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  1. digital.ahrq.gov/ahrq-funded-projects/rural-health-information-technology-cooperative-promote-clinical-improvement
    January 01, 2023 - A Rural Health Information Technology Cooperative to Promote Clinical Improvement Project Final Report ( PDF , 203.76 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
  2. psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
    June 02, 2021 - Study Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. Citation Text: Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and …
  3. psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
    August 17, 2016 - Review A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. Citation Text: Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…
  4. psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered
    September 02, 2020 - Study Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. Citation Text: Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…
  5. psnet.ahrq.gov/issue/rapid-expansion-healing-emotional-lives-peers-program-during-covid-19-second-victim-peer
    June 05, 2024 - Study Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. Citation Text: Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers program during …
  6. digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
    January 01, 2011 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011 Project Name Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System Principal Investigator Levick, Donald Organization Lehigh Valley Hospital Funding Mechanism PAR: HS08-270:…
  7. psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
    February 16, 2022 - Study Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…
  8. psnet.ahrq.gov/issue/effectiveness-communication-interventions-obstetrics-systematic-review
    April 13, 2022 - Review Effectiveness of communication interventions in obstetrics--a systematic review. Citation Text: Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ije…
  9. psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
    January 15, 2014 - Study Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…
  10. psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
    June 28, 2017 - Study Patient, physician, medical assistant, and office visit factors associated with medication list agreement. Citation Text: Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2…
  11. psnet.ahrq.gov/issue/use-temporary-nurses-and-nurse-and-patient-safety-outcomes-acute-care-hospital-units
    March 24, 2021 - Study Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Citation Text: Bae S-H, Mark BA, Fried B. Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. Health Care Manage Rev. 2010;35(4):333-344. doi:10.109…
  12. psnet.ahrq.gov/issue/using-targeted-solutions-toolr-improve-emergency-department-handoffs-community-hospital
    April 13, 2022 - Study Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. Citation Text: Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2…
  13. psnet.ahrq.gov/issue/outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events
    July 31, 2017 - Study Emerging Classic Outpatient opioid prescriptions for children and opioid-related adverse events. Citation Text: Chung CP, Callahan T, Cooper WO, et al. Outpatient Opioid Prescriptions for Children and Opioid-Related Adverse Events. Pediatrics. 2018;142(2):…
  14. psnet.ahrq.gov/issue/quantifying-burden-opioid-medication-errors-adult-oncology-and-palliative-care-settings
    May 22, 2019 - Review Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. Citation Text: Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic…
  15. psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
    October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42798/psn-pdf
    June 17, 2014 - The concept of shared mental models in healthcare collaboration. June 17, 2014 McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307. https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration This conce…
  17. www.ahrq.gov/prevention/clinician/ahrq-works/index.html
    July 01, 2017 - AHRQ Works This series of documents provide examples of how AHRQ's research-backed tools are being used in practice. AHRQ Works: Building Bridges Between Research and Practice Provides examples of how AHRQ is building the bridge between research and practice to:  Keep patients safe. Help doctors and n…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40053/psn-pdf
    December 01, 2010 - Medical malpractice liability in the age of electronic health records. December 1, 2010 Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210. https://psnet.ahrq.gov/issue/medical-malpractice-liabili…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39901/psn-pdf
    January 19, 2011 - Barriers to reporting medication errors: a measurement equivalence perspective. January 19, 2011 Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534. https://psnet.ahrq.gov/issue/barriers-re…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37319/psn-pdf
    January 05, 2012 - Winning the battle for standardization. January 5, 2012 Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag Technol. 2007;28(10):34-37. https://psnet.ahrq.gov/iss…