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  1. digital.ahrq.gov/ahrq-funded-projects/school-based-tele-physiatry-assistance-rehabilitative-and-therapeutic-services/citation/physician
    January 01, 2024 - Parent, physician, and therapist experience of in-person, hybrid, and all-virtual models of physiatry care for children with special healthcare needs. Citation Haynes SC, Davidson L, Tancredi DJ, Burns RD, Garrison SL, Marcin JP. Parent, physician, and therapist experience of in-person, hybrid, and al…
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/action-planning-tool-infographic-sops.pdf
    March 01, 2024 - Surveys on Patient Safety Culture Action Planning Steps ACTION PLANNING FOR THE SOPS SURVEYS The AHRQ Surveys on Patient Safety Culture® (SOPS®) Action Planning Tool consists of a three-step process to guide teams as they work to improve patient safety culture. 1 Identify Areas To Improve • What areas do you…
  3. www.ahrq.gov/cpi/about/organization/nac/levy.html
    February 01, 2025 - NAC Member Biography: Cari Levy Cari Levy, M.D., Ph.D., CMD Goodstein Professor of Medicine Division Head, Geriatric Medicine Director, Multidisciplinary Center on Aging Department of Medicine, University of Colorado School of Medicine Cari Levy, M.D., Ph.D., CMD , is a professor of medicine at the University o…
  4. www.ahrq.gov/action-alliance/webinars/teamwork-ptsafety-norms.html
    April 01, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) This webinar was the second of a three-part series on Safety Culture in Healthcare. On March 18 at 12:00 PM ET, presenters discussed how to improve teamwork in healthcare settings using Tea…
  5. digital.ahrq.gov/ahrq-funded-projects/direct-patient-alert-glycated-hemoglobin-screening-using-prediction-modeling/final-report
    January 01, 2023 - A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth) - Final Report Citation Wells B. A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth) - Final Report. (Prepared by the Wake For…
  6. digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health/final-report
    January 01, 2023 - Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record - Final Report Citation Zhou L. Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record - Final Report. (Prepared by Mass General Brigham (Partners HealthCare System) un…
  7. digital.ahrq.gov/location/usa-il-evanston
    January 01, 2023 - USA, IL, Evanston Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems Description This research implemented indication alerts, which occur when an ordered or prescribed medication lacks a corresponding problem on the patient’s problem list. Th…
  8. digital.ahrq.gov/ahrq-funded-projects/expansion-implementation-evaluation-electronic-health-record-integrated-patient/citation/implementation
    January 01, 2023 - Implementation and feasibility of an electronic health record-integrated patient-reported outcomes symptom and needs monitoring pilot in ambulatory oncology. Citation Penedo FJ, Medina HN, Moreno PI, Sookdeo V, Natori A, Boland C, Schlumbrecht MP, Calfa C, MacIntyre J, Crane TE, Garcia SF. Implementat…
  9. digital.ahrq.gov/ahrq-funded-projects/expansion-implementation-evaluation-electronic-health-record-integrated-patient/final-report
    January 01, 2023 - Expansion, Implementation, and Evaluation of Electronic Health Record-Integrated Patient-Reported Symptom Screening in a Comprehensive Cancer Center – Final Report Citation Garcia S., Penedo F. Expansion, Implementation, and Evaluation of Electronic Health Record-Integrated Patient-Reported Symptom Sc…
  10. psnet.ahrq.gov/taxonomy/term/3440
    April 10, 2025 - Situational Awareness Situational awareness refers to the degree to which one's perception of a situation matches reality. In the context of crisis management, where the phrase is most often used, situational awareness includes awareness of fatigue and stress among team members (including oneself), environmental thre…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46020/psn-pdf
    July 21, 2017 - Towards high-reliability organising in healthcare: a strategy for building organisational capacity. July 21, 2017 Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(8):663-670. doi:10.1136/bmjqs-2016-00624…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60992/psn-pdf
    October 14, 2020 - Another medical malpractice crisis?: Try something different. October 14, 2020 Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. https://psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73969/psn-pdf
    October 26, 2021 - Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 13, 2021 Institute for Safe Medication Practices. October 26, 2021. https://psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially- harmful-dispensing Community …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34113/psn-pdf
    December 24, 2008 - MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003. December 24, 2008 Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for the Advancement of Patient Safety; 2004. https://psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-fi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854387/psn-pdf
    October 11, 2023 - Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. October 11, 2023 Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072136. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47165/psn-pdf
    June 13, 2018 - Changing how we think about healthcare improvement. June 13, 2018 Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement In learning organizations, leadership behavior creates a s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33904/psn-pdf
    January 25, 2016 - Healthcare Cost and Utilization Project (HCUP). January 25, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup The Healthcare Cost and Utilization Project (HCUP) is a family of databases and related software tools and products developed throug…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43647/psn-pdf
    November 12, 2014 - Mid Staffordshire NHS Foundation Trust Quality Report. November 12, 2014 Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. https://psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report The Mid Staffordshire Trust has been under much scrutiny in recent years. This report highlig…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44893/psn-pdf
    March 09, 2016 - Improving the governance of patient safety in emergency care: a systematic review of interventions. March 9, 2016 Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46380/psn-pdf
    September 06, 2017 - What defines a high-performing health system: a systematic review. September 6, 2017 Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.03.010. https://psnet.ahrq.gov…