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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
January 01, 2010 - Enhancing Complex Care through an Integrated Care Coordination Information System - 2010
Project Name
Enhancing Complex Care through an Integrated Care Coordination Information System
Principal Investigator
Dorr, David
Organization
Oregon Health and Science University
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www.ahrq.gov/ncepcr/tools/self-mgmt/why-script.html
February 01, 2016 - Why is Self-Management Support important? (Video Transcript)
Self-Management Support
The thing that really sold me on patient self management is that it allows you to move from being an adversary of the patient in a way to putting your chairs together to be common problem solvers. And this comes up so often b…
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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/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety
February 02, 2022 - Study
A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist.
Citation Text:
Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation strategy on compliance with a surgical…
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www.ahrq.gov/research/publications/search.html?page=15
April 01, 2013 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 151 - 160 of 191 Publications displayed
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psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma
July 19, 2023 - Study
Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training.
Citation Text:
Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team tra…
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psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
September 19, 2016 - Study
Classic
The health care cost of drug-related morbidity and mortality in nursing facilities.
Citation Text:
Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…
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psnet.ahrq.gov/issue/effectiveness-written-hospitalist-sign-outs-answering-overnight-inquiries
January 15, 2014 - Study
Effectiveness of written hospitalist sign-outs in answering overnight inquiries.
Citation Text:
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Study
Making patient safety event data actionable: understanding patient safety analyst needs.
Citation Text:
Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…
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psnet.ahrq.gov/issue/morning-handover-call-issues-opportunities-improvement
September 26, 2012 - Study
Morning handover of on-call issues: opportunities for improvement.
Citation Text:
Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033.
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.
Citation Text:
Davenport DL…
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psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
September 09, 2015 - Commentary
An implementation strategy for a multicenter pediatric rapid response system in Ontario.
Citation Text:
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
June 14, 2023 - Study
Learning from patient safety incidents: The Green Cross method.
Citation Text:
Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114.
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.
Citation Text:
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…
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psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
March 01, 2023 - Study
Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…
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www.ahrq.gov/talkingquality/distribute/promote/social-marketing.html
June 01, 2019 - Applying the Lessons of Social Marketing to a Quality Report
Social marketing is the application of the principles and techniques of commercial marketing to promote socially desirable goals. It has been applied extensively, and with considerable success, in efforts to encourage/discourage specific health beha…
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psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
January 15, 2020 - Study
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Citation Text:
Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/38698/psn-pdf
June 10, 2009 - Towards a framework to select techniques for error
prediction: supporting novice users in the healthcare
sector.
June 10, 2009
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the
healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004.
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psnet.ahrq.gov/node/46304/psn-pdf
November 01, 2017 - Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis.
November 1, 2017
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552.
doi:10.1097/pe…