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digital.ahrq.gov/ahrq-funded-projects/mobile-app-enhance-smoking-cessation-shared-decision-making-primary-care/citation/challenges
January 01, 2023 - Challenges in the development of e-Quit worRx: an iPad app for smoking cessation counseling and shared decision making in primary care.
Citation
Doarn CR, Vonder Meulen MB, Pallerla H, Acquavita SP, Regan S, Elder N, Tubb MR. Challenges in the development of e-Quit worRx: an iPad app for smoking cess…
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digital.ahrq.gov/organization/university-kentucky
January 01, 2023 - University of Kentucky
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 M…
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psnet.ahrq.gov/node/73971/psn-pdf
October 13, 2021 - Safety culture as a patient safety practice for alarm
fatigue.
October 13, 2021
Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA.
2021;326(12):1207-1208. doi:10.1001/jama.2021.8316.
https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
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psnet.ahrq.gov/node/74166/psn-pdf
March 14, 2022 - Preventing home medication administration errors.
March 14, 2022
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics.
2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
Children with comp…
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psnet.ahrq.gov/node/60672/psn-pdf
July 08, 2020 - The Care We Need
July 8, 2020
Washington DC: National Quality Forum; 2020.
https://psnet.ahrq.gov/issue/care-we-need
This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach
to improve the US health care system. Five strategic objectives are provided--one of which f…
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psnet.ahrq.gov/node/43334/psn-pdf
July 16, 2014 - Changing our culture: adopting the military aviation
safety system.
July 16, 2014
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg.
2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…
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effectivehealthcare.ahrq.gov/sites/default/files/ebc_challenge_final_submission_planning_worksheet1.pdf
October 08, 2025 - AcademyHealth REACH Challenge Worksheet:
AHRQ EBC Challenge Worksheet:
Steps for Developing a Strong Project Submission
So you have an idea for the EBC challenge, but how do you go from big-picture concept
to focused idea? What are the essential components of a submission that will convey
your idea and…
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psnet.ahrq.gov/node/846163/psn-pdf
March 15, 2023 - Using A.I. to detect breast cancer that doctors miss.
March 15, 2023
Satariano A, Metz C. New York Times. March 5, 2023.
https://psnet.ahrq.gov/issue/using-ai-detect-breast-cancer-doctors-miss
Artificial intelligence (AI) is an innovation that represents great promise for diagnostic accuracy and
timeliness im…
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psnet.ahrq.gov/node/73255/psn-pdf
May 12, 2021 - Implementing High-Quality Primary Care: Rebuilding the
Foundation of Health Care.
May 12, 2021
National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National
Academies Press.
https://psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
Primary…
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psnet.ahrq.gov/node/44281/psn-pdf
July 22, 2015 - Surgeon Scorecard.
July 22, 2015
Wei S; Allen M; Pierce O.
https://psnet.ahrq.gov/issue/surgeon-scorecard
Transparency has been advocated as a key element of safe, patient-centered care, but data on individual
performance has not been made widely available. This database compiles the death and complication
rates …
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psnet.ahrq.gov/node/43778/psn-pdf
April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph,
but call him Joe.
April 22, 2015
Sun LH.
https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe
This newspaper article reports on a pilot program which involved redesigning intensive care unit processes
to enhance staff knowled…
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psnet.ahrq.gov/node/60695/psn-pdf
July 15, 2020 - The coronavirus pandemic’s wider health-care crisis.
July 15, 2020
Khullar D. The coronavirus pandemic’s wider health-care crisis. New Yorker. 2020;Jun 29.
https://psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis
The COVID-19 crisis has disrupted care delivery around the globe. This story discuss…
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psnet.ahrq.gov/node/44200/psn-pdf
February 18, 2019 - Structured handover in general surgery: an audit of
current practice.
February 18, 2019
Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J
Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201.
https://psnet.ahrq.gov/issue/structured-handover-general-…
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psnet.ahrq.gov/node/60192/psn-pdf
April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic
Health Records.
April 1, 2020
Philadelphia, PA: Pew Charitable Trusts; March 2020.
https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
Electronic health records both enhance and challenge the safety of care proce…
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psnet.ahrq.gov/node/46414/psn-pdf
January 10, 2018 - Leveraging the electronic health record to improve quality
and safety in rheumatology.
January 10, 2018
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in
rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4.
https://psnet.ahrq.gov/issue/lev…
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psnet.ahrq.gov/node/844792/psn-pdf
January 01, 2020 - Surgical data recording technology: a solution to address
medical errors?
September 18, 2019
Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433.
doi:10.1097/sla.0000000000003510.
https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…
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psnet.ahrq.gov/node/46104/psn-pdf
May 03, 2017 - Secret data on hospital inspections may soon become
public.
May 3, 2017
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
Summary data about serious errors in hospitals are available, but often detail…
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psnet.ahrq.gov/node/44990/psn-pdf
July 11, 2017 - Automatic errors: a case series on the errors inherent in
electronic prescribing.
July 11, 2017
Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic
Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-5.
https://psnet.ahrq.gov/issue/automat…
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psnet.ahrq.gov/node/48167/psn-pdf
August 28, 2019 - ASHP guidelines on perioperative pharmacy services.
August 28, 2019
Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J
Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073.
https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
Pharm…
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psnet.ahrq.gov/node/46810/psn-pdf
April 18, 2018 - Unintended doses in radiotherapy—over, under and
outside?
April 18, 2018
Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J
Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863.
https://psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside…