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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - Study
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.
Citation Text:
Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing …
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digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/annual-summary/2010
January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010
Project Name
Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management
Principal Investigator
Williams, Andrew
Organization
Kaiser Foundation Researc…
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psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
November 15, 2023 - Study
Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.
Citation Text:
Arbaje AI, Hughes A, Werner N, et al. Information management goa…
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psnet.ahrq.gov/issue/speaking-about-patient-perceived-serious-visit-note-errors-patient-and-family-experiences-and
February 15, 2023 - Study
Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations.
Citation Text:
Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations.…
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psnet.ahrq.gov/issue/applying-thematic-synthesis-interpretation-and-commentary-epidemiological-studies-identifying
August 25, 2021 - Review
Applying thematic synthesis to interpretation and commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand hygiene in patient care.
Citation Text:
Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretati…
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psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission
October 19, 2022 - Study
Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals.
Citation Text:
Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn5.pdf
June 21, 2014 - Microsoft PowerPoint - pharmacy-data.ppt [Compatibility Mode]
“Using Clinically Enhanced“Using Clinically-Enhanced
Claims Data to Guide Treatment
of Acute Heart Failure”
An AHRQ Grant to MHA
Data Acquisition & Transmission
Pharmacy Data
Overview of Data Acquisition Strategyq gy
• Establish data specification…
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psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - Study
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Citation Text:
Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-participants
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…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
December 01, 2017 - Deep-Rooting Your Data: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Deep-Rooting Your Data
Slide 2: Learning Objectives
After this session, you will be able to–
Identify surgical site infection (SSI) data sources.
Define your audie…
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - Study
Lessons learned from a national hospital antibiotic stewardship implementation project.
Citation Text:
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…
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psnet.ahrq.gov/issue/scientific-literature-coronaviruses-covid-19-and-its-associated-safety-related-research
January 26, 2022 - Review
Classic
The scientific literature on Coronaviruses, COVID-19 and its associated safety-related research dimensions: a scientometric analysis and scoping review.
Citation Text:
Haghani M, Bliemer MCJ, Goerlandt F, et al. The scientific literature on Corona…
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psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
November 01, 2012 - Study
Impact of oncology drug shortages on chemotherapy treatment.
Citation Text:
Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390.
Copy Citation
Format:
DOI Google Scholar PubM…
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psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
June 06, 2018 - Study
Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.
Citation Text:
Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…
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psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
November 07, 2012 - Study
Classic
Consequences of inadequate sign-out for patient care.
Citation Text:
Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755.
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psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
June 22, 2022 - Study
Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…
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psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
June 08, 2022 - Study
Emerging Classic
Association of overlapping surgery with perioperative outcomes.
Citation Text:
Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711.
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Study
Classic
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
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psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community
December 15, 2021 - Review
Conceptual and practical challenges associated with understanding patient safety within community-based mental health services.
Citation Text:
Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community‐ba…
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psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement
January 20, 2015 - Study
Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program.
Citation Text:
McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the …