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  1. psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
    October 12, 2022 - Study Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. Citation Text: Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical…
  2. psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
    July 24, 2017 - Study Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. Citation Text: Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying ad…
  3. psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
    March 23, 2022 - Study The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. Citation Text: Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…
  4. psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
    March 04, 2015 - Study Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. Citation Text: Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
  5. psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
    December 06, 2023 - Commentary Classic Defining health information technology–related errors: new developments since To Err Is Human. Citation Text: Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med.…
  6. psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
    March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…
  7. psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
    December 14, 2022 - Study What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. Citation Text: Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitativ…
  8. psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices
    May 08, 2019 - Study Medical line entanglement: the unspoken patient safety hazard of medical devices. Citation Text: Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. Copy Cit…
  9. psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical
    March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…
  10. psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
    October 30, 2024 - Review Does applying technology throughout the medication use process improve patient safety with antineoplastics? Citation Text: Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process improve patient safety with antineoplastics? J Oncol Pha…
  11. 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 …
  12. 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…
  13. psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care
    August 20, 2018 - Study Electronic health record reviews to measure diagnostic uncertainty in primary care. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. …
  14. digital.ahrq.gov/2018-year-review/research-dissemination/journals
    January 01, 2018 - AHRQ-Funded Researchers Disseminate in High-Impact Journals In 2018, AHRQ-funded researchers published over 100 research articles in peer-reviewed journals and book chapters, including the following: Development and Dissemination of a Novel Quality Improvement Framework to Improve Care…
  15. psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
    November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…
  16. digital.ahrq.gov/health-care-theme/access-care
    January 01, 2023 - Access to Care A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Description This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching techn…
  17. digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-tool-preventing-falls
    January 01, 2023 - A Clinical Decision Support Tool for Preventing Falls Theme: Optimizing Care Delivery for Clinicians Subtheme: Scaling Effective and Interoperable CDS to Improve Care and Decision Making Tools like ASPIRE that integrate fall prevention clinical decision support and patient resources may be…
  18. digital.ahrq.gov/type-care/ambulatory-care
    January 01, 2023 - Ambulatory Care Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology Description This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review pr…
  19. digital.ahrq.gov/funding-mechanism/ahrq-health-services-research-projects-r01
    January 01, 2023 - AHRQ Health Services Research Projects (R01) Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Description This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provi…
  20. psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
    January 12, 2022 - Study Complexity and challenges of the clinical diagnosis and management of Long COVID. Citation Text: O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen…