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psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
October 19, 2022 - Commentary
Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant.
Citation Text:
Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…
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psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration
February 21, 2018 - Review
A review of best practices for intravenous push medication administration.
Citation Text:
Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247.
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psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
July 02, 2014 - Study
Making surgery as safe as it should be: a qualitative study.
Citation Text:
Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139.
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psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
May 18, 2022 - Study
Certified registered nurse anesthetist perceptions of factors impacting patient safety.
Citation Text:
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
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psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
November 15, 2023 - Review
A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes.
Citation Text:
Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(…
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hcup-us.ahrq.gov/tools_software.jsp
July 01, 2025 - Software Tools
HCUP software tools can be applied to HCUP and other administrative databases to systematically create new data elements from existing data, thereby enhancing a researcher's ability to conduct analyses.
Tools for ICD-10-CM/PCS
Designed for use with International Classification of Disea…
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psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
December 01, 2011 - Study
Perspectives on patient and family engagement with reduction in harm: the forgotten voice.
Citation Text:
Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1…
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digital.ahrq.gov/ahrq-funded-projects/roadmap-research-international-summit-innovation-and-technology-care-older
March 31, 2025 - A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Project Description
By harnessing the knowledge and skills of a diverse assembly of global experts in Long-Term Post-Acute Care (LTPAC) at a single conference, it is…
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digital.ahrq.gov/ahrq-funded-projects/patient-intestinal-failure-echo-project-pif-echo
September 30, 2024 - Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Project Description
A live, virtual learning and support system connecting patients and family caregivers with a team of experts and peers will enhance patient knowledge of best practices and confidence in self-care for chronic…
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psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
February 12, 2020 - Commentary
An infrastructure to provide safer, higher quality, and more equitable telehealth.
Citation Text:
Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shea-cm-halladay-jr
January 01, 2023 - Shea CM, Halladay JR, Reed D, et al. "Integrating a health-related-quality-of-life module within electronic health records: a comparative case study assessing value added."
Reference
Shea CM, Halladay JR, Reed D, et al. Integrating a health-related-quality-of-life module within electronic health recor…
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psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
November 16, 2022 - Commentary
Development of a pediatric adverse events terminology.
Citation Text:
Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985.
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psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
January 22, 2016 - Review
Shift-to-shift handoff effects on patient safety and outcomes: a systematic review.
Citation Text:
Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923.
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psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm
September 28, 2010 - Commentary
Classic
Telehealth in the COVID-19 era: a balancing act to avoid harm.
Citation Text:
Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785.
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psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Study
“I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists.
Citation Text:
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…
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psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
February 09, 2022 - Commentary
Health technology, quality and safety in a learning health system.
Citation Text:
Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383.
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digital.ahrq.gov/principal-investigator/krist-alexander-h
January 01, 2023 - Krist, Alexander H.
Engaging primary care patients to use a patient-centered personal health record.
Citation
Krist AH, Woolf SH, Bello GA, et al. Engaging primary care patients to use a patient-centered personal health record. Ann Fam Med 2014;12(5):418-26. PMID: 25354405.
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digital.ahrq.gov/health-care-theme/care-coordination
January 01, 2023 - Care Coordination
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that s…
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psnet.ahrq.gov/issue/improving-diagnosis-health-care
September 12, 2018 - Book/Report
Classic
Improving Diagnosis in Health Care.
Citation Text:
Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISB…
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digital.ahrq.gov/ahrq-funded-projects/ai-directed-cds-tool-reduce-iron-deficiency-anemia-pregnancy-randomized
August 01, 2024 - An AI-Directed CDS Tool to Reduce Iron Deficiency Anemia in Pregnancy: A Randomized Controlled Trial (AID-IDA Trial)
Project Description
Integrating a predictive model into the electronic health record (EHR) via a clinical decision support (CDS) tool provides a scalable, resour…