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  1. digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/annual-summary/2011
    January 01, 2011 - Improving Guideline Development and Implementation - 2011 Project Name Improving Guideline Development and Implementation Principal Investigator Shiffman, Richard N. Organization Yale University Contract Number 09-587F-07 Project Period September 2006 - Febr…
  2. psnet.ahrq.gov/issue/electronic-prescription-writing-errors-pediatric-emergency-department
    November 16, 2022 - Study Electronic prescription writing errors in the pediatric emergency department. Citation Text: Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. Copy Citation …
  3. digital.ahrq.gov/principal-investigator/payne-thomas-h
    February 07, 2017 - Payne, Thomas H. A randomized trial of voice-generated inpatient progress notes: Effects on professional fee billing. Citation White AA, Lee T, Garrison MM, Payne TH. A randomized trial of voice-generated inpatient progress notes: Effects on professional fee billing. Appl Cli…
  4. psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
    December 02, 2020 - Study Implementation of an electronic system for medication reconciliation. Citation Text: Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. Copy Citati…
  5. psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
    April 08, 2011 - Study Classic Surgical team behaviors and patient outcomes. Citation Text: Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. Copy Citation Format: …
  6. psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
    June 23, 2021 - Review An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Citation Text: Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…
  7. psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
    July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…
  8. psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
    August 14, 2018 - Study Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. Citation Text: Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…
  9. psnet.ahrq.gov/issue/surgical-never-events-united-states
    September 10, 2014 - Study Surgical never events in the United States. Citation Text: Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  10. psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…
  11. psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
    May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…
  12. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hunt-dl-et-al-1998
    January 01, 1998 - Hunt DL et al. 1998 "Effects of computer-based clinical decision support systems on physician performance and patient outcomes - a systematic review." Reference Hunt DL, Haynes RB, Hanna SE, et al. Effects of computer-based clinical decision support systems on physician performance and patient outcome…
  13. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chaudhry-b-et-al-2006
    January 01, 2006 - Chaudhry B et al. 2006 "Systematic review: impact of health information technology on quality, efficiency, and costs of medical care." Reference Chaudhry B, Wang J, Wu SY, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Me…
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Pre-Op Surgical Decolonization Protocol for Staff: Bathing With 2 Percent Chlorhexidine No-Rinse Cloths Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries The following protocol details the process for performing skin decol…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/048-talking-points-patients-chg-bathing.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Talking Points for Patients: Chlorhexidine Bathing Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ Patients may have questions regarding chlorhexidine (CHG) bathing to prevent surgical site infections (SSI). B…
  16. psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
    November 12, 2014 - Study Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. Citation Text: Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…
  17. psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
    July 16, 2015 - Study Sharing lessons learned to prevent incorrect surgery. Citation Text: Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
  18. psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
    October 19, 2022 - Study Effect of genetic diagnosis on patients with previously undiagnosed disease. Citation Text: Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. Copy…
  19. psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization
    January 22, 2017 - Study Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. Citation Text: Watts RG, Parsons K. Chemotherapy medication errors in a pe…
  20. psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
    January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…