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  1. psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
    December 05, 2013 - Study Analysis of laboratory critical value reporting at a large academic medical center. Citation Text: Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. Copy Citation For…
  2. psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
    January 07, 2011 - Commentary Improving patient safety: patient-focused, high-reliability team training. Citation Text: McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. …
  3. psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
    July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…
  4. psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high-quality-care-and
    June 23, 2021 - Special or Theme Issue Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. Citation Text: Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. Rimondini M, Busch IM, eds. Int J Envir…
  5. www.ahrq.gov/news/newsroom/case-studies/201524.html
    August 01, 2015 - Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety Search All Impact Case Studies August 2015 Fourteen hospitals operated by Aurora Health Care in eastern Wisconsin reduced central line-associated bloodstream infections (CLABSI) in intensive care units by 65 percent after adopting pat…
  6. psnet.ahrq.gov/issue/teamwork-and-teamwork-training-healthcare
    March 02, 2022 - Special or Theme Issue Teamwork and Teamwork Training in Healthcare. Citation Text: Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/105960111877466…
  7. psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
    December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
  8. psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…
  9. psnet.ahrq.gov/issue/communicating-medication-changes-community-pharmacy-post-discharge-good-bad-and-improvements
    June 11, 2014 - Study Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Citation Text: Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Int J…
  10. psnet.ahrq.gov/issue/enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices
    March 17, 2021 - Commentary Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Citation Text: Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…
  11. psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
    December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…
  12. digital.ahrq.gov/health-care-theme/care-planning
    January 01, 2023 - Care Planning Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity Description This research evaluated Cloud Care, a cloud-based longitudinal multidisciplinary care plan for children with medical complexity and found that perceived eas…
  13. digital.ahrq.gov/program-overview/research-stories/machine-learning-algorithm-improve-use-interpreters-hospitalized
    January 01, 2023 - A Machine Learning Algorithm to Improve the Use of Interpreters for Hospitalized Patients with Complex Care Needs Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Improving Equity in Healthcare with Digital Healthcare Solutions A machine learning, predictive analytic i…
  14. digital.ahrq.gov/type-care/tertiary-care
    January 01, 2023 - Tertiary Care ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Description The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilization…
  15. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/redfern-ro-et-al-2000
    January 01, 2000 - Redfern RO et al. 2000 "Radiology workflow and patient volume: effect of picture archiving and communication systems on technologists and radiologists." Reference Redfern RO, Horii SC, Feingold E, et al. Radiology workflow and patient volume: effect of picture archiving and communication systems on te…
  16. effectivehealthcare.ahrq.gov/sites/default/files/interactive_media_epstein_respondent.pdf
    January 01, 2009 - Epstein_Respondent_Glasgow 1   Source:    Eisenberg  Center  Conference  Series  2009,  Translating  Information  Into  Action:  Improving  Quality  of   Care  Through  Interactive  Media,  Effective  Health  Care  Program  Web  site   (http://www.effectivehealthcar…
  17. digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
    January 01, 2008 - Improving Healthcare Quality via Information Technology - 2008 Project Name Improving Healthcare Quality via Information Technology Principal Investigator Hayden, Avis Organization Southwestern Vermont Health Care Corporation Funding Mechanism RFA: HS04-011: Transfo…
  18. digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-it-system-enhance/annual-summary/2010
    January 01, 2010 - Implementing a Low-Literacy, Multimedia Information Technology (IT) - 2010 Project Name Implementing a Low-Literacy, Multimedia Information Technology System to Enhance Patient-Centered Cancer Care Principal Investigator Hahn, Elizabeth Organization Northwestern University …
  19. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
    May 01, 2023 - Tool: Task Assistance What Task Assistance Is Task assistance includes both asking for assistance when needed and offering assistance to team members when the opportunity arises. Task assistance is guided by situation monitoring, because situation monitoring allows team members to effectively identify when th…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact4.html
    July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Challenges and Opportunities for Improvement in Diagnostic Documentation Previous Page Next Page Table of Contents Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safe…