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psnet.ahrq.gov/issue/improving-patient-safety-and-efficiency-medication-reconciliation-through-development-and
May 20, 2020 - Study
Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.
Citation Text:
Tamblyn R, Winslade N, Lee TC, et…
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2011
January 01, 2011 - Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2011
Project Name
Supporting Continuity of Care for Poisonings With Electronic Information Exchange
Principal Investigator
Cummins, Mollie Rebecca
Organization
University of Utah
Fundi…
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2010
January 01, 2010 - Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2010
Project Name
Supporting Continuity of Care for Poisonings With Electronic Information Exchange
Principal Investigator
Cummins, Mollie Rebecca
Organization
University of Utah
Fundi…
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Study
Problem list completeness in electronic health records: a multi-site study and assessment of success factors.
Citation Text:
Wright A, McCoy AB, Hickman T-TT, et al. Problem list completeness in electronic health records: A multi-site study and assessment of success factors. Int J …
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www.ahrq.gov/es/programs/index.html?page=3
Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
April 04, 2011 - Study
How context affects electronic health record–based test result follow-up: a mixed-methods evaluation.
Citation Text:
Menon S, Smith MW, Sittig DF, et al. How context affects electronic health record-based test result follow-up: a mixed-methods evaluation. BMJ Open. 2014;4(11):e0059…
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psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
September 02, 2020 - Study
Classic
Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.
Citation Text:
Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekend…
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psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
November 12, 2014 - Study
Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place.
Citation Text:
Olsen S, Neale G, Schwab K, et al. Hospital staff should use mo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-persily.pdf
June 02, 2025 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - PERSILY
43
First Hand Experience:
The AHRQ Hospital Value and
Efficiency Item Set
Cynthia Persily, PhD
Chief Executive Officer
Highland Hospital
Charleston, West Virginia
cpersily@highlandhosp.com
43
mailto:cpersily@highlandhosp.com
…
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim2.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Introduction and Objectives
Previous Page Next Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
He…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/06-sops-teamstepps-webcast-closing.pdf
January 01, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Closing
Q&A
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48
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49
THANK YOU!
PLEASE COMPLETE THE WEBCAST
EVALUATION
50
U.S. STUDIES USING TEAMSTEPPS AND SOPS
Bilello,…
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-dissemination-gabby-health-information-technology-system
January 01, 2023 - Implementation and Dissemination of 'Gabby,' a Health Information Technology System for Young Women, Into Community-Based Clinical Sites
Project Final Report ( PDF , 640.19 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-kho.html
April 01, 2023 - Grantee Profile
Disseminating Evidence-based Strategies to Improve Primary Care Delivery
Abel Kho, M.D., M.S.
Professor, Feinberg School of Medicine
Northwestern University
Abel Kho, M.D., M.S.
“With AHRQ funding, I have built infrastructure to provide primary care practices with effective …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Grantee Profile
Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings
Kathleen Walsh, M.D., M.Sc.
Director, Patient Safety Research Core
Boston Children’s Hospital
Kathleen Walsh, M.D., M.Sc.
“AHRQ funding enables researchers to build a body of w…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
July 01, 2025 - Grantee Profile
Eliminating Preventable Harms During Pediatric Intubation
Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
October 01, 2023 - Grantee Profile
Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance
Barbara Wells Trautner, M.D., Ph.D.
Professor of Infectious Diseases and Health Services Research
Michael E. DeBakey VA Medical Center
Baylor College of Medicine
Barbara Wells Trau…
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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - EMERGING INNOVATIONS
Implicit bias and patient care: mitigating bias, preventing harm.
Citation Text:
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
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digital.ahrq.gov/program-overview/research-stories/making-evidence-based-clinical-decision-support-implementable
January 01, 2023 - Making Evidence-Based Clinical Decision Support Implementable in Different Electronic Health Records
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Scaling Effective Digital Healthcare Interventions Across Healthcare Systems
Clinical decision support that can be impl…
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psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
February 01, 2013 - EMERGING INNOVATIONS
A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.
Citation Text:
Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT…
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psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
May 20, 2020 - Study
Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.
Citation Text:
Shah SN, Amato MG, Garlo KG, et al. Renal medic…