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  1. psnet.ahrq.gov/issue/evaluating-accuracy-electronic-pediatric-drug-dosing-rules
    May 08, 2017 - Study Evaluating the accuracy of electronic pediatric drug dosing rules. Citation Text: Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793. Copy Citation For…
  2. psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
    November 18, 2009 - Review Errors in cancer diagnosis: current understanding and future directions. Citation Text: Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. Copy Citation Format: Google Schola…
  3. psnet.ahrq.gov/issue/eight-human-factors-and-ergonomics-principles-healthcare-artificial-intelligence
    May 13, 2020 - Commentary Eight human factors and ergonomics principles for healthcare artificial intelligence. Citation Text: Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-…
  4. digital.ahrq.gov/ahrq-funded-projects/randomized-clinical-trial-smartphone-virtual-reality-pain-management-during
    January 01, 2024 - A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition Project Description Publications The use of a virtual reality app has the potential to be a cost-effective way to alleviate pain, reduce the need for opioids, and imp…
  5. psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
    March 23, 2022 - Study The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. Citation Text: Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…
  6. psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error
    January 16, 2019 - Commentary Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. Citation Text: Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…
  7. digital.ahrq.gov/ahrq-funded-projects/annual-conference-health-it-analytics-2021-2023
    January 01, 2023 - Annual Conferences on Health IT & Analytics 2021-2023 Project Final Report ( PDF , 2.51 MB) 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 represent the views of AHRQ. No …
  8. digital.ahrq.gov/health-care-theme/care-coordination
    January 01, 2023 - Care Coordination 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 s…
  9. www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
    January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI) Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses…
  10. psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
    September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation methods. Citation Text: McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10…
  11. psnet.ahrq.gov/issue/american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate
    August 16, 2023 - Organizational Policy/Guidelines Classic American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…
  12. psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
    June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …
  13. psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
    February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…
  14. psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
    June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
  15. psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
    October 10, 2018 - Study Medication reconciliation for reducing drug-discrepancy adverse events. Citation Text: Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
    March 17, 2021 - Commentary Ethical dilemma in missed melanoma: what to tell the patient and other providers. Citation Text: Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
  17. psnet.ahrq.gov/issue/natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
    January 03, 2017 - Study The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Healt…
  18. psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality
    October 26, 2010 - Review The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. Citation Text: Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related qu…
  19. psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings
    July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …
  20. psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
    May 11, 2019 - Commentary Improving safety and quality of care with enhanced teamwork through operating room briefings. Citation Text: Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…