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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs
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June 12, 2020
Innovation
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
September 07, 2022 - Commentary
Is the future of medical diagnosis in computer algorithms?
Citation Text:
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-e16. doi:10.1016/s2589-7500(19)30011-1.
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psnet.ahrq.gov/issue/endometriosis-affects-1-out-10-women-me-yet-it-often-takes-decade-get-diagnosed
May 05, 2021 - Newspaper/Magazine Article
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed.
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Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. Peikoff L. NBC News. March 31, 2021.
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psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
July 26, 2023 - Book/Report
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients.
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Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…
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psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
July 07, 2021 - Multi-use Website
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK.
Citation Text:
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Oxford, UK: The National Perinatal Epidemiology U…
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psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
May 20, 2020 - Book/Report
Incidence of Adverse Events in Indian Health Service Hospitals.
Citation Text:
Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.
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psnet.ahrq.gov/issue/better-safer-care-victoria
August 09, 2023 - Government Resource
Better Safer Care Victoria.
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Better Safer Care Victoria. Safer Care Victoria and Victorian Agency for Health Information.
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psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
August 21, 2024 - Commentary
Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital.
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Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…
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psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
November 20, 2024 - Book/Report
Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022.
Citation Text:
Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Federal Interagency Forum on Aging-Related Statistics.
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psnet.ahrq.gov/issue/how-could-happen
September 19, 2007 - Newspaper/Magazine Article
How could this happen?
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How could this happen? Westfall SS; Mascia K. People. October 5, 2009.
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psnet.ahrq.gov/issue/report-morecambe-bay-investigation
November 16, 2005 - Book/Report
The Report of the Morecambe Bay Investigation.
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The Report of the Morecambe Bay Investigation. Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
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psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-childbirth
April 01, 2019 - Book/Report
Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth.
Citation Text:
Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019.
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - Newspaper/Magazine Article
Maternal deaths at MetroWest hospital prompt state probes.
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Maternal deaths at MetroWest hospital prompt state probes. Kowalczyk L. Boston Globe. July 29, 2017.
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psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - Study
Medical error: using storytelling and reflection to impact error response factors in family medicine residents.
Citation Text:
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
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psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
January 18, 2023 - Study
Sources of medication omissions among hospitalized older adults with polypharmacy.
Citation Text:
Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…
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psnet.ahrq.gov/issue/prevalence-and-causes-diagnostic-errors-hospitalized-patients-under-investigation-covid-19
September 23, 2020 - Study
Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.
Citation Text:
Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 202…
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psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
March 14, 2022 - Study
Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study.
Citation Text:
O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…