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psnet.ahrq.gov/node/34787/psn-pdf
March 28, 2005 - Medication misadventures resulting in emergency
department visits at an HMO medical center.
March 28, 2005
Schneitman-McIntire O, Farnen TA, Gordon N, et al. Am J Health Syst Pharm. 1996;53(12):1416-1422.
https://psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-
medical-cente…
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psnet.ahrq.gov/node/50569/psn-pdf
October 23, 2019 - Design and implementation of a tool for pharmacists to
register potential errors in prescribed medication.
October 23, 2019
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register
Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585.
d…
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psnet.ahrq.gov/node/837806/psn-pdf
August 10, 2022 - Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals.
August 10, 2022
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512.
doi:…
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psnet.ahrq.gov/node/60255/psn-pdf
April 22, 2020 - Discrepancies in written versus calculated durations in
opioid prescriptions: pre-post study.
April 22, 2020
Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid
prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/16199.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/36005/psn-pdf
March 28, 2011 - Active surveillance using electronic triggers to detect
adverse events in hospitalized patients.
March 28, 2011
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse
events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46094/psn-pdf
July 11, 2017 - Hiding in plain sight—resurrecting the power of
inspecting the patient.
July 11, 2017
Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA
Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634.
https://psnet.ahrq.gov/issue/hiding-plain-sight-resur…
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psnet.ahrq.gov/node/35045/psn-pdf
November 05, 2015 - Identifying barriers to the effective use of clinical
reminders: bootstrapping multiple methods.
November 5, 2015
Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders:
bootstrapping multiple methods. J Biomed Inform. 2005;38(3):189-99.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46930/psn-pdf
June 13, 2018 - Ward round template: enhancing patient safety on ward
rounds.
June 13, 2018
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds.
BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
https://psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-saf…
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psnet.ahrq.gov/node/41774/psn-pdf
October 24, 2012 - Health information technology and its effects on hospital
costs, outcomes, and patient safety.
October 24, 2012
Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient
safety. Inquiry. 2011;48(4):288-303.
https://psnet.ahrq.gov/issue/health-information-technology-a…
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psnet.ahrq.gov/node/46395/psn-pdf
September 06, 2017 - Deprescribing: a simple method for reducing
polypharmacy.
September 6, 2017
McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam
Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-
management/deprescribing-simple-method-reducing…
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psnet.ahrq.gov/node/37193/psn-pdf
October 06, 2011 - Incomplete EHR adoption: late uptake of patient safety
and cost control functions.
October 6, 2011
Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost
control functions. Am J Med Qual. 2007;22(5):319-26.
https://psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-u…
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psnet.ahrq.gov/node/74169/psn-pdf
December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is
associated with attribution of blame.
December 8, 2021
Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.
https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-
bl…
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psnet.ahrq.gov/node/73125/psn-pdf
April 07, 2021 - Black Patients are More Likely Than White Patients to be
in Hospitals with Worse Patient Safety Conditions.
April 7, 2021
Gangopadhyaya A. Washington DC: Urban Institute; March 29, 2021.
https://psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-
safety-conditions
Racial…
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psnet.ahrq.gov/node/60226/psn-pdf
April 15, 2020 - Empowering patients and reducing inequities: is there
potential in sharing clinical notes?
April 15, 2020
Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in
sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:10.1136/bmjqs-2019-010490.
https://psne…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
January 01, 2007 - HIT Based Regional Medication Management Pharmacy System
1
Grant Final Report
Grant ID: 5UC1HS014965-03
HIT Based Regional Medication Management
Pharmacy System
Inclusive dates: 09/30/04 - 09/29/07
Principal Investigator:
Mark Schmidt, Chief Information Officer, SISU Medical Systems, Dulu…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training
Slide 1: Overview of On-Time
Slide 2: On-Time Pressure Ulcer Prevention Facilitator Training
Say:
Welcome to the On-Time Pressure Ulcer Prevention Facilitator Training.
This 2-day Facilitator training …
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www.ahrq.gov/cahps/news-and-events/news/archive/index.html
June 01, 2024 - Archived Announcements About CAHPS Surveys
AHRQ Post Webcast Materials for "Learning from Patient Narratives Through Innovative Feedback Reporting Methods" (May 2023) This webcast provided an overview of AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys and patient narratives and d…
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digital.ahrq.gov/sites/default/files/docs/publication/2014-jason-data-for-individual-health.pdf
January 01, 2014 - then able to categorize the concepts so that they can be recorded in a more
systematic way in the hospital
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Facilitator Training—Handouts: Preventable Hospital and ED Visits Implementation
Implementation of Preventable Hospital and ED Visits Reports
Self-Assessment Scripted Exercise
Menu of Implementation…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
January 01, 2009 - Title Page
Grant Final Report
Grant ID: 1UC1HSO16130-01
Metro DC Health Information Exchange (MeDHIX):
Strategies for Successful Planning and Implementation of
HIE Solutions in Safety Net Clinic Communities
Inclusive dates: 09/30/05 - 09/29/29
Principal Investigator:
Thomas L. Lewis, MD
…