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psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting
September 01, 2021 - Newspaper/Magazine Article
Geriatric medication reconciliation in the home setting.
Citation Text:
Geriatric medication reconciliation in the home setting. Taylor K. American Nurse J. 2021;16(7):14-17.
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psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-recommendations-their-measurement
December 09, 2015 - Government Resource
Medication administration errors in hospitals—challenges and recommendations for their measurement.
Citation Text:
Medication administration errors in hospitals—challenges and recommendations for their measurement. McLeod M, Barber N, Franklin BD. National Quality Mea…
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psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
August 01, 2012 - Book/Report
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.
Citation Text:
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Casey MM, Moscovice I, Davidson G. Minn…
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psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
May 23, 2018 - Newspaper/Magazine Article
How one health system overcame resistance to a surgical checklist.
Citation Text:
How one health system overcame resistance to a surgical checklist. Hilton K, Anderson A. Harv Bus Rev. May 20, 2019.
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psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
June 16, 2012 - Book/Report
Complexity and the Adoption of Innovation in Health Care.
Citation Text:
Complexity and the Adoption of Innovation in Health Care. Plsek P. Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality Health Care; 2003.
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psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Disrespectful behaviors—part 1 and part 2.
Citation Text:
Disrespectful behaviors—part 1 and part 2. ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - Newspaper/Magazine Article
ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy.
Citation Text:
ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. ISMP Medication Safety Alert! Acute care edition. November 5…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cycle-time-chart
January 01, 2023 - Cycle Time Chart
Description
A cycle time chart portrays, in a graph, the amount of time spent at each step in a process. In addition, it may demonstrate the costs associated with each step as well as whether the steps add value.
Uses
When working with cycle time of "as-is" or "should-be" pr…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-path-method
January 01, 2023 - Critical Path Method
Acronym
CPM
Also Known As
Activity Network Diagram
Critical Path Analysis
Description
The critical path method (CPM) allows you to calculate the "critical path" of a project by showing the necessary order of tasks, the ideal project schedule, and possible pro…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/simulation-modeling
January 01, 2023 - Simulation Modeling
Examples
Lin L, Paul J. Simulation and lean six-sigma integration for improvement of hospital operations. 2007 Society for Health Systems Conference; 2007; New Orleans, LA; 2007.
Jurishica C. Simulation medication: studies show patient flow improvement. 2007 Society for Health …
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psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
July 27, 2018 - Government Resource
Costs and Benefits of Health Information Technology.
Citation Text:
Costs and Benefits of Health Information Technology. Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - Toolkit
Classic
Safe Surgery.
Citation Text:
Safe Surgery. World Health Organization.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-clinical-decision-making-obesity-care/annual-summary/2010
January 01, 2010 - Health Information Technology to Support Clinical Decision Making in Obesity Care - 2010
Project Name
Health Information Technology to Support Clinical Decision Making in Obesity Care
Principal Investigator
Gance-Cleveland, Bonnie
Organization
Arizona State University - Tempe…
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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - Study
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety.
Citation Text:
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Moore CR; Lin JJ; O'Connor N; Hal…
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psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
March 06, 2005 - Book/Report
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Citation Text:
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/box-and-whisker-plot
January 01, 2023 - Box and Whisker Plot
Also Known As
Box Plot
Description
A box and whisker plot is a graphical means of displaying the variation in a dataset. This plot provides more detail than a histogram and allows multiple sets of data to be displayed in the same graph.
Uses
When comparing…
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - Book/Report
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.
Citation Text:
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/risk-management-obstetrics-and-gynaecology
June 15, 2011 - Special or Theme Issue
Risk Management in Obstetrics and Gynaecology.
Citation Text:
Risk Management in Obstetrics and Gynaecology. Edozien LC, ed. Best Pract Res Clin Obstet Gynaecol. 2013;27:A1-A14,479-640.
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psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
May 04, 2011 - Newspaper/Magazine Article
Once easily recognized, signs of measles now elude young doctors.
Citation Text:
Once easily recognized, signs of measles now elude young doctors. Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
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psnet.ahrq.gov/issue/patient-safety-cataract-surgery
September 23, 2020 - Review
Patient safety in cataract surgery.
Citation Text:
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
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