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psnet.ahrq.gov/node/43719/psn-pdf
November 26, 2014 - Four-year impact of an alert notification system on
closed-loop communication of critical test results.
November 26, 2014
Lacson R, Prevedello LM, Andriole KP, et al. Four-year impact of an alert notification system on closed-
loop communication of critical test results. AJR Am J Roentgenol. 2014;203(5):933-938.
d…
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psnet.ahrq.gov/node/61023/psn-pdf
October 14, 2020 - Information concerning ICU patients’ families in the
handover—the clinicians’ “game of whispers”: a
qualitative study.
October 14, 2020
Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families
in the handover—the clinicians’ “game of whispers”: a qualitative study. J …
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psnet.ahrq.gov/node/37982/psn-pdf
July 12, 2010 - Successful implementation of the Department of Veterans
Affairs' National Surgical Quality Improvement Program in
the private sector: the Patient Safety in Surgery study.
July 12, 2010
Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veterans Affairs'
National Surgical Quality…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-chronic-pain-management-medstar/citation/implementation-guide
March 01, 2024 - Addressing chronic pain through patient- and clinician-facing clinical decision support: Practice implementation guide
Citation
Addressing chronic pain through patient- and clinician-facing clinical decision support: Practice implementation guide. Prepared under Contract No. 75P00119F37007. AHRQ Publi…
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www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-2
February 01, 2009 - Update on Methods: Insufficient Evidence - Table 2
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Table 2. The 4 Domains of Information Pertinent to Clinical Decisionmaking for Preventive Services
Domain
Descrip…
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digital.ahrq.gov/organization/wake-forest-university-health-sciences
January 01, 2023 - Wake Forest University Health Sciences
Digital EMS Point-of-Care Innovation to Improve Rural STEMI Outcomes
Description
This research will develop, implement, refine, and evaluate an app to support clinical decisions for ST-Elevation Myocardial Infarction care in rural areas b…
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www.ahrq.gov/sdoh/whats-new.html
December 01, 2020 - What’s New
AHRQ Releases a New Family of SDOH Data Files to Facilitate Research
One of AHRQ’s goals is to facilitate health services research, especially research that focuses on priority populations , by recognizing the impact from social determinants of health. Through funding from the Patient-Centered Out…
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digital.ahrq.gov/ahrq-funded-projects/achieve-successfully-achieving-and-maintaining-euglycemia-during-pregnancy/citation/multicomponent
January 01, 2023 - Multicomponent provider-patient intervention to improve glycaemic control in Medicaid-insured pregnant individuals with type 2 diabetes: Clinical trial protocol for the ACHIEVE study.
Citation
Venkatesh KK, Joseph JJ, Swoboda C, Strouse R, Hoseus J, Baker C, Summerfield T, Bartholomew A, Buccilla L, P…
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digital.ahrq.gov/ahrq-funded-projects/achieve-successfully-achieving-and-maintaining-euglycemia-during-pregnancy/citation/developing
January 01, 2023 - Developing and testing an integrated patient mHealth and provider dashboard application system for type 2 diabetes management among Medicaid-enrolled pregnant individuals based on a user-centered approach: Mixed-methods study.
Citation
Fareed N, Swoboda C, Singh P, Boettcher E, Wang Y, Venkatesh K, S…
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psnet.ahrq.gov/node/74169/psn-pdf
December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is
associated with attribution of blame.
December 8, 2021
Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.
https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-
bl…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease/citation/crohns
January 01, 2023 - Crohn's disease shared decision making intervention leads to more patients choosing combination therapy: A cluster randomised controlled trial.
Citation
Zisman-Ilani Y, Thompson KD, Siegel LS, Mackenzie T, Crate DJ, Korzenik JR, Melmed GY, Kozuch P, Sands BE, Rubin DT, Regueiro MD, Cross R, Wolf DC, H…
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digital.ahrq.gov/ahrq-funded-projects/improving-diabetes-and-depression-self-management-adaptive-mobile-messaging/citation/effectiveness
January 01, 2024 - Effectiveness of a digital health intervention leveraging reinforcement learning: Results from the Diabetes and Mental Health Adaptive Notification Tracking and Evaluation (DIAMANTE) randomized clinical trial.
Citation
Aguilera A, Arévalo Avalos M, Xu J, Chakraborty B, Figueroa C, Garcia F, Rosales K,…
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Executive Summary
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Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned From Implement…
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration
April 11, 2024
Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
The Case
An 82-year-old woman presented to the Emergency Department (ED) for …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
April 01, 2021 - SOPS Diagnostic Safety Pilot Study Report
Pilot Study Results From the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Diagnostic Safety Supplemental Items for Medical
Offices
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockvil…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
January 01, 2025 - An official website of the Department of Health & Human Services
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www.ahrq.gov/policymakers/chipra/overview/background/tables.html
December 01, 2009 - Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary use by Medicaid and CHIP Programs
Table 1. Initial, recommended set of children's health care quality measures
Note: Summaries of the measures can be accessed as PDF files.…