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psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic
October 15, 2008 - Study
Pharmacist medication assessments in a surgical preadmission clinic.
Citation Text:
Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/lester-wt-et-al-2009
January 01, 2009 - Lester WT et al. 2009 "Mammography FastTrack: an intervention to facilitate reminders for breast cancer screening across a heterogeneous multi-clinic primary care network."
Reference
Lester WT, Ashburner JM, Grant RW, et al. Mammography FastTrack: an intervention to facilitate reminders for breast can…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - Hoch I et al. 2003 "Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics."
Reference
Hoch I, Heymann AD, Kurman I, et al. Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics. J Am Med Inf…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-stage-3-meaningful-use-objectives-analysis-md-and-ar
January 01, 2023 - Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Maryland and Arkansas
Project Final Report ( PDF , 1.28 MB) Disclaimer
Disclaimer
(Persons using assistive technology may not be able to fully access information in this report. For assistance, please contact ahrqsecti…
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psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
September 01, 2021 - Government Resource
Learning how to learn: compliance with patient safety alerts in the NHS.
Citation Text:
Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
March 02, 2011 - Review
Effects of work hour reduction on residents' lives: a systematic review.
Citation Text:
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088.
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DOI Goo…
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psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
September 19, 2018 - Book/Report
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.
Citation Text:
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of M…
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digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%201.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1
Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
Monday, September 21, 2009 Systems Analysis, Change and
Implementa…
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psnet.ahrq.gov/issue/hospital-process-compliance-and-surgical-outcomes-medicare-beneficiaries
May 01, 2015 - Study
Hospital process compliance and surgical outcomes in Medicare beneficiaries.
Citation Text:
Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191.
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hcup-us.ahrq.gov/home.jsp
June 01, 2025 - What is HCUP?
The
Healthcare Cost and Utilization Project (HCUP) includes the
largest collection of longitudinal hospital care data in the
United States.
Overview of HCUP
Online HCUP
Overview Course is an interactive course that provides
information a…
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psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
March 05, 2014 - Review
Assessing the patient safety competencies of healthcare professionals: a systematic review.
Citation Text:
Okuyama A, Martowirono K, Bijnen B. Assessing the patient safety competencies of healthcare professionals: a systematic review. BMJ Qual Saf. 2011;20(11):991-1000. doi:10.1…
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2016
November 10, 2016 - Book/Report
America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016.
Citation Text:
America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Oakbrook Terrace, IL: The Joint Commission; November 2016.
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psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
August 04, 2021 - Study
The association between organizational culture and the ability to benefit from "just culture" training.
Citation Text:
David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…
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psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
October 30, 2010 - Commentary
Can we import improvements from industry to healthcare?
Citation Text:
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039.
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psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
March 23, 2011 - Study
Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital.
Citation Text:
Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hos…
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psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
March 11, 2015 - Press Release/Announcement
FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing.
Citation Text:
FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…
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psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-care
December 06, 2023 - Commentary
Recommendations to ensure safety of AI in real-world clinical care.
Citation Text:
Sittig DF, Singh H. Recommendations to ensure safety of AI in real-world clinical care. JAMA. 2025;333(6):457-458. doi:10.1001/jama.2024.24598.
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psnet.ahrq.gov/issue/reality-check-checklists
April 21, 2015 - Commentary
Classic
Reality check for checklists.
Citation Text:
Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5.
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psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
July 26, 2017 - Review
Current issues in patient safety in surgery: a review.
Citation Text:
Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4.
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