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digital.ahrq.gov/funding-mechanism/understanding-clinical-information-needs-and-health-care-decision-making-processes
January 01, 2023 - Understanding Clinical Information Needs and Health Care Decision Making Processes in the Context of Health IT (R01)
How 6 organizations developed tools and processes for social determinants of health screening in primary care: an overview.
Citation
LaForge K, Gold R, Cottrell…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tolar-m
January 01, 2023 - Tolar M, Balka E. "Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting."
Reference
Tolar M, Balka E. Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting. Int J Med Inform…
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2011
January 01, 2011 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2011
Project Name
Technology for Optimizing Population Care in a Resource-Limited Environment
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mech…
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www.ahrq.gov/sites/default/files/2025-02/umoren-report.pdf
January 01, 2025 - Outcomes
In addition to the enhanced understanding of the neonatal transport process and workflows, during … Enhanced Efficiency in
Pediatric Interfacility Transport Through a Centralized Hospital System Communication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - dispatch, NASA
Space Center) have found many of these same fundamentals in place.40 Features that enhanced
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psnet.ahrq.gov/node/43684/psn-pdf
November 26, 2014 - Rapid response systems.
November 26, 2014
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
https://psnet.ahrq.gov/issue/rapid-response-systems
Rapid response systems have been widely accepted as a method to improve outcomes of hospitalized
patients demonstrating signs of rapid d…
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digital.ahrq.gov/ahrq-funded-projects/developing-interactive-patient-centered-mhealth-tool-enhance-post-cystectomy/citation/impairment
January 01, 2023 - Impairment and longitudinal recovery of older adults treated with radical cystectomy for muscle invasive bladder cancer.
Citation
Osterman CK, Deal AM, McCloskey H, Nyrop KA, Bjurlin MA, Tan HJ, Nielsen ME, Milowsky MI, Muss HB, Smith AB. Impairment and longitudinal recovery of older adults treated wi…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/how
January 01, 2023 - How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.
Citation
Salazar A, Karmiy SJ, Forsythe KJ, Amato MG, Wright A, Lai KH, Lambert BL, Liebovitz DM, Eguale T, Volk LA, Schiff GD. How often do prescribers include indications in drug orders? Anal…
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psnet.ahrq.gov/node/44623/psn-pdf
November 11, 2015 - Quality, Safety, and Noninterpretive Skills.
November 11, 2015
Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848.
https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm
for provide…
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psnet.ahrq.gov/node/836868/psn-pdf
April 06, 2022 - HEAR Her Concerns.
April 6, 2022
National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health;
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/hear-her-concerns
Maternal harm during and after pregnancy is a sentinel event. This campaign encoura…
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psnet.ahrq.gov/node/48170/psn-pdf
July 31, 2019 - Developing resilience to combat nurse burnout.
July 31, 2019
Quick Safety. July 15, 2019;(50):1-4.
https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem
. Recommendations focus on the role …
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psnet.ahrq.gov/node/44467/psn-pdf
February 20, 2016 - The underappreciated role of habit in highly reliable
healthcare.
February 20, 2016
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf.
2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
https://psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-health…
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digital.ahrq.gov/organization/university-cincinnati
January 01, 2023 - University of Cincinnati
A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care
Description
This project developed and tested a tablet-based decision aid to assist primary care providers in applying patient-reported outcomes to smoking cessation and f…
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www.ahrq.gov/topics/quality-improvement.html
Topic: Quality Improvement
Quality improvement (QI) is essential to achieving the triple aim of improving the health of the population, enhancing patient experiences and outcomes, and reducing the per capita cost of care, and to improving provider experience.
Challenges a…
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psnet.ahrq.gov/node/50377/psn-pdf
September 25, 2019 - Unleash the power of patients to make care safer around
the world: an essay by Helen Haskell.
September 25, 2019
Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell.
BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565.
https://psnet.ahrq.gov/issue/unleash-power-patients-m…
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psnet.ahrq.gov/node/42988/psn-pdf
March 05, 2014 - Between surveillance and subjectification: professionals
and the governance of quality and patient safety in
English hospitals.
March 5, 2014
Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the
governance of quality and patient safety in English hospitals. Soc Sci …
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psnet.ahrq.gov/node/33944/psn-pdf
January 29, 2018 - National Patient Safety Foundation.
January 29, 2018
National Patient Safety Foundation.
https://psnet.ahrq.gov/issue/national-patient-safety-foundation
Founded in 1997, the National Patient Safety Foundation supported a variety of initiatives, engaging
multidisciplinary action toward improvement in patient safety…
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psnet.ahrq.gov/node/46177/psn-pdf
March 09, 2018 - Diagnosis: Interpreting the Shadows.
March 9, 2018
Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333.
https://psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
Efforts to enhance the reliability of the diagnostic process must take various elements into consideration.
…
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psnet.ahrq.gov/node/47569/psn-pdf
April 10, 2019 - The computerized ECG: friend and foe.
April 10, 2019
Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160.
doi:10.1016/j.amjmed.2018.08.025.
https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
Misinterpretations of critical tests can lead to diagnostic delays and patient harm. Th…
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psnet.ahrq.gov/node/39085/psn-pdf
November 11, 2009 - Integrating ethics and patient safety: the role of clinical
ethics consultants in quality improvement.
November 11, 2009
Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics
consultants in quality improvement. J Clin Ethics. 2009;20(3):220-6.
https://psnet.ah…