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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-enabling-quality-measurement-through-health
January 01, 2023 - Ambulatory Safety and Quality Program: Enabling Quality Measurement through Health IT (R18)
Electronic health records and health care quality over time in a federally qualified health center.
Citation
Kern LM, Edwards AM, Pichardo M, et al. Electronic health records and health…
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - Study
I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.
Citation Text:
Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…
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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors
Medication Error Reduction, Technologies, and Human
Factors Final Report
Pascale Carayon, PI,
Tosha B. Wetterneck, co-PI
Roger Brown Professor, UW School of Nursing
Pascale Carayon Principal investigator; Professor, Department of
…
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digital.ahrq.gov/document-type/patient-enrollment-form
January 01, 2023 - Patient Enrollment Form
Automated Telephone Self-Management Program The San Francisco Health Plan Enrollment Outreach Call
Description
An example call script to enroll a patient in a new chronic care study. The document features logic and responses for the caller.
…
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psnet.ahrq.gov/node/37561/psn-pdf
September 30, 2015 - Important Warnings and Instructions for Heparin Sodium
Injection (Baxter).
September 30, 2015
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2008.
https://psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
This announcement update alert…
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psnet.ahrq.gov/node/36236/psn-pdf
April 12, 2011 - Risk management, or just a different risk?
April 12, 2011
Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed.
2006;91(5):F327-9.
https://psnet.ahrq.gov/issue/risk-management-or-just-different-risk
The authors found that clinicians were not likely to alter their practice in…
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psnet.ahrq.gov/node/39866/psn-pdf
September 22, 2010 - CMS 30-minute rule for drug administration needs
revision.
September 22, 2010
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
https://psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
This piece highlights nurses' responses to a national survey that explor…
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psnet.ahrq.gov/node/39414/psn-pdf
March 31, 2010 - Responding to large-scale testing errors.
March 31, 2010
Valenstein PN, Alpern GA, Keren DF. Responding to Large-Scale Testing Errors: Table 1. Am J Clin
Pathol. 2010;133(3). doi:10.1309/ajcpxlze0yynid0x.
https://psnet.ahrq.gov/issue/responding-large-scale-testing-errors
Using two case examples, this article analy…
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psnet.ahrq.gov/node/36726/psn-pdf
January 22, 2017 - Eliminating preventable death at Ascension Health.
January 22, 2017
Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual
Patient Saf. 2007;33(3):145-54.
https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
The authors report the results of imp…
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psnet.ahrq.gov/node/38879/psn-pdf
March 02, 2011 - The competent surgeon: individual accountability in the
era of "systems" failure.
March 2, 2011
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg.
2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
https://psnet.ahrq.gov/issue/competent-surgeon-individual-a…
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psnet.ahrq.gov/node/35994/psn-pdf
June 13, 2011 - What drugs do you take? Hospitals seek to collect better
data and prevent errors.
June 13, 2011
https://psnet.ahrq.gov/issue/what-drugs-do-you-take-hospitals-seek-collect-better-data-and-prevent-errors
This article discusses the shared responsibility among patients, hospitals, and practitioners to support
appropri…
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psnet.ahrq.gov/node/36949/psn-pdf
September 09, 2011 - Toward a theory of self-reconciliation following mistakes
in nursing practice.
September 9, 2011
Crigger NJ, Meek VL. Toward a theory of self-reconciliation following mistakes in nursing practice. J Nurs
Scholarsh. 2007;39(2):177-83.
https://psnet.ahrq.gov/issue/toward-theory-self-reconciliation-following-mistakes…
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psnet.ahrq.gov/node/41314/psn-pdf
September 27, 2016 - The Medical Apology: Making It Right When Things Go
Wrong.
September 27, 2016
Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46.
https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong
Articles in this special issue highlight lessons learned from disclosure and apology in health c…
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-enhanced-care-transition-support-comple-0
January 01, 2023 - Measuring symptoms in community-dwelling older adults.
Citation
Ritchie SC, Hearld KR, Gross A, et al. Measuring symptoms in community-dwelling older adults. Med Care 2013 Oct; 51(10):949-55.
Link
http://www.ncbi.nlm.nih.gov/pubmed/23969593
Principal Investigator
Ritchie, Christine
…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
July 01, 2018 - For their part, providers cannot argue with VIP perceptions of care and are responsible for determining … In the studies reviewed, care coordinators were responsible for the following:
Making sure that patients … departmental managers, opinion leaders in hospital cultures, and hospital staff members who will be responsible
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - The findings and conclusions in this document are those of the authors, who are responsible for
its … and understand where your primary point of contact or change
champion—the clinician or staff member responsible … and understand where your primary point of contact or change champion—the clinician or staff member responsible
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - to disseminate the
results of the project, in collaboration with AHRQ, to policymakers and those responsible
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/prep-intervention-ivrs-scripts
January 01, 2023 - PREP Intervention: IVRS Scripts for Pre- and Post- Visit Surveys
Description
This is an telephonic interactive voice response system (IVRS) script used to collect family history of cancer, heart disease, and diabetes, before and after a clinical visit.
Document Type
Interview Guide
D…
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/automated-telephone-self
January 01, 2023 - Automated Telephone Self-Management Program The San Francisco Health Plan Enrollment Outreach Call
Description
An example call script to enroll a patient in a new chronic care study. The document features logic and responses for the caller.
Document Type
Patient Enrollment Form …