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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
January 01, 2023 - Tennessee
Project Overview | Data and Functionality | Technical Design and Architecture
Project Overview
MidSouth eHealth Alliance (MSeHA) is a non-profit organization that seeks to improve the health care system of Tennessee by focusing on health care quality, safety, and effici…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study."
Reference
Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…
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digital.ahrq.gov/principal-investigator/senathirajah-yalini
October 19, 2021 - Senathirajah, Yalini
Comparing responses to COVID-19 across institutions: Conceptualization of an emergency response maturity model.
Citation
Senathirajah Y, Kaufman D, Borycki E, Kushniruk A, Cato K. Comparing Responses to COVID-19 Across Institutions: Conceptualization of an…
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Study
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.
Citation Text:
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
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digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit
January 01, 2023 - Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants
A hospital-randomized controlled trial of an educational quality improvement intervention in rural and small community hospitals in Texas following implementation of information technology.
…
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psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
January 01, 2022 - Study
Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit.
Citation Text:
Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…
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psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes
June 21, 2016 - Study
Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency.
Citation Text:
Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…
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digital.ahrq.gov/principal-investigator/ponto-kevin
January 01, 2023 - Ponto, Kevin
Using virtual reality to study health in the home.
Citation
Tredinnick, R., Casper, G., Arnott-Smith, C., Peer, A., & Ponto, K. (2018). Using virtual reality to study health in the home. IEEE-VR 2018 Workshop Proceedings.
Principal Investigator
Ponto, Ke…
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psnet.ahrq.gov/issue/we-want-know-mixed-methods-evaluation-comprehensive-program-designed-detect-and-address
October 17, 2018 - Study
We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care.
Citation Text:
Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detec…
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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…
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psnet.ahrq.gov/issue/impact-sars-cov-2-hospital-acquired-infection-rates-united-states-predictions-and-early
August 15, 2012 - Study
Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.
Citation Text:
McMullen KM, Smith BA, Rebmann T. Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. Am J Infect…
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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - Study
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Citation Text:
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…
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psnet.ahrq.gov/issue/missing-diagnoses-during-covid-19-pandemic-year-review
December 23, 2020 - Commentary
Missing diagnoses during the COVID-19 pandemic: a year in review.
Citation Text:
Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335. …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/06-pfe-planning-evaluation.pdf
August 01, 2021 - Evaluation Planning Tool
Evaluation Planning Tool
Toolkit for Engaging Patients
To Improve Diagnostic Safety
After you implement the Be The Expert On You note sheet and the 60 Seconds To Improve Diagnostic Safety,
you will need to evaluate the interventions’ impact. You can use this Evaluation Planning Worksheet…
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psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
January 08, 2020 - Study
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.
Citation Text:
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses a…
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www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - in to help best, and come together to get the
work done."
9
Reputation, composed of previous experiences … Positive clinical experiences among providers from
different disciplines could demonstrate expertise
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - A study of resident experiences and perceptions before and after hours reductions.
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients.