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6461. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
      January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What is Patient Safety Culture? Organization 13 What are the SOPS Surveys? • Surveys of providers and st…

6462. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. | PSNet
      psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
      November 16, 2022 - Study Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Citation Text: Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…

6463. Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. | PSNet
      psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
      August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…

6464. Patient risk factors for medical injury: a case–control study. | PSNet
      psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
      April 12, 2011 - Study Patient risk factors for medical injury: a case–control study. Citation Text: Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. Copy Citation Format: …

6465. Pain as the neglected patient safety concern: five years on. | PSNet
      psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
      July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

6466. Artificial intelligence in health care: accountability and safety. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
      December 20, 2023 - Commentary Classic Artificial intelligence in health care: accountability and safety. Citation Text: Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…

6467. AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix D (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-d.pdf
      June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix D D-1 Appendix D: The Importance of Sample Size To conduct an effective and efficient study, it is important to calculate an appropriate sample size. Sample size determines resource requirements and the relevance of findings. If a sample…

6468. Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. | PSNet
      psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
      March 03, 2021 - Review Emerging Classic Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. Citation Text: Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for…

6469. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
      April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

6470. Modes of failure in venous thromboembolism prophylaxis. | PSNet
      psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
      October 19, 2022 - Study Modes of failure in venous thromboembolism prophylaxis. Citation Text: Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. Copy Citation Format: DOI Google Scholar…

6471. Transitions in Care | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/transitions-care
      January 01, 2023 - Transitions in Care Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery Description This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that…

6472. A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/roadmap-research-international-summit-innovation-and-technology-care-older
      March 31, 2025 - A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Project Description By harnessing the knowledge and skills of a diverse assembly of global experts in Long-Term Post-Acute Care (LTPAC) at a single conference, it is…

6473. Simpson, Kit N. | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/simpson-kit-n
      January 01, 2024 - Simpson, Kit N. Patient perceptions of audio-only versus video telehealth visits: A qualitative study among patients in an academic medical center setting. Citation Kruis R, Brown EA, Johnson J, Simpson KN, McElligott J, Harvey J. Patient perceptions of audio-only versus video…

6474. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/tools/index.html
      June 01, 2025 - Tools To Improve Diagnostic Safety AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…

6475. Expert consensus on currently accepted measures of harm. | PSNet
      psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
      January 25, 2023 - Commentary Expert consensus on currently accepted measures of harm. Citation Text: Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. Copy Citation Format: …

6476. Medicaid markets and pediatric patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
      August 02, 2012 - Study Medicaid markets and pediatric patient safety in hospitals. Citation Text: Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

6477. Jerome RN et al. 2008 "Exploring clinician adoption of a novel evidence request feature in an electronic medical record system." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jerome-rn-et-al-2008
      January 01, 2008 - Jerome RN et al. 2008 "Exploring clinician adoption of a novel evidence request feature in an electronic medical record system." Reference Jerome RN, Giuse NB, Rosenbloom ST, et al. Exploring clinician adoption of a novel evidence request feature in an electronic medical record system. J Med Libr Asso…

6478. Improving team members' attention during the OR briefing or time out. | PSNet
      psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
      November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

6479. Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care/annual-summary/2011
      January 01, 2011 - Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - 2011 Project Name Barriers and Facilitators to Implementation and Adoption of EHR in Home Care Principal Investigator Sockolow, Paulina Organization Drexel University Funding Mechanism PA…

6480. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
      April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…