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9401. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet
      psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
      October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

9402. Targeted versus universal decolonization to prevent ICU infection. | PSNet
      psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
      November 16, 2022 - Study Classic Targeted versus universal decolonization to prevent ICU infection. Citation Text: Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…

9403. A User-Centered Designed Anticoagulation Shared Decision Making Tool for Stroke Prevention in Atrial Fibrillation | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/user-centered-designed-anticoagulation-shared-decision-making-tool-stroke
      January 01, 2023 - A User-Centered Designed Anticoagulation Shared Decision Making Tool for Stroke Prevention in Atrial Fibrillation Project Final Report ( PDF , 348.7 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its co…

9404. Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
      December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care DEC 15 2022 By Members of AHRQ’s National Advisory Council: Catherine H. Ivory, Ph.D., R.N.; Komal Bajaj, M.D.; MS-HPEd, Jiajie Zhang, Ph.D.; and Kannan Ramar, …

9405. The Anesthesiology Control Tower: Like Air Traffic Control for Operating Rooms | Digital Healthcare Research
      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…

9406. Pediatrics | Digital Healthcare Research
      digital.ahrq.gov/type-care/pediatrics
      January 01, 2023 - Pediatrics 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 acces…

9407. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
      May 01, 2025 - Healthcare Safety Competencies Affinity Group Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery.  …

9408. Association of interruptions with an increased risk and severity of medication administration errors. | PSNet
      psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
      August 26, 2020 - Study Classic Association of interruptions with an increased risk and severity of medication administration errors. Citation Text: Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…

9409. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
      February 01, 2018 - National Academy of Medicine (NAM) Reports AHRQ has long collaborated with the National Academy of Medicine (formerly Institute of Medicine) to develop comprehensive reports on topics that are critical to making the American health care system safer and higher quality. These reports represent the consensus reco…

9410. Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. | PSNet
      psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter
      September 13, 2023 - Study Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. Citation Text: Pérez Zapata AI, Rodríguez Cuéllar E, de la Fuente Bartolomé M, et al. Predictive power of the "Trigger Tool" for the detectio…

9411. The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. | PSNet
      psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
      January 31, 2024 - Study The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. Citation Text: Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…

9412. Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. | PSNet
      psnet.ahrq.gov/issue/opioid-guidelines-common-dental-surgical-procedures-multidisciplinary-panel-consensus
      April 28, 2021 - Organizational Policy/Guidelines Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. Citation Text: Farooqi OA, Bruhn WE, Lecholop MK, et al. Opioid guidelines for common dental surgical procedures: a multidisciplinary panel consensus. Int J Oral…

9413. Updated Systematic Review Examines Pharmacotherapy for Adults With Alcohol Use Disorder in Outpatient Settings | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/press-releases/alcohol-use-disorders.html
      November 01, 2023 - Updated Systematic Review Examines Pharmacotherapy for Adults With Alcohol Use Disorder in Outpatient Settings Press Release Date: November 7, 2023 New research examines evidence-based practice to improve clinical decision making for patients with alcohol use disorder. An updated systematic review published tod…

9414. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. | PSNet
      psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
      August 11, 2021 - Study Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. Citation Text: Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patient…

9415. Emergency Department | Digital Healthcare Research
      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…

9416. Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/testing-intervention-improve-health-care-worker-well-being-during-covid-19-pandemic-cluster
      October 16, 2024 - Study Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster randomized clinical trial. Citation Text: Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-being during the COVID-19 pandemi…

9417. Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. | PSNet
      psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation
      September 23, 2020 - Review Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. Citation Text: Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…

9418. HCUP-US Publications Advanced Search
      hcup-us.ahrq.gov/reports/pubsearch/advanced.jsp
      January 01, 2017 - HCUP-US Publications Advanced Search An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

9419. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. | PSNet
      psnet.ahrq.gov/issue/patient-safety-virtual-primary-care-qualitative-study-examining-risks-and-mitigation
      September 27, 2023 - Study Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Citation Text: Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks and mitigation strategies. Health Policy Tech. 2025;…

9420. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
      psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
      June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. Citation Text: Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspect…