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Showing results for "examining".

  1. Unertl KM et al. 2006 "Applying direct observation to model workflow and assess adoption." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2006
    January 01, 2006 - Unertl KM et al. 2006 "Applying direct observation to model workflow and assess adoption." Reference Unertl KM, Weinger MB, Johnson KB. Applying direct observation to model workflow and assess adoption. AMIA Annu Symp Proc 2006:794-798. [Link] Abstract "Lack of understanding about workflow c…

  2. Rollman BL et al. 2002 "A randomized trial using computerized decision support to improve treatment of major depression in primary care." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rollman-bl-et-al-2002
    January 01, 2002 - Rollman BL et al. 2002 "A randomized trial using computerized decision support to improve treatment of major depression in primary care." Reference Rollman BL, Hanusa BH, Lowe HJ, et al. A randomized trial using computerized decision support to improve treatment of major depression in primary care. J …

  3. Lobach DF et al. 1997 "Computerized decision support based on a clinical practice guideline improves compliance with care standards." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lobach-df-et-al-1997
    January 01, 1997 - Lobach DF et al. 1997 "Computerized decision support based on a clinical practice guideline improves compliance with care standards." Reference Lobach DF, Hammond WE. Computerized decision support based on a clinical practice guideline improves compliance with care standards. Am J Med 1997;102(1):89-9…

  4. Synthesizing Lessons Learned Using Health Information Technology - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/synthesizing-lessons-learned-using-health-information-technology/annual-summary/2010
    January 01, 2010 - Synthesizing Lessons Learned Using Health Information Technology - 2010 Project Name Synthesizing Lessons Learned Using Health Information Technology Principal Investigator Nemeth, Lynne Organization Medical University of South Carolina Funding Mechanism PAR: HS08-2…

  5. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…

  6. Relationship between state malpractice environment and quality of health care in the United States. | PSNet

    psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
    June 21, 2017 - Study Relationship between state malpractice environment and quality of health care in the United States. Citation Text: Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…

  7. CHIPRA 241: Section 1, Table 1 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-1-table-1.pdf
    June 02, 2025 - CHIPRA 241: Section 1, Table 1 Table 1: Codes to Identify Outpatient Care Visits Description CPT HCPCS ICD-9-CM Diagnosis Office or other outpatient services 99201-99205, 99211-99215, 99241-99245 Preventive medicine 99381-99385, 99391-99395, 99401-99404, 99411-99412, 99420, 99429 G0438, G0439 Ge…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34975/psn-pdf
    June 14, 2011 - Don't be fooled by the illusion of patient safety. June 14, 2011 Spath P. Don't be fooled by the illusion of patient safety. Hosp Peer Rev. 2005;30(5):69-71. https://psnet.ahrq.gov/issue/quality-cot-connection-dont-be-fooled-illusion-patient-safety The author examines the pros and cons of using root cause analysis …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857580/psn-pdf
    August 09, 2024 - Patient Safety Research Summaries. August 9, 2024 Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.  https://psnet.ahrq.gov/issue/patient-safety-research-summaries The application of evidence in real situations helps to embed innovation across systems and sustain care improvement. This col…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37380/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. Hosp Pharm. 2007;42(11):982-985. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19 This monthly commentary examines risks associated with mismanagement of IV tubing and ports, discusses a recent article regarding unintended conseque…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39492/psn-pdf
    May 05, 2010 - Use of information technology in medication reconciliation: a scoping review. May 5, 2010 Bassi J, Lau F, Bardal S. Use of information technology in medication reconciliation: a scoping review. Ann Pharmacother. 2010;44(5):885-97. doi:10.1345/aph.1M699. https://psnet.ahrq.gov/issue/use-information-technology-medic…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40087/psn-pdf
    December 15, 2010 - Managing patient access and flow in the emergency department to improve patient safety. December 15, 2010 PA-PSRS Patient Saf Advis. 2010;7:123-134.  https://psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient- safety This report examines how optimizing patient flow fro…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73548/psn-pdf
    July 27, 2021 - Diagnostic Errors in Primary Care. July 27, 2021 Betsy Lehman Center for Patient Safety. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care Case analysis provides important opportunities to highlight factors that culminate in diagnostic error. This website supports learning generated from the Primary-Care…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42427/psn-pdf
    July 17, 2013 - Residual anaesthesia drugs in intravenous lines—a silent threat? July 17, 2013 Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. https://psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42331/psn-pdf
    June 05, 2013 - Using the ABCs of situational awareness for patient safety. June 5, 2013 Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety This commentary exa…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33957/psn-pdf
    February 05, 2018 - State Patient Safety Centers: A New Approach to Promote Patient Safety. February 5, 2018 Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004. https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety Six states have enacted legislation to su…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38382/psn-pdf
    September 26, 2016 - Interruptions and blood transfusion checks: lessons from the simulated operating room. September 26, 2016 Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0b013e31818e841a. https://psne…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41486/psn-pdf
    November 21, 2016 - Guide to Patient and Family Engagement: Environmental Scan Report. November 21, 2016 Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0042-EF. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environm…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42543/psn-pdf
    September 29, 2017 - Advancing the research agenda for diagnostic error reduction. September 29, 2017 Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47594/psn-pdf
    March 17, 2023 - Prevention of perioperative medication errors. March 17, 2023 Nanji K. UpToDate. March 7, 2023. https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors Perioperative adverse drug events are common and understudied. This review examines factors that contribute to adverse drug events in the surgical …
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