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4101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43281/psn-pdf
      May 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m…

4102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47482/psn-pdf
      December 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof…

4103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44257/psn-pdf
      November 06, 2015 - A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. November 6, 2015 Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…

4104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45013/psn-pdf
      April 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…

4105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43277/psn-pdf
      June 18, 2014 - The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. June 18, 2014 Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014;32(6):343-8. doi:10.1097/NHH.0000000000…

4106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46133/psn-pdf
      May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…

4107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44063/psn-pdf
      June 01, 2016 - Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. June 1, 2016 Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospective Cohort Study. J Gen Intern Me…

4108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43799/psn-pdf
      January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…

4109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46290/psn-pdf
      January 01, 2021 - Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. August 2, 2017 Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…

4110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47249/psn-pdf
      July 25, 2018 - Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. July 25, 2018 ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4. https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored- improve-safety Smart pump…

4111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45432/psn-pdf
      September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…

4112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44166/psn-pdf
      October 13, 2015 - Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. October 13, 2015 Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based Triggers to Detect Delays in Follow-up of Abnormal Lung Imagin…

4113. Slide 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_recruiting.pdf
      October 08, 2025 - Slide 1 Recruiting/Selecting Participants Susan Dorr Goold, MD, MHSA, MA Professor of Internal Medicine and Health Management and Policy University of Michigan 1 Alternatives to Random Sampling • Substantive representation – Based on extent to which groups affected by decision at issue …

4114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867693/psn-pdf
      March 05, 2025 - Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. March 5, 2025 Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future di…

4115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42503/psn-pdf
      September 18, 2013 - The patient is in: patient involvement strategies for diagnostic error mitigation. September 18, 2013 McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623. https://psnet.ahrq.gov/i…

4116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47175/psn-pdf
      July 19, 2018 - Resolving the productivity paradox of health information technology: a time for optimism. July 19, 2018 Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605. https://psnet.ahrq.gov/issue/resolving-product…

4117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42932/psn-pdf
      December 30, 2014 - SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. December 30, 2014 Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreases incident reports due to com…

4118. University of Southern Mississippi | Digital Healthcare Research
      digital.ahrq.gov/organization/university-southern-mississippi
      January 01, 2023 - University of Southern Mississippi Creating Online Newborn Intensive Care Unit (NICU) Networks to Educate, Consult & Team - 2009 Principal Investigator Rachal, Valerie Project Name Creating Online Newborn Intensive Care Unit (NICU) Networks to Educate, Consult & …

4119. Rachal, Valerie | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/rachal-valerie
      January 01, 2023 - Rachal, Valerie Creating Online Newborn Intensive Care Unit (NICU) Networks to Educate, Consult & Team - Final Report Citation Rachal V. Creating Online Newborn Intensive Care Unit (NICU) Networks to Educate, Consult & Team - Final Report. (Prepared by University of Southern …

4120. Competitive Revision Supplements to Existing AHRQ Health Service Research (HSR) Grants and Cooperative Agreements to Evaluate Health System and Healthcare Professional Responsiveness to COVID-19 | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/competitive-revision-supplements-existing-ahrq-health-service-research-hsr-grants
      January 01, 2023 - Competitive Revision Supplements to Existing AHRQ Health Service Research (HSR) Grants and Cooperative Agreements to Evaluate Health System and Healthcare Professional Responsiveness to COVID-19 Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System …