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psnet.ahrq.gov/issue/taking-aim-infusion-confusion
June 06, 2018 - Commentary
Taking aim at infusion confusion.
Citation Text:
Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159.
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psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
April 27, 2022 - Newspaper/Magazine Article
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist.
Citation Text:
A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. Horowitz SH. Washington Post. October 4, 2020…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Classic
Surveys on Patient Safety Culture.
Citation Text:
Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - Newspaper/Magazine Article
Medicare failed to investigate suspicious infection cases from 96 hospitals.
Citation Text:
Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017.
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psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
November 16, 2022 - Commentary
Patient safety in the ambulatory OB/GYN setting.
Citation Text:
Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol. 2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6.
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psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
July 02, 2014 - Commentary
Assessing teamwork and communication in the authentic patient care learning environment.
Citation Text:
Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767.
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psnet.ahrq.gov/issue/cutting-out-human-error
February 25, 2009 - Commentary
Cutting out human error.
Citation Text:
Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370.
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psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark
May 17, 2017 - Newspaper/Magazine Article
Lax oversight leaves surgery center regulators and patients in the dark.
Citation Text:
Lax oversight leaves surgery center regulators and patients in the dark. Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/BEqfaqsota4EqjZDZkEHMm
August 01, 2020 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation
1
www.uspreventiveservicestaskforce.org
Clinician Summary of USPSTF Recommendation
Behavioral Counseling Interventions to Prevent Sexually
Transmitted Infections August 2020
The USPSTF rec…
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digital.ahrq.gov/research-method/case-control-study
January 01, 2023 - Case Control Study
Prediction of GutCheck NEC and its relation to severity of illness and measures of deterioration in necrotizing enterocolitis.
Citation
Gephart SM, Fleiner M, Msowoya A, Rothers J. Prediction of GutCheck NEC and its relation to severity of illness and measur…
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digital.ahrq.gov/organization/university-washington
January 01, 2023 - University of Washington
Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities
Description
This research aims to determine the effectiveness of a program designed to reduce medication-related issues among patients during the hospital-to-skill…
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www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - Grantees Focusing on Hispanic and Latino Populations
Peter Yellowlees, M.D.
“I have found it fascinating to see the way that almost all patients speak differently, using simpler phrases and less words, when using an interpreter. Their descriptions of clinical symptoms and histories is much ric…
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psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
July 25, 2018 - Commentary
Peer support for clinicians: a programmatic approach.
Citation Text:
Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297.
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Newspaper/Magazine Article
No bad apples.
Citation Text:
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist.
Citation Text:
Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305.
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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach.
Citation Text:
Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure
For some measures, it may be necessary to explain what the plan or provider can do to improve its performance. Providers are often concerned that they are being rated on measures over which they believe they have limited influence. When the public …