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  1. digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/citation/dropping-baton-during-handoff
    January 01, 2023 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Citation Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf 2009 Sep;…
  2. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/do-package
    January 01, 2023 - Do package inserts reflect symptoms experienced in practice?: assessment using an automated phone pharmacovigilance system with varenicline and zolpidem in a primary care setting. Citation Haas JS, Amato M, Marinacci L, et al. Do package inserts reflect symptoms experienced in practice?: assessment u…
  3. digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-15
    January 01, 2023 - Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurses and providers in intensive care units. Citation Hoonakker PL, Carayon P, Brown RL, et al. Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in inten…
  4. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/developme-0
    January 01, 2023 - Development and preliminary evidence for the validity of an instrument assessing implementation of human-factors principles in medication-related decision-support systems--I-MeDeSA Citation Zachariah M, Phansalkar S, Seidling HM, et al. Development and preliminary evidence for the validity of an instr…
  5. digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-7
    January 01, 2023 - Communication in the ICU and the relation with quality of care and patient safety from a nurse perspective. Citation Hoonakker PLT, Carayon P, Douglas S, et al. Communication in the ICU and the relation with quality of care and patient safety from a nurse perspective. In: Sznelwar L, Mascia F, Montedo…
  6. digital.ahrq.gov/ahrq-funded-projects/engaging-diverse-patients-using-online-patient-portal/citation/disparities
    January 01, 2023 - Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hospital. Citation Sadasivaiah S, Lyles CR, Kiyoi S, Wong P, Ratanawongsa N. Disparities in patient-reported interest in web-based patient portals: survey at an urban academic safety-net hosp…
  7. digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-ut/final-report
    January 01, 2023 - State and Regional Demonstration in Health Information Technology: Utah - Final Report Citation Utah Health Information Network. State and Regional Demonstration in Health Information Technology: Utah - Final Report. (Prepared by the Utah Health Information Network under Contract No. 290-04-0002). AHR…
  8. digital.ahrq.gov/ahrq-funded-projects/engaging-diverse-patients-using-online-patient-portal/citation/randomized
    January 01, 2023 - A randomized trial to train vulnerable primary care patients to use a patient portal. Citation Lyles CR, Tieu L, Sarkar U, Kiyoi S, Sadasivaiah S, Hoskote M, Ratanawongsa N, Schillinger D. A randomized trial to train vulnerable primary care patients to use a patient portal. J Am Board Fam Med. 2019 Ma…
  9. digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/medication
    January 01, 2023 - Enhanced Medication Histories - Final Report Citation Simonaitis L. Enhanced Medication Histories - Final Report. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) AHRQ Publication No. 11-0077-EF. Rockville, MD: Agency for Healthcare Research and Quality. Oct…
  10. digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/guide
    January 01, 2023 - Enhanced medication histories - a guide to implementation in a health information exchange. Citation Simonaitis L. Enhanced medication histories - a guide to implementation in a health information exchange. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) R…
  11. digital.ahrq.gov/ahrq-funded-projects/improving-adherence-and-outcomes-artificial-intelligence-adapted-text-messages/citation/implementation
    January 01, 2023 - Implementation of a text message reminder service in an independent community pharmacy: a retrospective analysis of time to prescription pickup and satisfaction. Citation Mitrzyk BM, Bici A, Barras M, et al. Implementation of a text message reminder service in an independent community pharmacy: a ret…
  12. digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/citation/effect-electronic
    January 01, 2023 - Effect of electronic prescribing with formulary decision support on medication use and cost. Citation Fischer MA, Vogeli C, Stedman M, et al. Effect of electronic prescribing with formulary decision support on medication use and cost. Arch Intern Med 2008 Dec 8;168(22):2433-9. Link Fischer MA,…
  13. digital.ahrq.gov/ahrq-funded-projects/accessing-cutting-edge-implementing-technology-transform-quality-se-kern-2
    January 01, 2023 - Against all odds: designing and implementing a grassroots, community-designed RHIO in a rural region. Citation Nocella KC, Horowitz KJ, Young JJ. Against all odds: designing and implementing a grassroots, community-designed RHIO in a rural region. J Healthc Inf Manag 2008 Spring;22(2):34-41. Lin…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41470/psn-pdf
    November 15, 2024 - Hospital Safety Grade. November 15, 2024 Leapfrog Group https://psnet.ahrq.gov/issue/hospital-safety-grade Drawing from data reported by the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and Medic…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36525/psn-pdf
    January 07, 2011 - Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care. January 7, 2011 Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44561/psn-pdf
    October 30, 2023 - AHRQ Impact Case Studies: Patient Safety. October 30, 2023 Agency for Healthcare Research and Quality. 2019-2023. https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety AHRQ supports the development and testing of various resources for health care organizations to implement as safety improvement stra…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41815/psn-pdf
    July 02, 2014 - Examining the diagnostic justification abilities of fourth- year medical students. July 2, 2014 Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff. https://psnet.ahrq.gov/issue/examining-diagnostic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38599/psn-pdf
    May 06, 2009 - Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. May 6, 2009 Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:10.1002/lary.20208. https://psnet.ahrq…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60164/psn-pdf
    March 25, 2020 - Patient Safety, Spring 2019 Final CDP Report. March 25, 2020 Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020. https://psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report The development of effective measures to document and track patient safety…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47466/psn-pdf
    October 17, 2018 - ASHP guidelines on preventing medication errors in hospitals. October 17, 2018 Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811. https://psnet.ahrq.gov/issue/ashp-guidelines-preven…