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4521. Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. | PSNet
      psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
      October 19, 2022 - Review Integrating computerized clinical decision support systems into clinical work: a meta-synthesis of qualitative research. Citation Text: Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative…

4522. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. | PSNet
      psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
      July 12, 2023 - Study Changes in hospital adverse events and patient outcomes associated with private equity acquisition. Citation Text: Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.10…

4523. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. | PSNet
      psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals
      October 20, 2021 - Study Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. Citation Text: Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 202…

4524. Use of Electronic Referral System to Improve the Outpatient Primary Care-Specialty Care Interface | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care
      January 01, 2023 - Use of Electronic Referral System to Improve the Outpatient Primary Care-Specialty Care Interface Project Final Report ( PDF , 9.7 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …

4525. Measuring psychological safety and local learning to enable high reliability organisational change. | PSNet
      psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
      May 05, 2021 - Study Measuring psychological safety and local learning to enable high reliability organisational change. Citation Text: Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e0017…

4526. Samore MH et al. 2005 "Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/samore-mh-et-al-2005
      January 01, 2005 - Samore MH et al. 2005 "Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial." Reference Samore MH, Bateman K, Alder SC, et al. Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial. JAMA 2005;294(18):2305-2314. [L…

4527. Goetz MB et al. 2008 "Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI series." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-mb-et-al-2008
      January 01, 2008 - Goetz MB et al. 2008 "Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI series." Reference Goetz MB, Bowman C, Hoang T, et al. Implementing and evaluating a regional strategy to improve tes…

4528. Development of a measure of patient safety event learning responses. | PSNet
      psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
      June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…

4529. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet
      psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
      March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

4530. The Role of Telehealth in COVID-19 Response | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/role-telehealth-covid-19-response
      November 30, 2023 - The Role of Telehealth in COVID-19 Response Project Final Report ( PDF , 413.58 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 represent the views of AHRQ. No stateme…

4531. Structuring Care Recommendations for Clinical Decision Support | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/structuring-care-recommendations-clinical-decision-support
      January 01, 2023 - Structuring Care Recommendations for Clinical Decision Support Project Final Report ( PDF , 2.17 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - C…

4532. Summary of USPSTF Final Recommendation: Screening and Supplementation for Iron Deficiency and Iron Deficiency Anemia During Pregnancy (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/PJJXJEVA9oaAwep5x3ZvRn
      August 01, 2024 - Summary of USPSTF Final Recommendation: Screening and Supplementation for Iron Deficiency and Iron Deficiency Anemia During Pregnancy Clinicians Summary of USPSTF Final Recommendation Screening and Supplementation for Iron Deficiency and Iron Deficiency …

4533. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
      psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
      January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…

4534. Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/evaluation-computer-generated-after-visit-summaries-support-patient-centered
      January 01, 2023 - Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-07-10007-2 Funding Mechanism(s) Primar…

4535. Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pluye-p-et
      January 01, 2023 - Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine." Reference Pluye P, Grad RM. How information retrieval technology may impact on physician practice: an organizational case study in family medicine. J Eval Clin …

4536. Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care." | Digital Healthcare Research
      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…

4537. Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. | PSNet
      psnet.ahrq.gov/issue/medication-safety-interface-evaluating-risks-associated-discharge-prescriptions-mental-health
      March 11, 2020 - Study Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. Citation Text: Keers RN, Williams SD, Vattakatuchery JJ, et al. Medication safety at the interface: evaluating risks associated with discharge prescriptions fr…

4538. Rates of serious surgical errors in California and plans to prevent recurrence. | PSNet
      psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
      March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence. Citation Text: Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …

4539. Prologue: Laying the Foundation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
      June 02, 2025 - Prologue: Laying the Foundation Prologue Laying the Foundation Kerm Henriksen, PhD The volume starts with papers that look to the future and examine the past with respect to patient safety; however, its overarching theme is assessment. An underlying premise to any volume that focuses on assessment is tha…

4540. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
      June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Long Description Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS23553 Project Period: 09/30/14–03/29/19 Description: The goal of the Johns Hopkins Armstrong Institute L…