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  1. www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
    December 01, 2012 - Observing Patient Care Rounds CUSP Toolkit Communication among disciplines can be improved if viewed through the eyes of an objective observer. Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/gurwitz.pdf
    January 01, 2014 - Off-Label Use of Atypical Antipsychotics in the Nursing Home Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Off-Label Use of Atypical Antipsychotics in the Nursing Home Description The prevalence of off-label use of atypi…
  3. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
    December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety …
  4. psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
    October 28, 2020 - Review The spectrum of medical errors: when patients sue. Citation Text: Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  5. psnet.ahrq.gov/issue/surveys-patient-safety-culture
    December 24, 2008 - Measurement Tool/Indicator Classic Surveys on Patient Safety Culture. Citation Text: Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Downl…
  6. digital.ahrq.gov/principal-investigator/mazur-lukasz
    January 25, 2018 - Mazur, Lukasz Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology Description This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review proc…
  7. www.uspreventiveservicestaskforce.org/home/getfilebytoken/BEqfaqsota4EqjZDZkEHMm
    August 01, 2020 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation 1 www.uspreventiveservicestaskforce.org Clinician Summary of USPSTF Recommendation Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections August 2020 The USPSTF rec…
  8. digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
    January 01, 2020 - It’s Not Just for Sci-Fi: Using Artificial Intelligence to Identify Kidney Disease Successful development and implementation of an artificial intelligence-driven clinical decision support system for detection and treatment of acute kidney injury in the emergency department may improve the quality of kidney care an…
  9. digital.ahrq.gov/principal-investigator/xie-anping
    October 19, 2021 - Xie, Anping Application of participatory ergonomics to the dissemination of a quality improvement program for optimizing blood culture use. Citation Xie A, Koontz DW, Colantuoni EA, Voskertchian A, Miller MR, Fackler JC, Milstone AM, Woods-Hill CZ. Application of participatory…
  10. psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
    March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …
  11. www.uspreventiveservicestaskforce.org/home/getfilebytoken/SA2xTFXTzgdbgTYw9DEoMS
    December 01, 2019 - Clinician Summary of USPSTF Recommendation Screening for Abdominal Aortic Aneurysm 1 www.uspreventiveservicestaskforce.org Clinician Summary of USPSTF Recommendation Screening for Abdominal Aortic Aneurysm December 2019 What does the USPSTF recommend? B Grade For men aged 65 to 75 years who have ever …
  12. www.uspreventiveservicestaskforce.org/home/getfilebytoken/dm3Pus3-Ttax-GytrBcado
    September 01, 2021 - Screening for Chlamydia and Gonorrhea Clinician Summary o o o o o o o 1 www.uspreventiveservicestaskforce.org Clinician Summary of USPSTF Recommendation Screening for Chlamydia and Gonorrhea September 2021 What does the USPSTF recommend? For sexually active women, including pregnant persons: B Grade …
  13. psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
    October 14, 2020 - Review Emerging Classic Incident learning in radiation oncology: a review. Citation Text: Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. Copy Citation Format: DOI Google Sc…
  14. psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
    June 20, 2014 - Book/Report Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Citation Text: Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundatio…
  15. digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
    January 01, 2010 - Building an Implementation Toolset for E-Prescribing - 2010 Project Name Building an Implementation Toolset for E-Prescribing Principal Investigator Bell, Douglas Organization RAND Corporation Contract Number 290-06-0017-4 Project Period August 2008 – Septem…
  16. psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
    February 14, 2024 - Commentary A framework for classifying factors that contribute to error in the emergency department. Citation Text: Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23. Copy Citation Format: G…
  17. psnet.ahrq.gov/issue/cognitive-health-system
    September 04, 2024 - Commentary The cognitive health system. Citation Text: Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  18. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dansky-kh-et-al-1999
    January 01, 1999 - Dansky KH et al. 1999 "Electronic medical records: are physicians ready?" Reference Dansky KH, Gamm LD, Vasey JJ, et al. Electronic medical records: are physicians ready? Practitioner application. J Healthc Manag 1999;44(6):440. Abstract "The use of electronic medical records [EMR] in healthc…
  19. digital.ahrq.gov/health-care-theme/provider-burden
    January 01, 2023 - Provider Burden 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 implementation of a…
  20. digital.ahrq.gov/principal-investigator/manojlovich-milisa
    January 01, 2023 - Manojlovich, Milisa It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals. Citation Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the c…