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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal morbidity and mortality.
Citation Text:
Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
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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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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/whited-j-et-al-2002
January 01, 2002 - Whited J et al. 2002 "Teledermatology's impact on time to intervention among referrals to a dermatology consult service."
Reference
Whited J, Hall R, Foy M, et al. Teledermatology's impact on time to intervention among referrals to a dermatology consult service. Telemed J E Health 2002;8(3):313-321.
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digital.ahrq.gov/care-setting/hospital-inpatient
January 01, 2023 - Inpatient
Care Transitions App for Patients with Multiple Chronic Conditions
Description
This study will develop, evaluate, and disseminate a multicomponent intervention including a mobile health application and digital navigator training to support safe care transitions for p…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/lester-wt-et-al-2009
January 01, 2009 - Lester WT et al. 2009 "Mammography FastTrack: an intervention to facilitate reminders for breast cancer screening across a heterogeneous multi-clinic primary care network."
Reference
Lester WT, Ashburner JM, Grant RW, et al. Mammography FastTrack: an intervention to facilitate reminders for breast can…
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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DOI Google Scholar PubMed BibTeX EndNote …
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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Google Scholar PubMed BibTeX EndNote X3 …
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psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems
May 16, 2012 - Review
A review of medical error reporting system design considerations and a proposed cross-level systems research framework.
Citation Text:
Holden RJ, Karsh B-T. A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Hu…
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digital.ahrq.gov/ahrq-funded-projects/use-hit-increase-primary-care-access-medicaid-patients/annual-summary/2012
January 01, 2012 - Use of HIT to Increase Primary Care Access in Medicaid Patients - 2012
Project Name
Use of HIT to Increase Primary Care Access in Medicaid Patients
Principal Investigator
Wexler, Randell
Organization
The Ohio State University
Funding Mechanism
PAR: HS08-269: Explora…
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digital.ahrq.gov/ahrq-funded-projects/use-hit-increase-primary-care-access-medicaid-patients/annual-summary/2011
January 01, 2011 - Use of HIT to Increase Primary Care Access in Medicaid Patients - 2011
Project Name
Use of HIT to Increase Primary Care Access in Medicaid Patients
Principal Investigator
Wexler, Randell
Organization
The Ohio State University
Funding Mechanism
PAR: HS08-269: Explora…
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psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
November 15, 2023 - Commentary
Framework for direct observation of performance and safety in healthcare.
Citation Text:
Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407.
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psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
December 31, 2014 - Study
Medication errors recovered by emergency department pharmacists.
Citation Text:
Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012.
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digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2010
January 01, 2010 - Improving Management of Test Results that Return After Hospital Discharge - 2010
Project Name
Improving Management of Test Results that Return After Hospital Discharge
Principal Investigator
Were, Martin
Organization
Indiana University
Funding Mechanism
PAR: HS09-08…
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - Book/Report
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.
Citation Text:
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …
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psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
September 23, 2020 - Study
Increasing patient safety and efficiency in transfusion therapy using formal process definitions.
Citation Text:
Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…
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psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care
January 07, 2015 - Review
E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.
Citation Text:
Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. Res Social Adm Pharm. 2013;9(6):996-100…
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psnet.ahrq.gov/issue/automation-failures-and-patient-safety
November 21, 2012 - Review
Automation failures and patient safety.
Citation Text:
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
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digital.ahrq.gov/ahrq-funded-projects/ecoach-development-and-pilot-testing-decision-aid-prostate-cancer/annual-summary/2012
January 01, 2012 - eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer - 2012
Project Name
eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer
Principal Investigator
Mohan, Arun
Organization
Emory University
Funding Mechanism
PAR: HS08-2…
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psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology
August 07, 2013 - Commentary
Error and cognitive bias in diagnostic radiology.
Citation Text:
Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320.
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digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard/annual-summary/2012
January 01, 2012 - Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard - 2012
Project Name
Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard
Principal Investigator
Sarkar, Urmimala
Organization
University of California, San Francisco
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