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  1. digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-participants
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  2. psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
    November 03, 2021 - Study Identifying health information technology usability issues contributing to medication errors across medication process stages. Citation Text: Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medic…
  3. psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
    November 14, 2018 - Study Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. Citation Text: Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from intensive care to hosp…
  4. psnet.ahrq.gov/issue/role-informal-dimensions-safety-high-volume-organisational-routines-ethnographic-study-test
    August 01, 2018 - Study The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. Citation Text: Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational rout…
  5. psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
    April 22, 2017 - Review Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. Citation Text: Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…
  6. psnet.ahrq.gov/issue/influence-hospital-leadership-support-burnout-psychological-safety-and-safety-climate-us
    June 21, 2023 - Study The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic. Citation Text: Gilmartin HM, Saint S, Ratz D, et al. The influence of hospital leadership suppo…
  7. hcup-us.ahrq.gov/datainnovations/clinicaldata/FL17LOINCAdvicetoothers.pdf
    January 01, 2007 - Appendix 17a LOINC Mapping: Advice to others in understanding/employing HL7 and/or LOINC Four aspects might be helpful for LOINC mapping: formal education, tools, content to map. Not all of the aspects are defined for HL-7; we include only formal education. Formal Education HL-7: There is an educational w…
  8. psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
    December 31, 2014 - Study Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. Citation Text: Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic…
  9. psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
    September 23, 2020 - Study Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. Citation Text: Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…
  10. psnet.ahrq.gov/issue/victims-severe-intimate-partner-violence-are-left-without-advocacy-intervention-primary-care
    October 21, 2020 - Study Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. Citation Text: Hackenberg EAM, Sallinen V, Handolin L, et al. Victims of severe intimate partner violence are left without advocacy…
  11. psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
    February 29, 2012 - Study Classic Intervention to reduce transmission of resistant bacteria in intensive care. Citation Text: Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18…
  12. psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation
    September 23, 2020 - Study Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. Citation Text: Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…
  13. psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
    October 24, 2018 - Study Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. Citation Text: Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…
  14. psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
    August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…
  15. psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
    March 24, 2021 - Commentary Emerging Classic Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. Citation Text: Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
  16. digital.ahrq.gov/ahrq-funded-projects/electronic-personal-health-record-mental-health-consumers
    January 01, 2023 - An Electronic Personal Health Record for Mental Health Consumers Project Final Report ( PDF , 83.87 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 view…
  17. psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
    November 26, 2014 - Study Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Citation Text: Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…
  18. psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
    April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…
  19. psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…
  20. psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
    December 21, 2014 - Study Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. Citation Text: Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…