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psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps
February 12, 2020 - Study
Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps.
Citation Text:
Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. …
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psnet.ahrq.gov/issue/need-standardized-sign-out-emergency-department-survey-emergency-medicine-residency-and
May 27, 2011 - Study
Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors.
Citation Text:
Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a su…
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psnet.ahrq.gov/issue/standardisation-handoffs-large-academic-paediatric-emergency-department-using-i-pass
October 21, 2020 - Study
The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.
Citation Text:
Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…
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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
February 16, 2022 - Study
Information flow during pediatric trauma care transitions: things falling through the cracks.
Citation Text:
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…
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psnet.ahrq.gov/issue/telemedicine-consultations-and-medication-errors-rural-emergency-departments
August 29, 2011 - Study
Telemedicine consultations and medication errors in rural emergency departments.
Citation Text:
Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374. …
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement1.html
February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
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Table of Contents
Background Report on 2013 Retirement of Measures from the Child Core Set
Abstract
Background
Methods
Results
Conclusions
References
Appendix A.
Appendix B.
…
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab2.html
March 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 2: Availability of Selected Medicaid 1915(c) Waiver Home and Community-Based Services, by State, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Ava…
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psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
January 19, 2014 - Study
Risk factors for adverse events in emergency department procedural sedation for children.
Citation Text:
Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jam…
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - Study
When policy meets physiology: the challenge of reducing resident work hours.
Citation Text:
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
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Format…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Neurodevelopment
Neurodevelopment
Risk Factors for Poor Neurodevelopmental Outcome
■ Developmental progress may be variable for motor and language skills.
■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay.
■ Peri- or intra…
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psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
September 15, 2011 - Study
The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
Citation Text:
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…
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psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
June 08, 2011 - Study
Silence, power and communication in the operating room.
Citation Text:
Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x.
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Format:
DOI Go…
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www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
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Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Exhibit A1: 2013 Interim AHRQ National Scorecard Data o…
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www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building the Project Founda…
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide2.html
October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity
Step 2: Fostering a Research Culture
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Table of Contents
An Organizational Guide to Building Health Services Research Capacity
Introduction
Step 1: Assessing Your Organization's Needs and Capabilities
S…
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psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift
October 30, 2019 - Study
Implementation of an emergency department sign-out checklist improves transfer of information at shift change.
Citation Text:
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate
March 17, 2010 - Study
Organisational culture: variation across hospitals and connection to patient safety climate.
Citation Text:
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…