Clinician Interview Script
Primary Care Development Corporation, New York NY
This is an interview guide designed to be conducted with clinical staff in an
ambulatory setting. The tool includes questions to assess the current state of
electronic health records.
Permiss…
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psnet.ahrq.gov/issue/critical-drug-drug-interactions-use-electronic-health-records-systems-computerized-physician
December 21, 2017 - Study
Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.
Citation Text:
Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With…
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psnet.ahrq.gov/node/60864/psn-pdf
August 31, 2020 - Safety Across The Board
August 31, 2020
Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/safety-across-board
Defining Safety Across the Board
Safety Across The Board (SAB) is a concept originating from the Centers for Medicare & Medicaid Services
(CMS…
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psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules
March 13, 2019 - Study
Emerging Classic
Patient safety outcomes under flexible and standard resident duty-hour rules.
Citation Text:
Patient safety outcomes under flexible and standard resident duty-hour rules. Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N En…
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psnet.ahrq.gov/issue/time-series-evaluation-improvement-interventions-reduce-alarm-notifications-paediatric
October 27, 2021 - Study
Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital.
Citation Text:
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events
July 31, 2017 - Study
Emerging Classic
Outpatient opioid prescriptions for children and opioid-related adverse events.
Citation Text:
Chung CP, Callahan T, Cooper WO, et al. Outpatient Opioid Prescriptions for Children and Opioid-Related Adverse Events. Pediatrics. 2018;142(2):…
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psnet.ahrq.gov/issue/general-practitioners-risk-literacy-and-real-world-prescribing-potentially-hazardous-drugs
December 21, 2014 - Study
General practitioners' risk literacy and real-world prescribing of potentially hazardous drugs: a cross-sectional study.
Citation Text:
Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing of potentially hazardous drugs: a cros…
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psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series-across-18-hospitals
October 19, 2022 - Study
Classic
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Citation Text:
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a structured case series acr…
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psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
July 14, 2010 - Study
An mHealth design to promote medication safety in children with medical complexity.
Citation Text:
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…
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psnet.ahrq.gov/issue/relationships-between-comprehensive-characteristics-nurse-work-schedules-and-adverse-patient
October 06, 2010 - Review
Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review.
Citation Text:
Bae S‐H. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic …
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psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review
July 01, 2009 - Study
Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool.
Citation Text:
Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…
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psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery
February 01, 2012 - Study
Classic
The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend.
Citation Text:
Goldstein SD, Papandria DJ, Aboagye J, et al. The "weekend effect" in pediatric surgery - increased mortality fo…
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psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical
September 20, 2023 - Study
Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners.
Citation Text:
van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…
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psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - Commentary
Two fatal cases of accidental intrathecal vincristine administration: learning from death events.
Citation Text:
Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…
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psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
May 04, 2016 - Study
Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator.
Citation Text:
King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…
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psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
May 27, 2011 - Commentary
Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.
Citation Text:
Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient comput…
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
July 19, 2023 - Study
Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improvement effort.
Citation Text:
Willis DN, Looper K, Malone RA, et al. Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improv…
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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-disclosure-checklist.pdf
April 01, 2016 - Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations,
including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in disclosure conversations.
How to use this tool: Use Part I of the checklist to pre…