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Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

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February 15, 2017 - Book/Report Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Of…
Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices." | Digital Healthcare Research

digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec

January 01, 2023 - Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices." Reference Howard J, Clark EC, Friedman A, et al. Electronic health record impact on work burden in small, unaffiliated, community-based primary care p…
Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet

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April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
Glazner JE et al. 2004 "Using an immunization registry: effect on practice costs and time." | Digital Healthcare Research

digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/glazner-je-et-al-2004

January 01, 2004 - Glazner JE et al. 2004 "Using an immunization registry: effect on practice costs and time." Reference Glazner JE, Beaty BL, Pearson KA, et al. Using an immunization registry: effect on practice costs and time. Ambulatory Pediatrics 2004;4(1):34-40. Abstract "Introduction: Immunization registri…
How often are potential patient safety events present on admission? | PSNet

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January 26, 2022 - Study Classic How often are potential patient safety events present on admission? Citation Text: Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63. Copy Citat…
Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project | Digital Healthcare Research

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January 01, 2023 - Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project Below are the final reports produced under RTI International's contract with the Agency for Healthcare Research and Quality (AHRQ). The contract, entitled Privacy and Security…
An analysis of incident reports related to electronic medication management: how they change over time. | PSNet

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March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…
Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

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March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…
Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. | PSNet

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May 18, 2022 - Study Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. Citation Text: Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective reco…
Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. | PSNet

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September 20, 2012 - Study Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Citation Text: Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…
Clinical Decision Making | Digital Healthcare Research

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January 01, 2023 - Clinical Decision Making Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…
The Role of Telehealth in COVID-19 Response | Digital Healthcare Research

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November 30, 2023 - The Role of Telehealth in COVID-19 Response Project Final Report ( PDF , 413.58 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stateme…
University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries | Agency for Healthcare Research and Quality

www.ahrq.gov/news/newsroom/case-studies/cdom0803.html

October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries Search All Impact Case Studies April 2008 Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
About Common Formats | PSO

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November 01, 2024 - SHARE: More topics in this section Data Common Formats Network of Patient Safety Databases (NPSD) Dashboards Network of Patient Safety Databases (NPSD) Chartbooks Network of Patient Safety Databases (NPSD) Data Spotlights About …
Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality

www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html

July 01, 2025 - Quality and Safety Review System (QSRS) Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…
Use of Artificial Intelligence and Machine Learning to Improve Care by Critical Care Pharmacists | Digital Healthcare Research

digital.ahrq.gov/program-overview/research-stories/use-artificial-intelligence-and-machine-learning-improve-care

January 01, 2023 - Use of Artificial Intelligence and Machine Learning to Improve Care by Critical Care Pharmacists Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Using Digital Healthcare Tools to Improve Patient Safety Using machine learning- and artificial intelligence-developed tool…
Incorrect surgical procedures within and outside of the operating room. | PSNet

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November 21, 2011 - Study Incorrect surgical procedures within and outside of the operating room. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. Copy Citation F…
| Agency for Healthcare Research and Quality

www.ahrq.gov/es/tools/index.html

December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012 | Digital Healthcare Research

digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012

January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…
Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. | PSNet

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February 02, 2022 - Study Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. Citation Text: Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…