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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - Study
Internal reporting system to improve a pharmacy's medication distribution process.
Citation Text:
Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202.
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psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
March 17, 2021 - Study
The surgical ward round checklist: improving patient safety and clinical documentation.
Citation Text:
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JM…
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psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
April 20, 2011 - Study
Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria.
Citation Text:
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …
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psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
February 10, 2015 - Commentary
What is driving hospitals' patient-safety efforts?
Citation Text:
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15.
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psnet.ahrq.gov/issue/quality-initiative-decrease-pathology-specimen-labeling-errors-using-radiofrequency
August 28, 2017 - Study
A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center.
Citation Text:
Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…
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psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
October 19, 2022 - Study
Classic
Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units.
Citation Text:
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …
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psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006
December 15, 2010 - Study
Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database.
Citation Text:
Sonawane KB, Cheng N, Hansen RA. Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006-2014 Data…
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psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
January 13, 2021 - Commentary
Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce.
Citation Text:
Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A…
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psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
March 17, 2021 - Study
Reaching the summit of discharge summaries: a quality improvement project.
Citation Text:
Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142.
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psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation
June 14, 2017 - Study
Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care.
Citation Text:
Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is associated with p…
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psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
October 30, 2013 - Study
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
Citation Text:
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care
October 19, 2022 - Study
Patient safety and satisfaction with fully remote management of radiation oncology care.
Citation Text:
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…
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www.ahrq.gov/research/findings/studies/index.html?page=191
January 01, 2024 - AHRQ Research Studies
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psnet.ahrq.gov/weekly-resource/rss.xml
January 01, 2024 - PSNet
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PSNet Weekly Resource
(Review) The role of AI in detecting and mitigating human errors in safety-critical industries: a review.
Artificial intelligence (AI) and machine learning (ML) are being used and tested in numerous ways. This review highlights how they are being used to detect and mitigate human err…
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healthcare411.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - measurement of HAC incidence and severity has direct consequences for hospital payments as part of the transition … hospitals and patient safety officers in their surveillance for adverse events and form the basis for AHRQs transition
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cahps.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - measurement of HAC incidence and severity has direct consequences for hospital payments as part of the transition … hospitals and patient safety officers in their surveillance for adverse events and form the basis for AHRQs transition
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monahrq.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - measurement of HAC incidence and severity has direct consequences for hospital payments as part of the transition … hospitals and patient safety officers in their surveillance for adverse events and form the basis for AHRQs transition
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
July 01, 2019 - Care and transition management of high-risk patients
Centralized care coordinators do outreach to patients … Nurses pull information from the health information exchange for care transition management.
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preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - measurement of HAC incidence and severity has direct consequences for hospital payments as part of the transition … hospitals and patient safety officers in their surveillance for adverse events and form the basis for AHRQs transition