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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
April 12, 2019 - Study
Sharing lessons learned to prevent adverse events in anesthesiology nationwide.
Citation Text:
Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
October 31, 2023 - Commentary
Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error.
Citation Text:
Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…
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psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - Study
Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter.
Citation Text:
Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
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Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Mill…
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digital.ahrq.gov/health-care-theme/us-preventive-services-task-force-recommendations
January 01, 2023 - U.S. Preventive Services Task Force Recommendations
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Description
This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/tpCHxaLN8aUUEWELwGmFLd
June 01, 2020 - Screening for Unhealthy Drug Use: Clinician Summary of USPSTF Recommendation
1
www.uspreventiveservicestaskforce.org
B
Grade
Clinician Summary of USPSTF Recommendation
Screening for Unhealthy Drug Use
June 2020
What does the USPSTF recommend?
B
Grade
For adults 18 years or older
Screen by asking questions…
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digital.ahrq.gov/care-setting/childrens-hospital
January 01, 2023 - Children's Hospital
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-t…
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digital.ahrq.gov/type-care/specialty-care
January 01, 2023 - Specialty Care
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time a…
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digital.ahrq.gov/location/usa-wa-seattle
January 01, 2023 - USA, WA, Seattle
Inform Shared Decision Making with Advanced Bayesian Causal Inference to Improve Quality of Pediatric Rheumatology Care
Description
This research will design, develop, implement, and evaluate the Patient Centered Adaptive Treatment Strategies (PCATS) juvenile …
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
January 03, 2017 - Study
Classic
Organizational factors associated with high performance in quality and safety in academic medical centers.
Citation Text:
Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…
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psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
March 01, 2011 - Study
Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system.
Citation Text:
Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…
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psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
March 01, 2023 - Study
Race differences in reported harmful patient safety events in healthcare system high reliability organizations.
Citation Text:
Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient S…
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psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
March 03, 2019 - Study
Emergency department visits for medical device–associated adverse events among children.
Citation Text:
Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…
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digital.ahrq.gov/technology/radio-frequency-identification-device
January 01, 2023 - Radio Frequency Identification Device
Overlaying multiple sources of data to identify bottlenecks in clinical workflow.
Citation
Vankipuram A, Patel VL, Traub S, et al. Overlaying multiple sources of data to identify bottlenecks in clinical workflow. Journal of Biomedical Info…
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psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
May 31, 2011 - Review
Classic
Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment.
Citation Text:
Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…
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psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
December 02, 2020 - Study
“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.
Citation Text:
Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101
CAHPS 101
Stephanie Fry
Senior Study Director
Westat
12
What is Patient Experience?
Patient experience refers to what happened in a health care setting. It
encompasses the range of interactions that patients have with the health care
system, inc…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Xm5_jgUrXXGAJe8WJh_9KK
June 01, 2024 - Summary of USPSTF Final Recommendation: Interventions to Prevent Falls in Community-Dwelling Older Adults
Clinicians
Summary of USPSTF Final Recommendation
Interventions to Prevent Falls in Community-Dwelling Older Adults
June 2024
What does the USPSTF recommend?
B
Grade
…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mollon-b-et-al-2009
January 01, 2009 - Mollon B et al. 2009 "Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials."
Reference
Mollon B, Chong JJR, Holbrook AM, et al. Features predicting the success of computerized decision support for prescribing: a systemati…