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  1. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miyasaka-k-et-al-1997
    January 01, 1997 - Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care." Reference Miyasaka K, Suzuki Y, Sakai H, et al. Interactive communication in high-technology home care: videophones for pediatric ventilatory care. Pediatrics 1997;99(1):E11-E16…
  2. psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
    May 26, 2016 - Review Inpatient fall prevention programs as a patient safety strategy: a systematic review. Citation Text: Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.732…
  3. digital.ahrq.gov/ahrq-funded-projects/devise-data-exchange-vaccine-information-between-immunization-information
    January 01, 2023 - DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record Project Final Report ( PDF , 237.23 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for i…
  4. psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
    July 09, 2018 - Study Emerging Classic Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. Citation Text: Adelman JS, Applebaum JR, Schechter CB, et al. Effect of Restriction…
  5. digital.ahrq.gov/sites/default/files/docs/citation/r18hs017093-schwarz-final-report-2011.pdf
    January 01, 2011 - Harnessing Health Information Technology to Prevent Medication-Induced Birth Defects - Final report AHRQ Grant Final Progress Report Title of Project: Harnessing Health IT to Prevent Medication-­‐Induced Birth Defects Principal Investigator: Eleanor Bimla Schwarz, MD, MS University of Pittsburgh Team …
  6. effectivehealthcare.ahrq.gov/sites/default/files/decide16final-mortality-risk-in-copd-pts-using-theophylline.pdf
    December 01, 2009 - Outcomes in COPD patients treated with theophylline The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ's Effective Health Care Program. It is a collaborative network of research centers that support the rapid development of new scientific information and a…
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-management_research.pdf
    December 01, 2009 - Outcomes in COPD patients treated with theophylline The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ's Effective Health Care Program. It is a collaborative network of research centers that support the rapid development of new scientific information and a…
  8. www.ahrq.gov/topics/burnout.html
    Topic: Burnout Burnout is a serious and growing problem in many healthcare settings. Burnout can increase worker turnover and reduce quality of care, leading to lower patient satisfaction and patient safety as well as higher costs of care. AHRQ supports a wide range of projects to assess and reduce burnout among clin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38202/psn-pdf
    November 12, 2008 - The tipping point: the relationship between volume and patient harm. November 12, 2008 Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628. https://psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36325/psn-pdf
    October 25, 2006 - The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. October 25, 2006 Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9780966460414. https://psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety The authors…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38990/psn-pdf
    September 30, 2009 - Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. September 30, 2009 Kneebone RL. https://psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and- procedure-training Understanding how musical expertise is developed could …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37239/psn-pdf
    September 27, 2016 - Communication patterns in a UK emergency department. September 27, 2016 Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13. https://psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department This study observed emergency room cha…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35513/psn-pdf
    February 22, 2010 - Utility of an online medication-error-reporting system. February 22, 2010 Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70. https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system The investigators survey…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39081/psn-pdf
    September 27, 2016 - Medication room madness: calming the chaos. September 27, 2016 Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d. https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos Through space and process desi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35967/psn-pdf
    January 02, 2017 - Physician perception of hospital safety and barriers to incident reporting. January 2, 2017 Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-ba…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36417/psn-pdf
    April 12, 2011 - Excess mortality caused by medical injury. April 12, 2011 Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6. https://psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury The authors describe a state-based review of discharge diagnoses to identify medi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38158/psn-pdf
    October 22, 2008 - Predicting patient complaints in hospital settings. October 22, 2008 Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. https://psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings Patient compl…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38419/psn-pdf
    February 18, 2009 - Outcomes after out-of-hospital endotracheal intubation errors. February 18, 2009 Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. https://psnet.ahrq.gov/issue/outcomes-after-out-hospital-endo…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35507/psn-pdf
    February 22, 2010 - The 100,000 Lives Campaign: crystallizing standards of care for hospitals. February 22, 2010 Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. https://psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-c…
  20. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide36.html
    October 01, 2014 - 36. Intervention as a Covered Health Benefit (continued) Treating Tobacco Use and Dependence: 2008 Update Overview Text version of slide presentation. Recommendation: Providing tobacco dependence treatments (both medication and counseling) as a paid or covered benefit by health insurance plans has been s…