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psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
June 12, 2019 - Organizational Policy/Guidelines
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
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psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - Study
Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation.
Citation Text:
Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017…
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psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
November 16, 2022 - Commentary
Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists.
Citation Text:
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…
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psnet.ahrq.gov/issue/partnership-patients
October 30, 2019 - Government Resource
Partnership for Patients.
Citation Text:
Partnership for Patients. Washington, DC: US Department of Health and Human Services.
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psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
February 28, 2024 - Book/Report
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do.
Citation Text:
How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…
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psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
May 25, 2016 - Book/Report
Guide to Reducing Unintended Consequences of Electronic Health Records.
Citation Text:
Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Review
Distracted practice: a concept analysis.
Citation Text:
D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153.
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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psnet.ahrq.gov/issue/liquid-medication-dosing-errors-hispanic-parents-role-health-literacy-and-english-proficiency
December 14, 2016 - Study
Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.
Citation Text:
Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;1…
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psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
January 07, 2015 - Review
Role of cognition in generating and mitigating clinical errors.
Citation Text:
Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482.
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psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
December 19, 2018 - Commentary
How policy makers can smooth the way for communication-and-resolution programs.
Citation Text:
Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaf…
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - Review
Adverse events in hospitals: the patient's point of view.
Citation Text:
Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585.
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - Book/Report
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.
Citation Text:
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015.
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with proper hand hygiene.
Citation Text:
White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50.…
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psnet.ahrq.gov/issue/problem-checklists
March 29, 2023 - Commentary
The problem with checklists.
Citation Text:
Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431.
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psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
July 27, 2018 - Book/Report
Resident Safety Practices in Nursing Home Settings.
Citation Text:
Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
June 14, 2017 - Study
Disclosing medical errors to patients: effects of nonverbal involvement.
Citation Text:
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
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psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
July 07, 2021 - Commentary
Safety culture as a patient safety practice for alarm fatigue.
Citation Text:
Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316.
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