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psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
August 04, 2021 - Study
"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.
Citation Text:
Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …
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psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
September 09, 2020 - Study
Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.
Citation Text:
Chew MM, Rivas S, Chesser M, et al. Improving administration and documen…
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digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri
January 01, 2023 - Functional Assessment Screening Patient Reported Information: FAST-PRI
Project Final Report ( PDF , 366.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent t…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
February 15, 2023 - Study
Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement.
Citation Text:
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…
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psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
December 09, 2020 - Study
Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.
Citation Text:
Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ Surveys on P…
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psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
August 19, 2020 - Review
The impact of health information technology on the management and follow-up of test results—a systematic review.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J A…
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psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
March 23, 2022 - Study
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.
Citation Text:
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …
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psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
December 31, 2014 - Study
Impact of vendor computerized physician order entry in community hospitals.
Citation Text:
Leung AA, Keohane C, Amato MG, et al. Impact of vendor computerized physician order entry in community hospitals. J Gen Intern Med. 2012;27(7):801-7. doi:10.1007/s11606-012-1987-7.
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Study
Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan.
Citation Text:
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
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psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared
March 11, 2011 - Study
Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records.
Citation Text:
Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …
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psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
June 27, 2018 - Study
Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Citation Text:
Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…
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psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
September 25, 2024 - Study
Processes for identifying and reviewing adverse events and near misses at an academic medical center.
Citation Text:
Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic
May 01, 2024 - Study
Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study.
Citation Text:
Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…
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psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
July 12, 2023 - Study
Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme.
Citation Text:
Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…
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psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
December 18, 2019 - Study
Screening for medication errors using an outlier detection system.
Citation Text:
Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171.
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psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine
September 29, 2021 - Commentary
Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic.
Citation Text:
Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…
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psnet.ahrq.gov/issue/multicenter-study-evaluate-benefits-technology-assisted-workflow-iv-room-efficiency-costs-and
July 14, 2009 - Study
Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.
Citation Text:
Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …
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psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…