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psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
January 27, 2019 - Review
A review of medication errors and the second victim in pediatric pharmacy.
Citation Text:
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
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digital.ahrq.gov/type-care/primary-care
January 01, 2023 - Primary Care
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research aims to improve the early detection of venous thromboembolism in primary and urgent care by using …
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digital.ahrq.gov/type-care/self-management
January 01, 2023 - Self-Management
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi…
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psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
March 28, 2011 - Study
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Citation Text:
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…
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digital.ahrq.gov/type-care/pediatrics
January 01, 2023 - Pediatrics
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time acces…
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psnet.ahrq.gov/issue/hospital-ward-adaptation-during-covid-19-pandemic-national-survey-academic-medical-centers
April 12, 2023 - Study
Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.
Citation Text:
Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec
January 01, 2023 - Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices."
Reference
Howard J, Clark EC, Friedman A, et al. Electronic health record impact on work burden in small, unaffiliated, community-based primary care p…
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2023 - Clinical Decision Making
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…
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digital.ahrq.gov/ahrq-funded-projects/peer-plus-client-centered-digital-intervention-addressing-needs-individuals
April 01, 2023 - Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder
Project Description
The use of the Peer PLUS (People Leveraging Urgent Support) platform is expected to enhance the connection between those with substance use …
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology
September 13, 2023 - Study
Enhancing patient safety and risk management through clinical pathways in oncology.
Citation Text:
Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…
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digital.ahrq.gov/funding-mechanism/using-innovative-digital-healthcare-solutions-improve-quality-point-care-r21r33
January 01, 2023 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional)
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeleta…
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psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
May 27, 2011 - Study
Classic
The extent and importance of unintended consequences related to computerized provider order entry.
Citation Text:
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled-nursing-facility
November 16, 2022 - Commentary
Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans — Los Angeles, California, 2020.
Citation Text:
Dora AV, Winnett A, Jatt LP, et al. Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skill…
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-decision-support-improve-rural-primary-care-quality
January 01, 2023 - Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality
Project Final Report ( PDF , 275.07 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 …
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digital.ahrq.gov/ahrq-funded-projects/massachusetts-quality-e-measure-validation-study/annual-summary/2011
January 01, 2011 - Massachusetts Quality E-Measure Validation Study - 2011
Project Name
Massachusetts Quality e-Measure Validation Study
Principal Investigator
Schneider, Eric
Organization
RAND Corporation
Funding Mechanism
RFA: HS07-002: Ambulatory and Safety Quality Program: Enablin…
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psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
January 08, 2020 - Study
Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.
Citation Text:
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - Study
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.
Citation Text:
Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…
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psnet.ahrq.gov/issue/adherence-recommended-electronic-health-record-safety-practices-across-eight-health-care
May 20, 2019 - Study
Adherence to recommended electronic health record safety practices across eight health care organizations.
Citation Text:
Sittig DF, Salimi M, Aiyagari R, et al. Adherence to recommended electronic health record safety practices across eight health care organizations. J Am Med Info…
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psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
November 03, 2021 - Study
Classic
Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.
Citation Text:
Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…