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psnet.ahrq.gov/issue/single-parameter-early-warning-criteria-predict-life-threatening-adverse-events
January 06, 2017 - Study
Single-parameter early warning criteria to predict life-threatening adverse events.
Citation Text:
Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf…
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psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
June 14, 2017 - Study
He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.
Citation Text:
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…
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digital.ahrq.gov/sites/default/files/docs/page/CarayonSuccessStory.pdf
December 31, 2010 - Toolkit Available for Assessing the Impact of Health InformationTechnology on Workflow in Provider Offices
1
Toolkit Available for Assessing the Impact of Health Information
Technology on Workflow in Provider Offices
Health IT systems
can impact workflow
by changing how,
when, and from
whom a patient
re…
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psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
October 09, 2024 - Review
Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature.
Citation Text:
Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …
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psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
November 24, 2021 - Study
Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.
Citation Text:
Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …
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psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
January 31, 2024 - Study
Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study.
Citation Text:
Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - Commentary
Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions.
Citation Text:
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
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psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
November 24, 2021 - Study
Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions.
Citation Text:
Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…
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psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative
September 29, 2017 - Study
Communication practices on 4 Harvard surgical services: a surgical safety collaborative.
Citation Text:
Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…
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psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
November 07, 2018 - Study
Prescription errors related to the use of computerized provider order-entry system for pediatric patients.
Citation Text:
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…
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psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
March 05, 2008 - Study
Classic
Medication use leading to emergency department visits for adverse drug events in older adults.
Citation Text:
Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
January 01, 2022 - Research Spotlight
The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding? Our Nation’s strategy for better healthcare hinges on putting digital technologies to work. Today’s powerful tools make it easier to capture and share patient information, coordinate care, and strea…
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cdsic.ahrq.gov/cdsic/workflow-execution-publication-resource
June 22, 2024 - :
Skip to main content
HHS.gov
Menu
Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
…
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/half-day.html
July 01, 2023 - Half-Day Training Content
In a half-day training, Module 3 activities should take about 30 minutes (as noted below). Components to include in the Situation Monitoring Module for a half-day training include:
Introductory Teamwork Exercise #2 : 5 minutes
Objectives and Introduction to Situation Monitoring : 2…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chap…
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www.ahrq.gov/news/newsroom/case-studies/202304.html
October 01, 2023 - Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders
Search All Impact Case Studies
October 2023
Rural primary care practices in New Mexico have expanded on an AHRQ initiative to offer proven medication-assisted treatment to patients with opio…
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pso.ahrq.gov/pso/delisted
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Filter the Results
Search for a Delisted PSO
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Delisted PSOs
Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons:
Voluntary Relinquishment — the PSO …
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www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
October 01, 2023 - Supplemental Items for the CAHPS Hospital Survey: Interpreter Services
Population version: Adult
Related topic: Health Literacy . Hospitals interested in items that assess interpreter services may also want to review and use supplemental items that ask about health literacy.
Use with HCAHPS : These …
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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - Review
Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis.
Citation Text:
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
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psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - Review
Emerging Classic
Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.
Citation Text:
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…