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  1. psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
    February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic review. Citation Text: Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
    January 01, 2011 - Project Report - Lean Sigma Two More E’s and How to Spread Learning Objectives To think ahead about ways to make your investment of time and improvements in BSI rates last forever To make sure all patients in your institution have access to the same level of safety in their care Implementation Framework Al…
  3. www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s1-grant.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 S1: Developing a Dashboard To Help Clinical Teams Prioritize and Manage Vulnerable Patients Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting …
  4. www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Emerging Research Spotlights Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Ca…
  5. psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
    August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…
  6. www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/appendix-a.html
    October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary Appendix A: Meeting Agenda Previous Page Next Page Table of Contents Building State Cooperatives for Healthcare Improvement: Meeting Summary Introduction Meeting Sessions and Takeaways Appendix A: Meeting Agenda Appendix…
  7. psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
    June 09, 2010 - Review Classic Human factor in cardiac surgery: errors and near misses in a high technology medical domain. Citation Text: Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…
  8. psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
    January 18, 2013 - Study The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. Citation Text: Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…
  9. psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
    September 07, 2022 - Study Improving the specificity of drug-drug interaction alerts: can it be done? Citation Text: Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. Copy Cita…
  10. psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
    March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
  11. psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
    May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…
  12. psnet.ahrq.gov/issue/electronic-medication-reconciliation-tools-aimed-healthcare-professionals-support-medication
    December 02, 2020 - Review Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review. Citation Text: Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare pro…
  13. digital.ahrq.gov/principal-investigator/avidan-michael
    October 14, 2020 - Avidan, Michael Exploring patient perspectives on telemedicine monitoring within the operating room. Citation Abraham J, Meng A, Holzer KJ, Brawer L, Casarella A, Avidan M, Politi MC. Exploring patient perspectives on telemedicine monitoring within the operating room. Int J Me…
  14. digital.ahrq.gov/principal-investigator/melnick-edward
    January 01, 2023 - Melnick, Edward Clinical Decision Support for Mild Traumatic Brain Injury - Final Report Citation Melnick, E. Clinical Decision Support for Mild Traumatic Brain Injury - Final Report. (Prepared by Yale University under Grant No. K08 HS021271). Rockville, MD: Agency for Health…
  15. psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…
  16. psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
    November 18, 2020 - Review Nurse workarounds in the electronic health record: an integrative review. Citation Text: Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. Copy Cita…
  17. digital.ahrq.gov/sites/default/files/docs/citation/ddi-non-interruptive-alerts-poster-2013.pdf
    January 01, 2013 - 56 151 62 215 0 50 100 150 200 250 Niacins + Statins (Inpatient) Niacins + Statins (Outpatient) Alerts Overridden Alerts Generated U.S. System In the U.S. system, the Niacin + Statin interaction was triggered and overridden most often in both inpatient and outpatient systems. U.K. …
  18. www.ahrq.gov/cpi/about/organization/nac/nac-amd2000.html
    April 01, 2014 - Amendment to Charter National Advisory Council for Healthcare Research and Quality (Formerly the National Advisory Council for Health Care Policy, Research, and Evaluation) Purpose The Council is to advise the Secretary of HHS and the Director of the Agency for Healthcare Research and Quality (AHRQ), on mat…
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
    July 01, 2023 - Clinical Case Scenarios AHRQ Safety Program for Perinatal Care, Phase 2 The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scena…
  20. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/carayon-p-et
    January 01, 2023 - Carayon P et al. 2009 "Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff." Reference Carayon P, Smith P, Hundt AS, et al. Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff. Behaviour & Information…