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9561. 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…

9562. 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…

9563. 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…

9564. 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…

9565. 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…

9566. 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…

9567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44291/psn-pdf
      September 13, 2016 - A piece of my mind. I'm sorry. September 13, 2016 Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry Being accountable for errors and working to learn from them is key to improving patient safety. This commentary descri…

9568. 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…

9569. 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…

9570. 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…

9571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866352/psn-pdf
      July 24, 2024 - Patient falls in the operating room: why is this still a problem in 2024? July 24, 2024 Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. https://psnet.ahrq.gov/issue/patient-falls-operating-room-why…

9572. 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…

9573. 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…

9574. 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 …

9575. 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…

9576. 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…

9577. Recommendation: Chronic Kidney Disease: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/chronic-kidney-disease-screening
      July 07, 2023 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Chronic Kidney Disease: Screening An Update for This Topic is In Progress LAST UPDATED: Jul 07, 2023 The Task Force keeps recommendations as current as possible by routinely up…

9578. Owora, Arthur Hamie | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/owora-arthur-hamie
      January 01, 2025 - Owora, Arthur Hamie External validation and update of the pediatric asthma risk score as a passive digital marker for childhood asthma using integrated electronic health records. Citation Owora AH, Jiang B, Shah Y, Gaston B, Boustani M. External validation and update of the p…

9579. Recommendation: Early Allergen Introduction to Prevent Food Allergies in Infants: Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/early-food-allergen-introduction-infants-counseling
      August 29, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Early Allergen Introduction to Prevent Food Allergies in Infants: Counseling An Update for This Topic is In Progress LAST UPDATED: Aug 29, 2024 The Task Force keeps recommendat…

9580. 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 …