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7781. Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. | PSNet
      psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse
      December 22, 2010 - Study Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. Citation Text: Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…

7782. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. | PSNet
      psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
      August 04, 2021 - Study Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Citation Text: Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electro…

7783. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. | PSNet
      psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
      November 21, 2014 - Study Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. Citation Text: Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…

7784. Use of an electronic information system to identify adverse events resulting in an emergency department visit. | PSNet
      psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
      March 13, 2015 - Study Use of an electronic information system to identify adverse events resulting in an emergency department visit. Citation Text: Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify adverse events resulting in an emergency department vi…

7785. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
      March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

7786. Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. | PSNet
      psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
      November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary healt…

7787. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet
      psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
      March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

7788. Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
      December 01, 2023 - Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms Press Release Date: December 15, 2023 A new paper addresses the use of algorithms in healthcare, their impact on racial/ethnic disparities in care, and approaches to identify and mitigate biases. A paper published toda…

7789. Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shebl-na-et-al-2007
      January 01, 2007 - Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." Reference Shebl NA, Franklin BD, Barber N. Clinical decision support systems and antibiotic use. Pharm World Sci 2007;29(4):342-349. Abstract "Aim: To review and appraise randomised controlled trials (RCT) and 'before…

7790. Prevention TaskForce App Communications Toolkit | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/prevention-taskforce-app-communications-toolkit
      June 21, 2025 - Prevention TaskForce App Communications Toolkit Share to Facebook Share to X Share to WhatsApp Share to Email Print   Communications Toolkit The Prevention TaskForce (formerly ePSS) is an application designed to help primary care clinicians…

7791. CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/choice-coalition-hospices-organized-investigate-comparative-effectiveness
      January 01, 2023 - CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness Project Final Report ( PDF , 68.71 KB) 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 re…

7792. Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet
      psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
      October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

7793. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - This report outlined a road map for action, such as identifying and learning from errors, working with

7794. Breastfeeding and Health Outcomes for Infants and Children (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-health-outcomes-protocol-amendment.pdf
      February 03, 2025 - EPC solicits input from Key Informants when developing questions for the systematic review or when identifying

7795. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
      January 01, 2020 - Spotlight Spotlight “This is the wrong patient’s blood!”: Evaluating a Near-Miss Wrong Transfusion Event Source and Credits • This presentation is based on the January 2020 AHRQ WebM&M Spotlight Case • Commentary by: Sarah Barnhard MD o Medical Director of Transfusion Services at UC-Davis Health o Editors in …

7796. 57-Senior-Executives-Facilitator (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
      June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Facilitator Guide for Engaging Senior Executives Presentation Template Slide Title and Commentary Slide Number and Slide Engaging the Senior Executive Presentation Template Title slide for the tool – delete this slide from the presentation to your seni…

7797. Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.html
      December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) Webinar Transcript Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED …

7798. Reducing-Unnecessary-Urinary-Catheter-Use-Ed-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
      June 02, 2025 - Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I’m a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED Educational Webinar Series. Today’s webinar topic is ED Physician Engagement. For Cohort Education we are using the…

7799. Reducing Unnecessary Urinary Catheter Use in the Emergency Department | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-transcript.html
      December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department Webinar Transcript On the CUSP: Stop CAUTI in the ED ED Mini-Presentation to Accompany March 3, 2015 ED Coaching Call Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I'm a program with the He…

7800. EvidenceNow Executive Summary - The National Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-executive-summary-national.pdf
      November 01, 2017 - EvidenceNow Executive Summary - The National Evaluation The National Evaluation ★ The shaded areas are the selected states for evaluation. EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by buil…