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3421. Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
      April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …

3422. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. | PSNet
      psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
      February 23, 2022 - Study Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Citation Text: Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…

3423. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. | PSNet
      psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
      May 26, 2021 - Study Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Citation Text: Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights…

3424. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. | PSNet
      psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
      April 27, 2022 - Study Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Citation Text: Cabral BP, Braga LAM, Syed-Abdul S, et al. Future of artificial intelligence applications in cancer care: a global cross-sectional survey of researchers. Cu…

3425. How health care systems let our patients down: a systematic review into suicide deaths. | PSNet
      psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
      October 19, 2022 - Review How health care systems let our patients down: a systematic review into suicide deaths. Citation Text: Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…

3426. Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
      October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…

3427. A scoping review of distributed cognition in acute care clinical decision-making. | PSNet
      psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
      April 08, 2020 - Review A scoping review of distributed cognition in acute care clinical decision-making. Citation Text: Wilson E, Daniel M, Rao A, et al. A scoping review of distributed cognition in acute care clinical decision-making. Diagnosis (Berl). 2023;10(2):68-88. doi:10.1515/dx-2022-0095. Copy…

3428. Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet
      psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
      May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

3429. Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. | PSNet
      psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
      August 04, 2021 - Study Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. Citation Text: Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…

3430. February 2022 CDS Connect Work Group Call (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
      January 01, 2022 - February 2022 CDS Connect Work Group Call February 2022 CDS Connect Work Group Call Agenda Schedule Topic 3:00 – 3:01 Roll Call, Michelle Lenox (MITRE) 3:01 – 3:03 Review of the Agenda, Maria Michaels (CDC) 3:03 – 3:35 ACTIVATE project (Katherine Kim, MITRE) 3:35 – 3:50 Discussion about co-design for CDS deve…

3431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49770/psn-pdf
      September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…

3432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73412/psn-pdf
      August 01, 2022 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) June 30, 2021 https://psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and- disclosure Summary The Behavioral Health Vital Signs (BHVS) screener i…

3433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49650/psn-pdf
      March 01, 2012 - Turn the Other Cheek March 1, 2012 Starling J. Turn the Other Cheek. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/turn-other-cheek The Case A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy was diagnostic for squamous cell carcinoma (SCC) and docume…

3434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…

3435. Publications and Additional Materials | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/publications/search.html?page=3
      September 01, 2014 - All Publications The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP). Results 76 - 100 of 107 Publications Pagination « first « First ‹ previous ‹‹ 1 2 3 4 5 next › ›› …

3436. Module-3-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
      February 09, 2022 - Understanding Your Workflow Processes to Prepare for Systems Change S te v e n Ke tey i a n , P h D M c Ke n z i e Pe c k m a n , M S , AC S M - C E P Module 3 Today’s Training Session 2 PURPOSE Training sessions guided by the Million Hearts®/AACVPR Cardiac Rehabilitation Change Package (CRCP), locate…

3437. Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
      June 02, 2025 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders Introduction This resource guide was written by and for directors of nursing, administrators, and other nursing home leaders. It outlines steps to reduce or elimi…

3438. AHRQ SDOH Database Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
      July 01, 2022 - AHRQ SDOH Database Overview AHRQ SDOH Database Overview July 2022 Overview • Context • Updated Database Contents ► Topics Covered in the Database ► Geographic and Temporal Coverage ► Documentation ► Methodological Contributions • Data Uses 2 Premature Mortality and Social Vulnerability Index Across U.S. …

3439. Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
      January 01, 2024 - Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach Project Final Report ( PDF , 336.02 KB) Disclaimer Disclaimer The findings and conclusions in thi…

3440. Charting a Path for Patient-Centered Clinical Decision Support: Key Themes from the 2024 Clinical Decision Support Innovation Collaborative Annual Meeting | CDSiC
      cdsic.ahrq.gov/cdsic/2024-annual-meeting-viewpoint
      September 18, 2024 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …