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psnet.ahrq.gov/node/42140/psn-pdf
March 27, 2013 - Older adults' perceptions of feeling safe in urban and
rural acute care.
March 27, 2013
Lasiter S, Duffy J. Older adults' perceptions of feeling safe in urban and rural acute care. J Nurs Adm.
2013;43(1):30-6. doi:10.1097/NNA.0b013e3182786013.
https://psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urba…
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psnet.ahrq.gov/node/37930/psn-pdf
July 23, 2008 - Measurement for improvement: a survey of current
practice in Australian public hospitals.
July 23, 2008
Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in
Australian public hospitals. Med J Aust. 2008;189(1):35-40.
https://psnet.ahrq.gov/issue/measurement-improvemen…
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psnet.ahrq.gov/node/50850/psn-pdf
January 29, 2020 - Better Safer Care Victoria.
January 29, 2020
Safer Care Victoria and Victorian Agency for Health Information.
https://psnet.ahrq.gov/issue/better-safer-care-victoria
Large scale tracking of adverse care incidents offers evidence that governments and organizations can use
to target care process improvement efforts.…
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psnet.ahrq.gov/node/42061/psn-pdf
October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving
Quality of Care.
October 5, 2015
Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January
2013. AHRQ Publication No. 13-0015-EF.
https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/traumatic-brain-injury-rehabilitation-future_research.pdf
January 01, 2013 - Multidisciplinary Rehabilitation Programs for Moderate to Severe Traumatic Brain Injury in Adults: Future Research Needs
Future Research Needs Paper
Number 36
Multidisciplinary
Rehabilitation Programs
for Moderate to Severe
Traumatic Brain Injury in
Adults: Future Research
Needs
Future Research Needs Paper
N…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018646-gance-cleveland-final-report-2014.pdf
January 01, 2014 - Health Information Technology to Support Clinical Decision Making in Obesity Care - Final Report
1
…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
March 01, 2015 - Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Engaging Primary
Care Practices
in Quality
Improvement
Strategies for Practice Facilitators
W
H
IT
E
P
A
P
E
R
National Center for Excellence
I N P R I M A R Y C A R E R E S E A R C H
National Center for Ex…
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digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareimphndbk_120111comp.pdf
November 01, 2011 - Assessing the Assessing the Impact of a Dynamic Chronic Care Registry on the Quality of Care - Implementation Handbook
Assessing the Impact of a
Dynamic Chronic Care Registry on
the Quality of Care
Implementation
Handbook
Final ACTION Contract Report
Assessing the Impact of a Dynamic Chronic Care
Registr…
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-final-report.pdf
July 01, 2015 - Final Contract Report -- State and Regional Demonstrations in Health IT: Outline for Final Impact Report
Final Contract Report
State and Regional Demonstration in
Health Information Technology: Indiana
HEALTH IT
Final Contract Report
State and Regional Demonstration in Health
Infor…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - eventually, even that process could be automated to some
degree due to advances in natural language processing
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digital.ahrq.gov/organization/cloquet-community-memorial-hospital
January 01, 2023 - Cloquet Community Memorial Hospital
HIT-Based Regional Medication Management Pharmacy System - 2009
Principal Investigator
Schmidt, Mark
Project Name
HIT-Based Regional Medication Management Pharmacy System
HIT-Based Regional Medication M…
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/citation-0
January 01, 2023 - Differences between integrated and stand-alone E-prescribing systems have implications for future use.
Citation
Desroches CM, Agarwal R, Angst CM, et al. Differences between integrated and stand-alone E-prescribing systems have implications for future use. Health Aff (Millwood) 2010 Dec;29(12):2268-77…
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psnet.ahrq.gov/node/50727/psn-pdf
December 11, 2019 - Your diagnosis was wrong. Could doctor bias have been
a factor?
December 11, 2019
Glicksman E. Washington Post. November 17, 2019.
https://psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
Unconscious assumptions and biases are known contributors to poor decision-making. This news st…
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psnet.ahrq.gov/node/39399/psn-pdf
February 17, 2011 - Can electronic clinical documentation help prevent
diagnostic errors?
February 17, 2011
Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J
Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734.
https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help…
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psnet.ahrq.gov/node/34603/psn-pdf
September 29, 2017 - Disclosure of unanticipated events: creating an effective
patient communication policy (part 2 of 3).
September 29, 2017
American Society of Healthcare Risk Management; ASHRM
https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-
policy-part-2-3
The process for craf…
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psnet.ahrq.gov/node/36321/psn-pdf
October 26, 2010 - Ethical and practical aspects of disclosing adverse events
in the emergency department.
October 26, 2010
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the
emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
https://psnet.ahrq.gov/issue/ethical-and-pract…
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psnet.ahrq.gov/node/40046/psn-pdf
June 15, 2012 - Applying HFMEA to prevent chemotherapy errors.
June 15, 2012
Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst.
2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7.
https://psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
This study provides a practical ex…
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psnet.ahrq.gov/node/37351/psn-pdf
January 05, 2012 - How safe is my intensive care unit? An overview of error
causation and prevention.
January 5, 2012
Valentin A, Bion J. How safe is my intensive care unit? An overview of error causation and prevention. Curr
Opin Crit Care. 2007;13(6):697-702.
https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-overview-er…
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psnet.ahrq.gov/node/39726/psn-pdf
August 04, 2010 - Multiple accountabilities in incident reporting and
management.
August 4, 2010
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual
Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
https://psnet.ahrq.gov/issue/multiple-accountabilities-incident-re…
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psnet.ahrq.gov/node/35250/psn-pdf
February 24, 2011 - The outcomes card: development of a systems-based
practice educational tool.
February 24, 2011
Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-
1497.2005.0168.x.
https://psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
Th…