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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42445/psn-pdf
    September 18, 2013 - Educational agenda for diagnostic error reduction. September 18, 2013 Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. https://psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction This review…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42244/psn-pdf
    June 27, 2018 - Medical simulation: a holistic approach to highly reliable healthcare. June 27, 2018 Fanning RM. https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare This magazine article describes various ways simulation can be used to augment safety in health care, including evaluating w…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50601/psn-pdf
    October 09, 2022 - Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). October 9, 2022  Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA- 20-028. https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement Medication errors are …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38578/psn-pdf
    April 22, 2009 - Patient safety and collaboration of the intensive care unit team. April 22, 2009 Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. https://psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team This arti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36474/psn-pdf
    May 26, 2011 - The checklist--a tool for error management and performance improvement. May 26, 2011 Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. https://psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement This commentar…
  6. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/evaluating
    January 01, 2023 - Evaluating two approaches for parameterizing the Fellegi-Sunter patient matching algorithm to optimize accuracy. Citation Grannis, S., Kasthurirathne, S., Bo, N., Xu, H. (2019). Evaluating two approaches for parameterizing the Fellegi-Sunter patient matching algorithm to optimize accuracy. Medinfo con…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36048/psn-pdf
    September 27, 2010 - Can technology improve intershift report? What the research reveals. September 27, 2010 Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. https://psnet.ahrq.gov/issue/can-technology-improve-inte…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42015/psn-pdf
    April 22, 2013 - Building a culture of safety through team training and engagement. April 22, 2013 Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. https://psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-enga…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43144/psn-pdf
    March 29, 2016 - Autopsy advocates. March 29, 2016 Clark C. HealthLeaders Media. April 11, 2014. https://psnet.ahrq.gov/issue/autopsy-advocates Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and enhance learning opportunities, this news article recommends that these initiatives int…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73617/psn-pdf
    August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It. August 18, 2021 Patient Safety Foundation. August 26, 2021. https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance response, engag…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40421/psn-pdf
    January 01, 2020 - Safe Surgery 2020. April 27, 2011 GE Foundation. info@safesurgery2020.org. https://psnet.ahrq.gov/issue/safe-surgery-2015 This Web site provides programmatic resources building on work to implement the World Health Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…
  12. digital.ahrq.gov/principal-investigator/mcculloch-michael
    January 01, 2023 - McCulloch, Michael Improving Pediatric Donor Heart Utilization with Predictive Analytics Description This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential…
  13. digital.ahrq.gov/principal-investigator/porter-michael
    January 01, 2023 - Porter, Michael Improving Pediatric Donor Heart Utilization with Predictive Analytics Description This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the potential fo…
  14. digital.ahrq.gov/principal-investigator/levit-katharine
    January 01, 2023 - Levit, Katharine Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data - 2010 Principal Investigator Levit, Katharine Project Name Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrat…
  15. digital.ahrq.gov/principal-investigator/iyer-kishore-r
    January 01, 2023 - Iyer, Kishore R. Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (mult…
  16. digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-and
    January 01, 2023 - AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research…
  17. digital.ahrq.gov/principal-investigator/abraham-olufunmilola
    January 01, 2023 - Abraham, Olufunmilola 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 Mo…
  18. digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/quantification
    January 01, 2023 - Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load. Citation Mosaly PR, Mazur LM, Marks L. Quantification of baseline pupillary response and task-evoked pupillary response during constant and incremental task load. Ergonomics.2017…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
    July 22, 2015 - Pennsylvania The IMPaCT grant in Pennsylvania expanded the Pennsylvania Spreading Primary Care Enhanced … from public health, mental health, social services, hospitals, and primary care, which resulted in enhanced … ; NCQA = National Committee for Quality Assurance; PA SPREAD = Pennsylvania Spreading Primary Care Enhanced
  20. www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
    July 22, 2015 - Pennsylvania The IMPaCT grant in Pennsylvania expanded the Pennsylvania Spreading Primary Care Enhanced … from public health, mental health, social services, hospitals, and primary care, which resulted in enhanced … ; NCQA = National Committee for Quality Assurance; PA SPREAD = Pennsylvania Spreading Primary Care Enhanced