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psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral
December 22, 2021 - Review
Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis.
Citation Text:
Al Rowily A, Jalal Z, Price MJ, et al. Prevalence, contributory factors and severity of med…
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www.ahrq.gov/funding/fund-opps/index.html
March 01, 2025 - Notice of Funding Opportunities
Grant announcements from the Agency for Healthcare Research and Quality for supporting research to improve the quality, effectiveness, accessibility, and cost effectiveness of health care.
Sign up: Grant Announcements Email updates
Request for Applications Requests for Appli…
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digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
January 01, 2023 - Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Optimizing Patient Safety Using Digital Healthcare Solutions
Patient photos displayed in the electronic health record significantly red…
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cdsic.ahrq.gov/cdsic/innovation-center-operational-framework-oy2
December 06, 2024 - :
Skip to main content
HHS.gov
Menu
Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
…
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digital.ahrq.gov/program-overview/research-stories/integrating-patient-voice-patient-reported-health-outcomes
January 01, 2023 - Integrating the Patient Voice in Patient-Reported Health Outcomes
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Using Patient-Reported Outcomes to Improve Care Delivery
Changing the focus of patient-reported outcomes to be centered on a patient’s individual goals and preferences…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-introduction-slides.pptx
June 02, 2025 - Introducing TeamSTEPPS Introduction
Introducing TeamSTEPPS
Introduction
1
Faculty and Participant Introductions
2
Teamwork Exercise:
Build the Tallest Tower
Introduction
Rules:
Each block must be the right color, length (based on rows of knobs), and direction (N-S or E-W).
Each team member should have …
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…
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psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
October 27, 2021 - Study
Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects.
Citation Text:
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvemen…
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - EMERGING INNOVATIONS
Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.
Citation Text:
Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …
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digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
January 01, 2020 - The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms
Using algorithms for real-time monitoring during surgery can predict and prevent adverse outcomes, leading to better outcomes for patients.
Principal Investigator: Avidan, Michael Organization: Washington University…
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box
Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
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psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children
June 29, 2009 - Study
Classic
Parent-reported errors and adverse events in hospitalized children.
Citation Text:
Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics…
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digital.ahrq.gov/care-setting/emergency-department
January 01, 2023 - Emergency Department
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mob…
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety
SEP
16
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Craig A. Umscheid, M.D., M.S.
Robert Otto Valdez, Ph.D., M.H.S.
As the healthcar…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
July 01, 2024 - Grantee Profile
Using Technology to Alert Clinicians to Potential Allergy, Drug Interactions
Li Zhou, M.D., Ph.D. Professor of Medicine, Harvard Medical School Lead investigator, Brigham and Women’s Hospital Li Zhou, M.D., Ph.D. “I really appreciate how AHRQ looks for ways to use technology to improve patie…
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Study
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Citation Text:
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
January 01, 2023 - Patient Experience Research Meeting - Agenda
Patient Experience, Patient Safety, and Provider Well-Being:
Associations and Paths for Quality Improvement
A Virtual Research Meeting
Sponsored by the U.S. Agency for Healthcare Research and Quality (AHRQ)
October 19, 2023
11:00 a.m. – 4:00 p.m. ET
MEETING PU…
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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - Review
Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis.
Citation Text:
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
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psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and
May 31, 2023 - Study
Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE).
Citation Text:
Boudreaux ED, Larkin C, Camargo CA, et al. Validation of a secondary screener for suicide risk: results from the Emergency…
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digital.ahrq.gov/type-care/self-management
January 01, 2023 - Self-Management
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi…