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  1. psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
    October 27, 2021 - Study Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes. Citation Text: Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
  2. psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
    August 04, 2021 - Study Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. Citation Text: Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medicat…
  3. psnet.ahrq.gov/issue/effect-two-different-electronic-health-record-user-interfaces-intensive-care-provider-task
    March 16, 2022 - Study The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. Citation Text: Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensi…
  4. psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
    January 06, 2018 - Review Surgical checklists: a systematic review of impacts and implementation. Citation Text: Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. Copy Citation F…
  5. psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
    March 17, 2021 - Study How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. Citation Text: Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation o…
  6. psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
    February 06, 2019 - Study ICU attending handoff practices: results from a national survey of academic intensivists. Citation Text: Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…
  7. digital.ahrq.gov/location/usa-ma-boston
    January 01, 2023 - USA, MA, Boston Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by usi…
  8. digital.ahrq.gov/care-setting/ambulatory-clinic
    January 01, 2023 - Ambulatory Setting 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…
  9. digital.ahrq.gov/care-setting/emergency-department
    January 01, 2023 - Emergency Department Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T Mob…
  10. digital.ahrq.gov/type-care/primary-care
    January 01, 2023 - Primary Care Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by using …
  11. psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
    September 01, 2021 - Study Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. Citation Text: Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emer…
  12. psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
    June 12, 2019 - Commentary Classic Potential biases in machine learning algorithms using electronic health record data. Citation Text: Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …
  13. psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
    September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …
  14. psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
    June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…
  15. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-mb-et-al-2008
    January 01, 2008 - Goetz MB et al. 2008 "Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI series." Reference Goetz MB, Bowman C, Hoang T, et al. Implementing and evaluating a regional strategy to improve tes…
  16. psnet.ahrq.gov/issue/adverse-drug-event-detection-pediatric-oncology-and-hematology-patients-using-medication
    November 16, 2022 - Study Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population. Citation Text: Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology…
  17. psnet.ahrq.gov/issue/breast-cancer-screening-denmark-cohort-study-tumor-size-and-overdiagnosis
    July 10, 2018 - Study Classic Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. Citation Text: Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017…
  18. psnet.ahrq.gov/issue/rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
    July 27, 2022 - Review Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. Citation Text: Rodwin BA, Bilan VP, Merchant NB, et al. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(7):2099-2…
  19. psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence
    March 01, 2011 - Study High reliability in a safety net hospital leading to operational excellence. Citation Text: Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. Co…
  20. psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
    November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …