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psnet.ahrq.gov/issue/deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
January 25, 2017 - Review
Classic
Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.
Citation Text:
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication a…
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psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - Study
Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit.
Citation Text:
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and medication administration errors in a pediatr…
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psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - Study
Classic
Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…
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psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
November 12, 2014 - Study
Effects of the I-PASS nursing handoff bundle on communication quality and workflow.
Citation Text:
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - the nation’s premier system of health-related telephone surveys that collect state data
about U.S. residents … nursing home personnel, the MDS data are collected, encoded, and transmitted for
all nursing home residents … Population Targeted
U.S. nursing home residents
Demographic Data
Gender, age, race/ethnicity, marital … Survey Sample Design
NSDUH covers residents of households (living in houses/townhouses, apartments, … The survey excludes homeless people who do not use shelters, active military
personnel, and residents
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - The Role of Community Pharmacists in Patient Safety
October 25, 2021
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
What is a community pharmacy?
Community pharmacies are somet…
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hcup-us.ahrq.gov/reports/projections/2013-01.pdf
January 01, 2013 - Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: hcup@ahrq.gov
or
Phone: 1-866-290-HCUP
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - PowerPoint Presentation
Spotlight
A Pill Organizing Plight
*
Source and Credits
This presentation is based on the September 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
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psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - Use of HIT for adverse event reporting in nursing homes:
barriers and facilitators.
April 17, 2013
Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and
facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003.
https://psnet.ahrq.gov/issue/u…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
January 01, 2011 - second year medical students (novices with first year pharmacology
knowledge); 7 internal medicine residents … (second or third year residents with intermediate level
knowledge) and 5 general internal medicine … corresponded to experience level, with
attendings recalling a median of 14 of 20 medications overall, residents … Recall of medication list items for students, residents, and attendings
students residents attendings
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - ACU has a very diverse
patient population, with multiple physician teams (staffed with attendings, residents … , and interns/first-
year residents) and services (medicine, surgery, and consulting medical or surgical … may include any staff or
provider involved in the patient’s care, such as physicians (attending(s), residents … organizational structure includes layers of providers, such as attending
physicians, fellows, senior and junior residents … , and interns/first-year residents.
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hcup-us.ahrq.gov/reports/statbriefs/sb210-Malnutrition-Hospital-Stays-2013.pdf
January 01, 2013 - ):
• Large Central Metropolitan: Central counties of metropolitan areas with 1 million or more
residents … Large Fringe Metropolitan: Fringe counties of counties of metropolitan areas with 1 million or
more residents … • Medium Metropolitan: Counties in metropolitan areas of 250,000–999,999 residents
• Small Metropolitan … : Counties in metropolitan areas of 50,000–249,999 residents
• Micropolitan: Nonmetropolitan counties … areas of 10,000 or more residents
• Noncore: Nonmetropolitan and nonmicropolitan counties
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hcup-us.ahrq.gov/reports/statbriefs/sb210-Malnutrition-Hospital-Stays-2013.jsp
September 01, 2016 - NCHS):
Large Central Metropolitan: Central counties of metropolitan areas with 1 million or more residents … Large Fringe Metropolitan: Fringe counties of counties of metropolitan areas with 1 million or more residents … Medium Metropolitan: Counties in metropolitan areas of 250,000-999,999 residents
Small Metropolitan … : Counties in metropolitan areas of 50,000-249,999 residents
Micropolitan: Nonmetropolitan counties … areas of 10,000 or more residents
Noncore: Nonmetropolitan and nonmicropolitan counties
Median
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
January 24, 2008 - to maximize
convenience and opportunity for all OR staff, anesthesiology staff, and general surgery residents … anesthesia departments, as well as the
general surgery attending staff and all of the general surgery residents … For the pilot training sessions, teams were volunteer OR and surgical
staff, residents, fellows, and … second hospital, the
entire OR, general surgical, and anesthesiology staff members and general surgery residents … , all members of the OR and
anesthesiology departments and all general surgery attending staff and residents
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hcup-us.ahrq.gov/reports/ataglance/HCUPMalnutritionHospReport_083018.pdf
August 01, 2018 - NCHS):
• Large Central Metropolitan: Central counties of metropolitan areas with 1 million or more residents … Large Fringe Metropolitan: Fringe counties of counties of metropolitan areas with 1 million or more
residents … • Medium Metropolitan: Counties in metropolitan areas of 250,000-999,999 residents
• Small Metropolitan … : Counties in metropolitan areas of 50,000-249,999 residents
• Micropolitan: Nonmetropolitan counties … areas of 10,000 or more residents
• Noncore: Nonmetropolitan and nonmicropolitan counties
Median
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - pressure and issues associated with
acute coronary syndrome management and the workload of cross-covering residents
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hcup-us.ahrq.gov/reports/factsandfigures/2008/highlights.jsp
January 01, 2008 - income communities.
5.11
Hospitalizations for schizophrenia and other psychotic disorders for residents
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - The MDS data are
collected, encoded, and transmitted for all nursing home residents receiving skilled … The information collected includes residents’ health, physical functioning, mental status, and
general … Population Targeted
U.S. nursing home residents. … Survey Sample Design
NSDUH covers residents of households (living in houses/townhouses, apartments, … The survey excludes homeless people who do not use shelters, active military
personnel, and residents
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - The junior obstetric residents involved likely had a knowledge deficit with respect to NF, as this diagnosis … in other healthcare interactions, such as within a surgical residency. 16 Telem noted that surgical residents
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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - A recent study of communication failures among medical residents described a complex mix of causes including