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7201. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. | PSNet
      psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
      November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…

7202. Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences
      January 01, 2023 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology Project Final Report ( PDF , 880.22 KB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Pub…

7203. NCPDP | Digital Healthcare Research
      digital.ahrq.gov/ncpdp
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

7204. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cp30506.html
      October 01, 2014 - AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas Search All Impact Case Studies August 2005 A rural managed care program development project funded by AHRQ has helped create a thriving statewide collaborative telemedicine network. Maine Telehealth Network, in operation since 1998, h…

7205. The effects of physical environments in medical wards on medication communication processes affecting patient safety. | PSNet
      psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
      November 17, 2021 - Study The effects of physical environments in medical wards on medication communication processes affecting patient safety. Citation Text: Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…

7206. Preventing wrong site, procedure, and patient events using a common cause analysis. | PSNet
      psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
      October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis. Citation Text: Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…

7207. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. | PSNet
      psnet.ahrq.gov/issue/dont-go-hospital-alone-ensuring-safe-highly-reliable-patient-visitation
      May 12, 2021 - Commentary Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Citation Text: Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. Copy …

7208. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet
      psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
      March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

7209. Emergency department adverse events detected using the emergency department trigger tool. | PSNet
      psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
      September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

7210. Characterization of prescribing errors in an internal medicine clinic. | PSNet
      psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
      March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

7211. Reducing pediatric emergency department prescription errors. | PSNet
      psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
      October 26, 2022 - Study Reducing pediatric emergency department prescription errors. Citation Text: Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. Copy Citation Format: …

7212. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet
      psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
      February 15, 2023 - Organizational Policy/Guidelines Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…

7213. Exploring the concept of medication discrepancy within the context of patient safety to improve population health. | PSNet
      psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
      November 18, 2020 - Review Exploring the concept of medication discrepancy within the context of patient safety to improve population health. Citation Text: Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…

7214. Economic evaluations of maintaining patient safety systems in teaching hospitals. | PSNet
      psnet.ahrq.gov/issue/economic-evaluations-maintaining-patient-safety-systems-teaching-hospitals
      January 15, 2009 - Study Economic evaluations of maintaining patient safety systems in teaching hospitals. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Economic evaluations of maintaining patient safety systems in teaching hospitals. Health Policy (New York). 2008;88(2-3):381-91. doi:10.1016/j.he…

7215. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. | PSNet
      psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
      February 19, 2020 - Commentary Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. Citation Text: Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…

7216. Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet
      psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
      July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. Citation Text: Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…

7217. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet
      psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
      October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

7218. Drug-related problems in older people after hospital discharge and interventions to reduce them. | PSNet
      psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
      September 13, 2023 - Review Drug-related problems in older people after hospital discharge and interventions to reduce them. Citation Text: Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…

7219. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? | PSNet
      psnet.ahrq.gov/issue/obstetriciangynecologist-hospitalists-can-we-improve-safety-and-outcomes-patients-and
      August 04, 2021 - Review Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? Citation Text: Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patient…

7220. Practical challenges of introducing WHO surgical checklist: UK pilot experience. | PSNet
      psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
      September 26, 2012 - Study Practical challenges of introducing WHO surgical checklist: UK pilot experience. Citation Text: Vats A, Vincent CA, Nagpal K, et al. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010;340(jan13 2). doi:10.1136/bmj.b5433. Copy Citation …