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psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind
August 19, 2020 - Newspaper/Magazine Article
When health care moves online, many patients are left behind.
Citation Text:
Renault M. When health care moves online, many patients are left behind. Wired Online. 2020;(June 8, 2020).
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digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
January 01, 2023 - Physicians' Experiences Using Commercial E-Prescribing Systems
Project Description
Publications
Project Details -
Completed
Contract Number
290-05-0007-1
Funding Mechanism(s)
Health Information Technology Community Tracking
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psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
December 18, 2008 - Study
Teaching but not learning: how medical residency programs handle errors.
Citation Text:
Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395.
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psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
February 03, 2011 - Review
Systematic review: effects of resident work hours on patient safety.
Citation Text:
Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_go_live_planning_checklist.pdf
January 01, 2006 - EHR Go Live Planning Checklist
EHR Go Live Planning Checklist
Note: Your EHR project team should review this list and add any items that might be specific to
your practice.
Staff
Has been trained on new EHR policies and procedures and has signed off
indicating that they understand the new policies and …
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psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
March 13, 2024 - Commentary
Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population.
Citation Text:
Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - Newspaper/Magazine Article
FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias.
Citation Text:
Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024;
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psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample
February 24, 2011 - Study
Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample.
Citation Text:
Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…
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psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program
August 27, 2014 - Commentary
Eight critical factors in creating and implementing a successful simulation program.
Citation Text:
Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29.
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psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
August 14, 2019 - Newspaper/Magazine Article
IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices.
Citation Text:
IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. ISMP Medication Safety Alert! Acute Care Edition. Augu…
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psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
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psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
January 22, 2016 - Study
Barriers and facilitators to nursing handoffs: recommendations for redesign.
Citation Text:
Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005.
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psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-literacy
April 28, 2021 - Book/Report
Classic
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.
Citation Text:
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …
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psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
December 18, 2014 - Commentary
Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations.
Citation Text:
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1…
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psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
February 13, 2013 - Review
Huddles and debriefings: improving communication on labor and delivery.
Citation Text:
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
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psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
March 11, 2013 - Study
How patients perceive a doctor's caring attitude.
Citation Text:
Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022.
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psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors
October 19, 2022 - Study
The effect of a safe zone on nurse interruptions, distractions, and medication administration errors.
Citation Text:
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
December 23, 2009 - INSTRUCTIONS: Project Charter
AHRQ Quality Indicators Toolkit
INSTRUCTIONS
Project Charter
What is this tool? The purpose of the project charter is to describe the performance improvement
rationale, goals, barriers, and anticipated resources to which the team will commit.
Who are the target audiences? St…
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psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
September 21, 2016 - Review
Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement.
Citation Text:
Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…
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digital.ahrq.gov/ahrq-funded-projects/interactive-health-communication-program-young-urban-adults-asthma/annual-summary/2012
January 01, 2012 - An Interactive Health Communication Program For Young Urban Adults with Asthma - 2012
Project Name
An Interactive Health Communication Program For Young Urban Adults With Asthma
Principal Investigator
Baptist, Alan
Organization
Regents of the University of Michigan
Fu…