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  1. State of science: human factors and ergonomics in healthcare. | PSNet

    psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
    April 01, 2015 - Commentary State of science: human factors and ergonomics in healthcare. Citation Text: Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932. Copy Citation Format: …

  2. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet

    psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
    May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

  3. Nedsbrochure 050218 (pdf file)

    hcup-us.ahrq.gov/news/exhibit_booth/NEDSBrochure_050218.pdf
    May 16, 2018 - What is the NEDS? The Nationwide Emergency Department Sample (NEDS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NEDS produces national estimates about emergency department visits across the country. The NEDS describes emergency department v…

  4. Mann, Devin M | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/mann-devin-m
    January 01, 2023 - Mann, Devin M Opening the black box of an mHealth patient-reported outcome tool for diabetes self-management: Interview study among patients with type 2 diabetes. Citation Marini C, Cruz J, Payano L, Flores RP, Arena GM, Mandal S, Leven E, Mann D, Schoenthaler A. Opening the B…

  5. Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/virtual-pharmacy-improves-medication-use-and-patient-safety-palliative-care
    January 01, 2023 - Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Leveraging Telehealth to Improve Health Systems Including virtual pharmacists in palliative care teams can reduce adverse drug interactions a…

  6. Understanding and preventing vaccination errors. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
    April 15, 2016 - Study Understanding and preventing vaccination errors. Citation Text: Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. Copy Citation Format: DOI Google Scholar BibTeX…

  7. The ongoing quality improvement journey: next stop, high reliability. | PSNet

    psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
    January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…

  8. Tools & Resources for Decolonization | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/tools-resources-decolonization.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Tools & Resources for Decolonization Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization …

  9. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet

    psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
    September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

  10. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
    February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…

  11. Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

    psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
    January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

  12. Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
    March 02, 2011 - Study Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. Citation Text: Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…

  13. To do no harm - and the most good - with AI in health care. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
    March 19, 2019 - Commentary To do no harm - and the most good - with AI in health care. Citation Text: Goldberg CB, Adams L, Blumenthal D, et al. To do no harm - and the most good - with AI in health care. NEJM AI. 2024;1(3). doi:10.1056/aip2400036. Copy Citation Format: DOI Google Scholar …

  14. Governing the safety of artificial intelligence in healthcare. | PSNet

    psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
    February 28, 2024 - Review Emerging Classic Governing the safety of artificial intelligence in healthcare. Citation Text: Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484. Copy Citation Fo…

  15. Administrative System | Digital Healthcare Research

    digital.ahrq.gov/technology/administrative-system
    January 01, 2023 - Administrative System Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how …

  16. AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet

    psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
    May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

  17. What is accountability in health care? | PSNet

    psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  18. Pediatric Rules and Reminders | Digital Healthcare Research

    digital.ahrq.gov/pediatric-rules-and-reminders
    January 01, 2023 - Pediatric Rules and Reminders Executive Summary Reminders are elements of clinical decision support (CDS) that can be an effective mechanism for improving adherence to clinical guidelines.  Greater adherence can lead to improved health care quality and safety, especially for …

  19. Support methods for healthcare professionals who are second victims: an integrative review. | PSNet

    psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
    April 27, 2022 - Review Support methods for healthcare professionals who are second victims: an integrative review. Citation Text: Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.  Copy Cit…

  20. Adverse Events | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/adverse-events
    January 01, 2023 - Adverse Events Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions Description This research will implement, evaluate, and disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm …
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