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  1. digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition
    January 01, 2023 - Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System Project Final Report ( PDF , 830.22 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its c…
  2. psnet.ahrq.gov/issue/effects-health-information-technology-patient-outcomes-systematic-review
    December 03, 2018 - Review Classic Effects of health information technology on patient outcomes: a systematic review. Citation Text: Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2…
  3. psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
    May 05, 2021 - Study Psychological safety in intensive care unit rounding teams. Citation Text: Diabes MA, Ervin JN, Davis BS, et al. Psychological safety in intensive care unit rounding teams. Ann Am Thorac Soc. 2021;18(6):1027-1033. doi:10.1513/annalsats.202006-753oc. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va
    August 02, 2023 - Book/Report Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. Citation Text: Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Location…
  5. psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
    January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …
  6. psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
    December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…
  7. psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
    November 10, 2021 - Study Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Citation Text: Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…
  8. psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
    August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. Citation Text: Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
  9. psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study
    July 02, 2019 - Study The vulnerabilities of computerized physician order entry systems: a qualitative study. Citation Text: Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. d…
  10. psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst …
  11. psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it-improve-clinical-team
    December 22, 2009 - Study Classic Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Citation Text: Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork t…
  12. psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
    September 29, 2018 - Study Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. Citation Text: Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…
  13. psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
    January 08, 2025 - Study Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. Citation Text: Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…
  14. psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications
    August 25, 2021 - Study Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders. Citation Text: Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing of high-risk …
  15. psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
    May 20, 2019 - Study Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. Citation Text: Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
  16. psnet.ahrq.gov/issue/evaluation-natural-language-processing-approach-identify-diagnostic-errors-and-analysis
    October 30, 2024 - Study Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. Citation Text: Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identi…
  17. psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
    December 21, 2017 - Study Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. Citation Text: Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform A…
  18. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn4.pdf
    January 01, 2019 - Data Acquisition & Transmission “Using Clinically Enhanced“Using Clinically-Enhanced Claims Data to Guide Treatment of Acute Heart Failure” An AHRQ Grant to MHA Data Acquisition & Transmission Laboratory Data Databases for Outcomes Assessment Other Clinical DataManual Vital Signs Numerical Laboratory Clin…
  19. psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
    September 26, 2012 - Study Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. Citation Text: Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…
  20. psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
    December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …