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psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
August 24, 2022 - Study
Near-miss events detected using the emergency department trigger tool.
Citation Text:
Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092.
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
March 31, 2021 - Study
Classic
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.
Citation Text:
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Commentary
Creating a safer health care system: finding the constraint.
Citation Text:
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8.
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psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
February 14, 2024 - Commentary
Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.
Citation Text:
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 201…
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hcup-us.ahrq.gov/db/nation/nis/corrections_2000.jsp
January 01, 2000 - NIS Database Documentation - Corrections 2000
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
December 02, 2020 - Study
Classic
Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery.
Citation Text:
Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surge…
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hcup-us.ahrq.gov/reports/infographics/Substance-RelatedInpatientsStays.jsp
February 01, 2019 - Substance-Related Inpatient Stays Across U.S. States and Counties
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems
November 04, 2020 - Commentary
Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.
Citation Text:
Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mccowan-c-et-al-2001
January 01, 2001 - McCowan C et al. 2001 "Lessons from a randomized controlled trial designed to evaluate computer decision support software to improve the management of asthma."
Reference
McCowan C, Neville RG, Ricketts IW, et al. Lessons from a randomized controlled trial designed to evaluate computer decision support…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mollon-b-et-al-2009
January 01, 2009 - Mollon B et al. 2009 "Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials."
Reference
Mollon B, Chong JJR, Holbrook AM, et al. Features predicting the success of computerized decision support for prescribing: a systemati…
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psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
September 12, 2018 - Study
Competencies for improving diagnosis: an interprofessional framework for education and training in health care.
Citation Text:
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ventres-w-et-al-2005
January 01, 2005 - Ventres W et al. 2005 "Clinician style and examination room computers: a video ethnography."
Reference
Ventres W, Kooienga S, Marlin R, et al. Clinician style and examination room computers: a video ethnography. Fam Med 2005;37(4):276-281.
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Abstract
"Background and Objectives: The use …
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psnet.ahrq.gov/issue/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study
December 23, 2020 - Study
Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.
Citation Text:
Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - Review
The value of learning from near misses to improve patient safety: a scoping review.
Citation Text:
Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - Commentary
The problem with root cause analysis.
Citation Text:
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511.
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psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
July 07, 2021 - Review
Classic
The potential for improved teamwork to reduce medical errors in the emergency department.
Citation Text:
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…
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hcup-us.ahrq.gov/db/state/ahalinkage/aha_terms.jsp
May 01, 2019 - American Hospital Association Linkage Files: Terms and Conditions
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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
November 03, 2015 - Review
A systematic review of failures in handoff communication during intrahospital transfers.
Citation Text:
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
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cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
October 01, 2017 - Suggested Citation
Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2
Primary Use Cases 3
Additional Use Cases 5
Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions
The recommendations, warnings, and interventions provided by this
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cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
October 01, 2017 - Suggested Citation
Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2
Primary Use Cases 3
Additional Use Cases 4
Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions
The recommendations, warnings, and interventions provided by this