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psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
February 15, 2012 - Study
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.
Citation Text:
Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…
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integrationacademy.ahrq.gov/news-and-events
June 24, 2025 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/research-method/chart-review
January 01, 2023 - Chart Review
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: A pilot study.
Citation
Pitts SI, Yang Y, Woodroof T, Mollenkopf NL, Wang NY, Thomas BA, Chen AR. The impact of electronic communication of medication discontinua…
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psnet.ahrq.gov/issue/diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
June 30, 2021 - Study
Emerging Classic
Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study.
Citation Text:
Williams R, Jenkins DA, Ashcroft DM, et al. Diagnosis of physical and mental health conditions in…
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www.ahrq.gov/patient-safety/reports/liability/index.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe)
Plannin…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-lipid-algorithm.pdf
December 14, 2015 - Heart Health Now Lipid Algorithm
Heart Health Now Lipid Algorithm
Adapted from the U.S. Department of Veterans Affairs
Lipid Algorithm
Men aged >35 y, women aged
> 45 y, and all patients with
ASCVD
Does the patient have CHF
(EF <0.35 and NYHA class >1)
and ESRD, and has the patient
been on dialysis or …
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digital.ahrq.gov/technology/remote-patient-monitoring
January 01, 2023 - Remote Patient Monitoring
Implementation and evaluation of an electronic health record-integrated app for postpartum monitoring of hypertensive disorders of pregnancy using patient-contributed data collection.
Citation
Dullabh P, Heaney-Huls KK, Chiao AB, Callaham MG, Desai P,…
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digital.ahrq.gov/technology/predictive-modeling
January 01, 2024 - Predictive Modeling
A clinical decision support system for addressing health-related social needs in emergency department: Defining end user needs and preferences.
Citation
Mazurenko O, Hirsh AT, Harle CA, McNamee C, Vest JR. A clinical decision support system for addressing h…
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psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
September 23, 2020 - Review
The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.
Citation Text:
Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls fo…
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psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
September 13, 2023 - Study
Classic
Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial.
Citation Text:
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…
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psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
March 24, 2021 - Study
Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population.
Citation Text:
Harder VS, Plante TB, Koh I, et al. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. J Gen Int…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cimino-jj-et-al-2001
January 01, 2001 - Cimino JJ et al. 2001 "Studying the human-computer-terminology interface."
Reference
Cimino JJ, Patel VL, Kushniruk AW. Studying the human-computer-terminology interface. J Am Med Inform Assoc 2001;8(2):163-173.
[Link]
Abstract
"OBJECTIVE: To explore the use of an observational, cognitive-ba…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rollman-bl-et-al-2002
January 01, 2002 - Rollman BL et al. 2002 "A randomized trial using computerized decision support to improve treatment of major depression in primary care."
Reference
Rollman BL, Hanusa BH, Lowe HJ, et al. A randomized trial using computerized decision support to improve treatment of major depression in primary care. J …
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digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2011
January 01, 2011 - Knowledge Engineering for Decision Support in Osteoporosis - 2011
Project Name
Knowledge Engineering for Decision Support in Osteoporosis
Principal Investigator
Lafleur, Joanne
Organization
University of Utah
Funding Mechanism
PAR: HS09-085: Mentored Clinical Scient…
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psnet.ahrq.gov/node/35523/psn-pdf
December 14, 2010 - ISMP Medication Errors Reporting Program.
December 14, 2010
Institute for Safe Medication Practices
https://psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
The Institute for Safe Medication Practices (ISMP) administers this national reporting program, which
collects confidential reports of medication…
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psnet.ahrq.gov/node/39161/psn-pdf
December 09, 2009 - Medication reconciliation at an academic medical center:
implementation of a comprehensive program from
admission to discharge.
December 9, 2009
Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center:
implementation of a comprehensive program from admission to discharge. A…
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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…
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psnet.ahrq.gov/node/38913/psn-pdf
May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to
Improving Patient Medication Adherence for Chronic
Disease.
May 24, 2015
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-
adherence-chro…
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psnet.ahrq.gov/node/38594/psn-pdf
May 24, 2015 - The rate and costs attributable to intravenous patient-
controlled analgesia errors.
May 24, 2015
Meissner B, Nelson W, Hicks R (R), et al. The rate and costs attributable to intravenous patient-controlled
analgesia errors. Hosp Pharm. 2010;44(4):312-324. doi:10.1310/hpj4404-312.
https://psnet.ahrq.gov/issue/rate-…