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  1. Harnessing health information technology to promote equitable care for patients with limited English proficiency and complex care needs. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-promote-equitable-care-patients-limited-english/citation/citation/harnessing
    January 01, 2024 - Harnessing health information technology to promote equitable care for patients with limited English proficiency and complex care needs. Citation Strechen I, Wilson P, Eltalhi T, Piche K, Tschida-Reuter D, Howard D, Sutor B, Tiong I, Herasevich S, Pickering B, Barwise A. Harnessing health information …

  2. University of California, Berkeley | Digital Healthcare Research

    digital.ahrq.gov/organization/university-california-berkeley
    January 01, 2023 - University of California, 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 t…

  3. Ambulatory Surgical Center | Digital Healthcare Research

    digital.ahrq.gov/care-setting/ambulatory-surgical-center
    January 01, 2023 - Ambulatory Surgical Center Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Leveraging a National Surgical Quality Improvement Program Description This project demonstrated that the large-scale electronic collection of patient-reported outcome measures in …

  4. Not home alone: Leveraging telehealth and informatics to create a lean model for COVID-19 patient home care. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create/citation/not
    January 01, 2023 - Not home alone: Leveraging telehealth and informatics to create a lean model for COVID-19 patient home care. Citation Ford D, Warr E, Hamill C, He W, Pekar E, Harvey J, DuBose-Morris R, McGhee K, King K, Lenert L. Not home alone: Leveraging telehealth and informatics to create a lean model for COVID-1…

  5. Friedman, Charles | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/friedman-charles
    January 01, 2023 - Friedman, Charles Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form - Final Report Citation Friedman C. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867601/psn-pdf
    January 22, 2025 - AI: promise or peril for patient safety. January 22, 2025 Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301. https://psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety Patients for Patient Safety US (PFPS-US) is a patie…

  7. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast/final-report
    January 01, 2023 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report Citation Avidan M. Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report. (Prepared by the University of Utah under Grant No. R21 HS024581). Rockville, MD: Agency for…

  8. Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients/final-report
    January 01, 2023 - Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients - Final Report Citation Dexheimer J. Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients - Final Report. (Prepared by Cincinnati Children's Hospital Medical Center under Grant No. R21 HS024977). Rockville, MD…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42903/psn-pdf
    September 29, 2017 - How policy makers can smooth the way for communication-and-resolution programs. September 29, 2017 Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication- and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaff.2013.0930. https://psnet.ahrq.g…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34759/psn-pdf
    July 13, 2016 - Human Error. July 13, 2016 Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. https://psnet.ahrq.gov/issue/human-error Despite writing almost nothing specifically on health care, clinical psychologist James Reason has influenced modern thinking about medical errors more than any other…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39735/psn-pdf
    January 03, 2017 - A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. January 3, 2017 Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Jt Comm J Qual Patient Saf.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46105/psn-pdf
    May 01, 2022 - AORN Position Statement on Patient Safety. May 1, 2022 AORN Position Statement on Patient Safety. AORN J. 2022;115(5):454-457. doi:10.1002/aorn.13671. https://psnet.ahrq.gov/issue/aorn-position-statement-patient-safety This position statement outlines recommendations from the Association of periOperative Registered…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45111/psn-pdf
    May 11, 2016 - Educational opportunities with postevent debriefing. May 11, 2016 Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741. https://psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing Real-time or near real-time lear…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47944/psn-pdf
    April 17, 2019 - How to deliver safer and effective patient care: tips for team leaders and educators. April 17, 2019 Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017. https://psnet.ahrq.gov/issue/how-deliver-safer…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46213/psn-pdf
    June 28, 2017 - The second victim: a review. June 28, 2017 Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. https://psnet.ahrq.gov/issue/second-victim-review Maternity care is a high-risk environment. This review discusses second vic…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73992/psn-pdf
    October 20, 2021 - Mix-ups between the influenza (Flu) vaccine and COVID- 19 vaccines. October 20, 2021 ISMP Medication Safety Alert! Acute care edition. October 7, 2021;26(20):1-4. https://psnet.ahrq.gov/issue/mix-ups-between-influenza-flu-vaccine-and-covid-19-vaccines Production pressure and low staff coverage can result in medica…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838192/psn-pdf
    September 28, 2022 - When medical error becomes personal, activism becomes painful. September 28, 2022 Millenson M. Forbes. September 16, 2022. https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm w…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72505/psn-pdf
    November 25, 2020 - The second victim phenomenon in health care: a literature review. November 25, 2020 Nydoo P, Pillay BJ, Naicker T, et al. The second victim phenomenon in health care: a literature review. Scand J Public Health. 2020;48(6):629-637. doi:10.1177/1403494819855506. https://psnet.ahrq.gov/issue/second-victim-phenomenon-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838140/psn-pdf
    November 07, 2015 - Safety-I, Safety-II and resilience engineering. November 7, 2015 Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering Organiz…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60990/psn-pdf
    October 07, 2020 - Tiered daily huddles: the power of teamwork in managing large healthcare organisations. October 7, 2020 Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. https://psnet.ahrq.gov/issue/tiered-daily…
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