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digital.ahrq.gov/ahrq-funded-projects/how-do-you-define-regional-geography-health-information-exchange/citation/geography
January 01, 2023 - Geography of community health information organization activity in the United States: Implications for the effectiveness of health information exchange.
Citation
Vest JR. Geography of community health information organization activity in the United States: implications for the effectiveness of health …
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer/citation/general
January 01, 2023 - General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all.
Citation
Kwan JL, Singh H. General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. J Gen Intern Med 2018 Feb 8. doi: 10.1007/s11…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
July 01, 2023 - Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership
AHRQ Safety Program for Perinatal Care
Purpose: To enhance communication and shared problem solving between clinical staff and senior executives with respect to patient safety issues on the labor and delivery unit.
…
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digital.ahrq.gov/ahrq-funded-projects/perception-and-use-patient-care-window-improve-care-and-family-engagement/citation/perception
January 01, 2023 - Nurses’ perceptions of a novel health information technology: a qualitative study in the pediatric intensive care unit.
Citation
Asan O, Flynn K, Azam L, et al. Nurses’ perceptions of a novel health information technology: a qualitative study in the pediatric intensive care unit. Int J Hum Comput Inte…
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psnet.ahrq.gov/node/36172/psn-pdf
August 09, 2006 - The Patient Safety Group.
August 9, 2006
https://psnet.ahrq.gov/issue/patient-safety-group
Development of The Patient Safety Group was motivated by the death of a young girl named Josie King.
The King family responded to their personal experience from medical errors by making a commitment to
improve and advance sa…
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/citation/designing
January 01, 2023 - Designing consumer health IT to enhance usability among different racial and ethnic groups within the United States.
Citation
Valdez RS, Gibbons MC, Siegel ER, et al. Designing consumer health IT to enhance usability among different racial and ethnic groups within the United States. Health Techno 2012…
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www.ahrq.gov/pqmp/measures/hospitalized.html
August 01, 2021 - Hospitalized children transferred between the intensive care unit and general inpatient floor
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Transitions between Sites of Care: Hospital Intensive Care Unit to Floor
PQMP COE: COE4CCN
Associated NQF # and Name: None
Measure Technica…
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psnet.ahrq.gov/node/39824/psn-pdf
December 06, 2010 - Team working in intensive care: current evidence and
future endeavors.
December 6, 2010
Richardson J, West MA, Cuthbertson BH. Team working in intensive care: current evidence and future
endeavors. Curr Opin Crit Care. 2010;16(6):643-8. doi:10.1097/MCC.0b013e32833e9731.
https://psnet.ahrq.gov/issue/team-working-in…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/national-efforts
January 01, 2023 - National efforts to improve health information system safety in Canada, the United States of America and England.
Citation
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and England. Int J Med Inform 201…
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Tools for Sustainability: Premortem and Scorecard
Say:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, th…
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psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
September 07, 2011 - Review
Review of computerized physician handoff tools for improving the quality of patient care.
Citation Text:
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
C…
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psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
November 18, 2016 - Study
Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program.
Citation Text:
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - Management Practices for Sustainability - Module 1: Overview
Slide 1: Management Practices for Sustainability Module 1: Overview
Slide 2: Ensuring Safety in Ambulatory Surgery
Surgery volume in ambulatory surgery centers (ASCs) has increased rapidly 1
The complexity of procedures continues to increa…
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psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
December 20, 2023 - Study
Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery.
Citation Text:
Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…
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psnet.ahrq.gov/issue/analysis-pharmacist-identified-medication-related-problems-two-united-kingdom-hospitals
July 31, 2019 - Study
Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study.
Citation Text:
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospectiv…
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psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
March 24, 2021 - Study
Emerging Classic
The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.
Citation Text:
Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opi…
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psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction
October 12, 2022 - Study
The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program.
Citation Text:
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of hospital readmissions reduction program. J Patie…
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psnet.ahrq.gov/issue/impact-sars-cov-2-hospital-acquired-infection-rates-united-states-predictions-and-early
August 15, 2012 - Study
Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.
Citation Text:
McMullen KM, Smith BA, Rebmann T. Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. Am J Infect…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
October 17, 2012 - Study
Preventable adverse drug events: descriptive epidemiology.
Citation Text:
Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139.
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psnet.ahrq.gov/issue/outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national-surveillance
March 10, 2021 - Study
Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.
Citation Text:
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin‐related adverse events due to mix‐up errors: Findings from two nation…