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psnet.ahrq.gov/node/850349/psn-pdf
June 14, 2023 - Cognitive biases in internal medicine: a scoping review.
June 14, 2023
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review.
Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…
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psnet.ahrq.gov/node/45099/psn-pdf
December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers:
A Resource List for Users of the AHRQ Ambulatory
Surgery Center Survey on Patient Safety Culture.
December 7, 2018
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
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psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States.
June 23, 2020
Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information.
June 23, 2020.
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
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psnet.ahrq.gov/node/865974/psn-pdf
May 29, 2024 - Minimizing bias when using artificial intelligence in
critical care medicine.
May 29, 2024
Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J
Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796.
https://psnet.ahrq.gov/issue/minimizing-bias-when-us…
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
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psnet.ahrq.gov/node/72628/psn-pdf
January 13, 2021 - Awareness of human factors in the operating theatres
during the COVID-19 pandemic.
January 13, 2021
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the
COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
https://psnet.ahrq.gov/issue/awa…
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www.ahrq.gov/evidencenow/tools/practice-team.html
November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide
Resource: The Practice Team
This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.15. Major Factors that Inhibited Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/final-report
January 01, 2023 - Health Information Technology Center for Education and Research on Therapeutics - Final Report
Citation
Bates D. Health Information Technology Center for Education and Research on Therapeutics - Final Report. (Prepared by Brigham and Women's Hospital under Grant No. U19 HS021094. Rockville, MD: Agency…
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www.ahrq.gov/hai/cusp/modules/assemble/index.html
July 01, 2018 - Assemble the Team
The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.
This module presents five concepts that address—
The importance of teamwork and team composition to the CUSP initiative.
How to develop a strategy to build an eff…
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psnet.ahrq.gov/node/34674/psn-pdf
December 23, 2008 - Incidence and preventability of adverse drug events in
hospitalized patients.
December 23, 2008
Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults.
J Gen Intern Med. 1993;8(6):289-294.
https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-even…
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psnet.ahrq.gov/node/60963/psn-pdf
September 30, 2020 - Organisation and characteristics of out-of-hours primary
care during a COVID-19 outbreak: a real-time
observational study.
September 30, 2020
Morreel S, Philips H, Verhoeven V. Organisation and characteristics of out-of-hours primary care during a
COVID-19 outbreak: a real-time observational study. PLoS One. 2020;…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
May 01, 2017 - Learn From Defects - Implementation Guide
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety.
Who should use this tool? Senior leaders, facility team leads, …
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psnet.ahrq.gov/node/855090/psn-pdf
January 01, 2024 - Supporting nurses in acute and emergency care settings
to speak up.
November 8, 2023
Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse.
2024;32(3):16-21. doi:10.7748/en.2023.e2162.
https://psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak
…
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www.ahrq.gov/cpi/centers/oerep/fchesley-bio.html
November 01, 2022 - Dr. Francis Chesley, Jr.
Director, Office of Extramural Research, Education, and Priority Populations (OEREP) and Director, Offices of Minority and Women's Health
Francis D. Chesley, M.D.:
Provides leadership in the development of health services research training, career development, and institutional …
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digital.ahrq.gov/ahrq-funded-projects/phenotype-modeling-and-outcome-mapping-pain-management-decision-support/final-report
January 01, 2023 - Phenotype Modeling and Outcome Mapping for Pain Management Decision Support - Final Report
Citation
Juckett D. Phenotype Modeling and Outcome Mapping for Pain Management Decision Support - Final Report. (Prepared by Michigan State University under Grant No. R21 HS022335). Rockville, MD: Agency for Hea…
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting/final-report
January 01, 2023 - CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting - Final Report
Citation
Chui M. CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting - Final Report. (Prepared by University of Wisconsin - Madison under Grant No. R21 HS02579…
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digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/final-report
January 01, 2023 - eHealth Records to Improve Dental Care for Patients with Chronic Illness - Final Report
Citation
Fricton J. eHealth Records to Improve Dental Care for Patients with Chronic Illness - Final Report. (Prepared by HealthPartners Research Foundation under Grant No. R18 HS017270). Rockville, MD: Agency for …
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/final-report
January 01, 2023 - Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report
Citation
Adelman J. Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report. (Prepared by Columbia University under Grant No. R21 HS023704). Rockville, MD: Agency for H…
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digital.ahrq.gov/ahrq-funded-projects/cchs-east-huron-hospital-cpoe-project/final-report
January 01, 2023 - Transforming Healthcare Quality through Information Technology - Final Report
Citation
Rosa C. Transforming Healthcare Quality through Information Technology - Final Report. (Prepared by Cleveland Clinic Health System under Grant No. UC1 HS015076). Rockville, MD: Agency for Healthcare Research and Qua…