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digital.ahrq.gov/ahrq-funded-projects/use-mobile-technology-improve-acute-care-utilization-sickle-cell-disease/citation/use
January 01, 2023 - Use of mobile technology to monitor pain and reduce outpatient, emergency department (ED), and hospital visits for sickle cell pain crisis.
Citation
Narine K, Chang J, Jonassaint J, et al. Use of mobile technology to monitor pain and reduce outpatient, emergency department (ED), and hospital visits f…
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digital.ahrq.gov/organization/university-kentucky
January 01, 2023 - University of Kentucky
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T M…
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psnet.ahrq.gov/node/44053/psn-pdf
November 16, 2015 - ANA CAUTI Prevention Tool.
November 16, 2015
Silver Spring, MD: American Nurses Association; 2015.
https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool
Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). This
toolkit, developed as a Partnership for Patients strategy, …
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psnet.ahrq.gov/node/836781/psn-pdf
March 23, 2022 - Diagnostic error in pediatrics: a narrative review.
March 23, 2022
Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics.
2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d.
https://psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
Reduci…
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psnet.ahrq.gov/node/836968/psn-pdf
April 20, 2022 - Diagnostic time-outs to improve diagnosis.
April 20, 2022
Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185-
194. doi:10.1016/j.ccc.2021.11.008.
https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
A broad differential diagnosis can limit missed d…
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psnet.ahrq.gov/node/854390/psn-pdf
October 11, 2023 - How the physician's financial wellness could impact
patient safety.
October 11, 2023
Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J.
2024;100(1182):276-278. doi:10.1093/postmj/qgad076.
https://psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-imp…
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psnet.ahrq.gov/node/34129/psn-pdf
January 16, 2019 - WHO Patient Safety.
January 16, 2019
World Health Organization.
https://psnet.ahrq.gov/issue/who-patient-safety
Reducing accidents and the risk of error requires a significant and sustained response at national and
global levels. With this in mind, the World Health Organization and its partners launched the World …
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psnet.ahrq.gov/node/72822/psn-pdf
March 10, 2021 - Extended work shifts and neurobehavioral performance in
resident-physicians.
March 10, 2021
Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in
Resident-Physicians. Pediatrics. 2021;147(3):e2020009936. doi:10.1542/peds.2020-009936.
https://psnet.ahrq.gov/issue/extended…
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psnet.ahrq.gov/node/851367/psn-pdf
July 12, 2023 - A hard look at hard stops and workarounds in the acute
care setting.
July 12, 2023
ISMP Medication Safety Alert! Acute care edition. June 29, 2023;28(13);1-4.
https://psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting
Hard stops in the electronic medical record prevent continuation of ord…
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psnet.ahrq.gov/node/50568/psn-pdf
October 23, 2019 - Automation of the I-PASS tool to improve transitions of
care.
October 23, 2019
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J
Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans…
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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department.
October 10, 2018
Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis
(Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011.
https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the Nation…
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psnet.ahrq.gov/node/845351/psn-pdf
March 01, 2023 - Access to Clinical Information at the Bedside.
March 1, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; February 2023.
https://psnet.ahrq.gov/issue/access-clinical-information-bedside
Patient misidentification in emergent situations can reduce the appropriateness of care delivery and safety.
This rep…
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psnet.ahrq.gov/node/60187/psn-pdf
April 01, 2020 - What are we doing when we double check?
April 1, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf.
2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680.
https://psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
Double checking is one strategy for detecting …
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psnet.ahrq.gov/node/46659/psn-pdf
December 06, 2017 - Focus On: Health Care Policy and Quality.
December 6, 2017
AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334.
https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality
Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this
special issue explore cl…
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psnet.ahrq.gov/node/46677/psn-pdf
June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care.
June 25, 2018
Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol
Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906.
https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
R…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-4.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Conclusion
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: Ove…
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/identifying
January 01, 2023 - Identifying high need primary care patients using nursing knowledge and machine learning methods.
Citation
Hewner S, Smith E, Sullivan SS. CIC 2022: Identifying high need primary care patients using nursing knowledge and machine learning methods. Appl Clin Inform. 2023 Mar 7. doi: 10.1055/a-2048-7343.…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023875-kazemi-final-report-2018.pdf
January 01, 2018 - With reduced costs and reduced needs for staff training, time, and space,
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
December 31, 2015 - Multi-component interventions have reduced
readmissions in several adult populations with various clinical … ambulatory or long-term care, and the provision of
timely followup care have been associated with reduced … clinical care
leads to decreased exacerbations, severity, and complications and, in turn, can lead to a reduced
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - for harm in the NICU, a significant number of errors that occur in this clinical setting could be
reduced