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psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
November 18, 2020 - Study
Classic
Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.
Citation Text:
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - Study
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.
Citation Text:
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…
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psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions
March 09, 2022 - Study
Use of heuristics during the clinical decision process from family care physicians in real conditions.
Citation Text:
Fernández‐Aguilar C, Martín‐Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions…
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psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - Study
Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.
Citation Text:
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
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psnet.ahrq.gov/issue/impact-2011-acgme-resident-duty-hour-reform-hospital-patient-experience-and-processes-care
September 07, 2016 - Study
Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.
Citation Text:
Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care. BMJ Qual Saf. 2016;…
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psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
December 02, 2015 - Organizational Policy/Guidelines
Classic
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.
Citation Text:
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/how-the-uspstf-gets-input-2021.pdf
January 01, 2021 - How the USPSTF Gets Input
How the USPSTF Gets Input
The U.S. Preventive Services Task Force (USPSTF or Task Force) is an independent group of national experts in
primary care, prevention, evidence-based medicine. The Task Force makes recommend…
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psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
February 07, 2024 - Review
The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis.
Citation Text:
Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community ment…
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psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
March 01, 2023 - Study
Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…
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psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
February 03, 2011 - Study
Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system.
Citation Text:
Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidl…
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - Study
Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error?
Citation Text:
Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…
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psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
May 20, 2019 - Study
Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.
Citation Text:
Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Elect…
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psnet.ahrq.gov/issue/effects-chemotherapy-prescription-clinical-decision-support-systems-chemotherapy-process
October 10, 2018 - Review
Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review.
Citation Text:
Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process:…
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psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same
June 13, 2011 - Study
Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system.
Citation Text:
Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-…
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psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
August 21, 2015 - Study
Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing.
Citation Text:
Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testi…
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psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
September 11, 2024 - Review
Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes.
Citation Text:
Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident re…
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Study
The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis.
Citation Text:
van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Kirchner
Overview of the SOPS Surveys
Jess Kirchner, M.A.
SOPS Program Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What are the SOPS Surveys?
• Surveys of providers and staff about the extent to which their
organizational cu…
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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…