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8481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43454/psn-pdf
      November 20, 2015 - Training in quality and safety: the current landscape. November 20, 2015 Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194. https://psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape This commentary offers inf…

8482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35278/psn-pdf
      March 04, 2011 - Appropriateness of use of medicines in elderly inpatients: qualitative study. March 4, 2011 Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06. https://psnet.ahrq.gov/issue/appropriateness-use-me…

8483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74195/psn-pdf
      December 15, 2021 - Technology, Education and Safety. December 15, 2021 Ruskin KJ, ed. Curr Opin Anaesthesiol. 2021;34(6):720-765 https://psnet.ahrq.gov/issue/technology-education-and-safety-0 Anesthesia services are high risk despite progress made in the specialty to improve its safety. This special section covers issues that affect…

8484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46418/psn-pdf
      September 20, 2017 - Iatrogenesis in Pediatrics. September 20, 2017 Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842 https://psnet.ahrq.gov/issue/iatrogenesis-pediatrics Iatrogenesis—an adverse effect of medical care—is an area of focus in patient safety. Articles in this special issue explore cases involving iatrogenic harm in…

8485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47292/psn-pdf
      May 01, 2022 - Nebraska Coalition for Patient Safety Annual Report. May 1, 2022 Omaha, NE: Nebraska Coalition for Patient Safety; 2022. https://psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report Patient Safety Organizations (PSOs) provide local evidence to inform learning among their members. This annual r…

8486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44137/psn-pdf
      May 13, 2015 - AHRQ Patient Safety YouTube Channel. May 13, 2015 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel This Web site hosts a collection of training videos to highlight two improvement strategies: the Comprehensive Unit-based Safety Program and …

8487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46448/psn-pdf
      September 27, 2017 - Simulation in Otolaryngology. September 27, 2017 Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036. https://psnet.ahrq.gov/issue/simulation-otolaryngology This special issue highlights areas in otolaryngology where simulation is being used to develop multidisciplinary team-based approaches…

8488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38328/psn-pdf
      January 02, 2017 - Using implementation safety indicators for CPOE implementation. January 2, 2017 Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. https://psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation This study describes th…

8489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860399/psn-pdf
      January 24, 2024 - Best Practices for Administering SOPS Surveys. January 10, 2024 Agency for Healthcare Research and Quality. January 24, 2024. https://psnet.ahrq.gov/issue/best-practices-administering-sops-surveys Patient safety culture survey projects can yield important learnings if done correctly. The webinar detailed best prac…

8490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37813/psn-pdf
      June 04, 2008 - A model of recovering medical errors in the coronary care unit. June 4, 2008 Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002. https://psnet.ahrq.gov/issue/model-recovering-medical-errors-corona…

8491. The foundational capabilities of large language models in predicting postoperative risks using clinical notes. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo/citation/foundational
      January 01, 2025 - The foundational capabilities of large language models in predicting postoperative risks using clinical notes. Citation Alba C, Xue B, Abraham J, Kannampallil T, Lu C. The foundational capabilities of large language models in predicting postoperative risks using clinical notes. NPJ Digit Med. 2025 Feb…

8492. USA, CA, Berkeley | Digital Healthcare Research
      digital.ahrq.gov/location/usa-ca-berkeley
      January 01, 2023 - USA, CA, Berkeley Improving Diabetes and Depression Self-Management Via Adaptive Mobile Messaging Description This research used machine learning algorithms to customize and distribute health messages to people with low income through text messaging, finding that the adaptive …

8493. Advancing motivational interviewing training with artificial intelligence: ReadMI. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/real-time-assessment-dialogue-motivational-interviewing-training-readmi/citation/advancing
      January 01, 2023 - Advancing motivational interviewing training with artificial intelligence: ReadMI. Citation Hershberger PJ, Pei Y, Bricker DA, Crawford TN, Shivakumar A, Vasoya M, Medaramitta R, Rechtin M, Bositty A, Wilson JF. Advancing motivational interviewing training with artificial intelligence: ReadMI. Adv Me…

8494. Overcoming challenges in the changing environment of practice-based research. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning/citation/overcoming
      January 01, 2023 - Overcoming challenges in the changing environment of practice-based research. Citation Finch SA, Wasserman R, Nabi-Burza E, et al. Overcoming challenges in the changing environment of practice-based research. Ann Fam Med 2015 Sep;13(5):475-9. PMID: 26371270. Link https://www.ncbi.nlm.nih.gov/p…

8495. A text mining approach to categorize patient safety event reports by medication error type. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/citation/text
      January 01, 2023 - A text mining approach to categorize patient safety event reports by medication error type. Citation Boxley C, Fujimoto M, Ratwani RM, Fong A. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023 Oct 26;13(1):18354. doi: 10.1038/s41598-023-45152-w. …

8496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74069/psn-pdf
      September 20, 2022 - Diagnostic Excellence. September 20, 2022 JAMA. Nov 2021-Sep 2022.  https://psnet.ahrq.gov/issue/diagnostic-excellence-0 Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…

8497. The impact of risk standardization on variation in CT Use and emergency physician profiling. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury/citation/impact
      January 01, 2023 - The impact of risk standardization on variation in CT Use and emergency physician profiling. Citation Taylor RA, Melnick E, Fleishman W, et al. The impact of risk standardization on variation in CT Use and emergency physician profiling. AJR Am J Roentgenol 2018 Aug;211(2):392-399. Epub 2018 Jul 5. PMI…

8498. Changing patterns of alpha agonist medication use in children and adolescents 2009-2011. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning/citation/changing
      January 01, 2023 - Changing patterns of alpha agonist medication use in children and adolescents 2009-2011. Citation Fiks AG, Mayne SL, Song L, et al. Changing patterns of alpha agonist medication use in children and adolescents 2009-2011. J Child Adolesc Psychopharmacol 2015 May;25(4):362-7. PMID: 25919708. Link …

8499. The Safety of Medical Devices | PSNet
      psnet.ahrq.gov/perspective/safety-medical-devices
      June 01, 2011 - That's something that medicine has learned and could continue to learn from, that any member of the team … It's something that I have to learn for myself reading into the literature of many different fields,

8500. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
      January 01, 2024 - In the Fall of 2003, a follow-up evaluation was conducted to learn about outcomes of the symposium.