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psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
August 03, 2022 - Study
Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT).
Citation Text:
Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…
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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - Study
Frequency of failure to inform patients of clinically significant outpatient test results.
Citation Text:
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
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psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
September 02, 2020 - Study
Registration-associated patient misidentification in an academic medical center: causes and corrections.
Citation Text:
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…
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digital.ahrq.gov/ahrq-funded-projects/impact-consumer-health-informatics-applications/annual-summary/2009
January 01, 2009 - Impact of Consumer Health Informatics Applications - 2009
Project Name
Impact of Consumer Health Informatics Applications
Principal Investigator
Gibbons, M. Chris
Organization
Johns Hopkins University
Contract Number
290-07-10061
Project Period
08/08 – 10/09…
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psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
November 08, 2017 - Study
System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.
Citation Text:
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…
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psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
September 01, 2021 - Study
Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals.
Citation Text:
Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Study
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s l…
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psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
December 16, 2020 - Study
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.
Citation Text:
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…
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psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department
December 08, 2021 - Study
An estimate of missed pediatric sepsis in the emergency department.
Citation Text:
Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
December 21, 2022 - Study
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.
Citation Text:
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
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psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
December 16, 2020 - Study
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
Citation Text:
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-dynamic-chronic-care-registry-quality-care
January 01, 2023 - Assessing the Impact of a Dynamic Chronic Care Registry on Quality of Care
Project Final Report ( PDF , 2.17 MB)
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Disclaimer details
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Project Description
Publications
Project Details -
Completed
…
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2011
January 01, 2011 - Improving Medication Management Practices and Care Transitions through Technology - 2011
Project Name
Improving Medication Management Practices and Care Transitions through Technology
Principal Investigator
Feldman, Penny
Organization
Visiting Nurse Service of New York
…
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psnet.ahrq.gov/issue/association-hospital-employee-satisfaction-patient-safety-and-satisfaction-within-veterans
August 04, 2021 - Study
Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers.
Citation Text:
Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affair…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL17LOINCAdvicetoothers.pdf
January 01, 2007 - Appendix 17a
LOINC Mapping:
Advice to others in understanding/employing HL7 and/or LOINC
Four aspects might be helpful for LOINC mapping: formal education, tools, content to map. Not all
of the aspects are defined for HL-7; we include only formal education.
Formal Education
HL-7: There is an educational w…
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psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
October 20, 2021 - Study
Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study.
Citation Text:
Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…
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psnet.ahrq.gov/issue/associations-between-organizational-communication-and-patients-experience-prolonged-emotional
October 27, 2021 - Study
Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors.
Citation Text:
Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged …
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psnet.ahrq.gov/issue/effect-medication-reconciliation-and-without-patient-counseling-number-pharmaceutical
May 26, 2021 - Study
Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.
Citation Text:
Karapinar-Carkit F, Borgsteede SD, Zoer J, et al. Effect of medication reconciliation with and without p…
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psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national
November 25, 2020 - Study
A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.
Citation Text:
O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…