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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/survey-use-time-out-protocols-emergency-medicine
November 30, 2012 - Study
A survey of the use of time-out protocols in emergency medicine.
Citation Text:
Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288.
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psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
July 29, 2020 - Study
Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.
Citation Text:
Krska J, Gill D, Hansford D. Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. Med Educ. 2006;40(12). d…
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psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - Commentary
It is time to define antimicrobial never events.
Citation Text:
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
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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/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
Citation Text:
How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
January 01, 2012 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012
Project Name
Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow
Principal Investigator
Ciemins, Elizabeth
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psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
November 14, 2018 - Commentary
Implementing bedside handoff in the emergency department: a practice improvement project.
Citation Text:
Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.…
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psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
December 29, 2014 - Study
Measurement for improvement: a survey of current practice in Australian public hospitals.
Citation Text:
Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40.
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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
January 18, 2023 - Commentary
Leveraging consistent communication tools and organizational values to promote accountability among health care providers.
Citation Text:
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section1_6.pdf
January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 21
EXHIBIT 1.6 Patient Age
1,180
27
86
116
332
605
128
1,115
22
88
122
323
586
131
0 200 400 600 800 1,000 1,200 1,400
<1
1-17
18-44
45-64
65-84
85+
All Ages
Number of Discharges per 1,000 Population
A
ge…
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
March 14, 2018 - Organizational Policy/Guidelines
Patient safety in the pediatric emergency care setting.
Citation Text:
Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375.
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psnet.ahrq.gov/issue/support-medical-apology-nonlegal-arguments
June 30, 2021 - Commentary
In support of the medical apology: the nonlegal arguments.
Citation Text:
Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048.
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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Government Resource
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.
Citation Text:
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…
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psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology
August 07, 2013 - Commentary
Error and cognitive bias in diagnostic radiology.
Citation Text:
Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320.
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psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
April 08, 2020 - Press Release/Announcement
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers.
Citation Text:
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…
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psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
June 30, 2011 - Commentary
Disclosure of medical error: policies and practice.
Citation Text:
Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309.
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psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
January 20, 2010 - Book/Report
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.
Citation Text:
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…
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psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
November 06, 2024 - Commentary
Managing risk in hazardous conditions: improvisation is not enough.
Citation Text:
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
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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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