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  1. psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
    October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…
  2. psnet.ahrq.gov/issue/impact-interoperability-smart-infusion-pumps-and-electronic-medical-record-critical-care
    August 25, 2021 - Study Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Citation Text: Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm.…
  3. www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
    February 01, 2024 - UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit UChicago Medicine (UCM) reduced venous thromboembolism (VTE) incidence by 30% in the perioperative patient population with the use of AHRQ’s Preventing Hospital-Associated Venous Thromboembolism Toolkit . Using the toolkit’s Fra…
  4. psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
    July 27, 2022 - Study Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. Citation Text: Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national health ca…
  5. psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best
    March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…
  6. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/what-are-4e.html
    December 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs What Are The 4 Es? Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs Welcome to the Toolkit for MRSA Prevention in ICU & Non-ICU Settings The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Dec…
  7. psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
    June 14, 2017 - Review Classic Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. Citation Text: Winters BD, Bharmal A, Wilson RF, et…
  8. psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
    June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…
  9. cdsic.ahrq.gov/sites/default/files/2024-09/CDSiC%20Infographic%202024_508_0.pdf
    January 01, 2024 - Patient Preferences Are Essential to Bringing the Patient Into Focus Patient Preferences Are Essential to Bringing the Patient Into Focus Patient preferences are an essential component of the patient voice and their subsequent use in patient-centered clinical decision support (PC CDS) can advance pati…
  10. digital.ahrq.gov/technology/clinical-documentation
    January 01, 2023 - Clinical Documentation Assessing the Effects of EHR Optimization Interventions in Primary Care Description This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial…
  11. psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
    July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. Citation Text: Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
    June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…
  13. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
    November 01, 2020 - Patients who manage their diagnosed diabetes and maintain an HbA1c level <8% and blood pressure <140/
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
    July 01, 2015 - Patients who manage their diagnosed diabetes and maintain an HbA1c level <8% and blood pressure <140/
  15. www.uspreventiveservicestaskforce.org/home/getfilebytoken/_2-KL_eHkuBhbGrzcAHsB-
    June 01, 2022 - Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement Screening for Depression and Suicide Risk in Children and Adolescents US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendatio…
  16. www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZTMgupsEkCUuuPVpeGUm45
    September 01, 2013 - Screening for Hepatitis C Virus Infection in Adults: U.S. Preventive Services Task Force Recommendation Statement Virginia A. Moyer, MD, MPH, on behalf of the U.S. Preventive Services Task Force* Description: Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for and treatment …
  17. www.uspreventiveservicestaskforce.org/home/getfilebytoken/NhXnjZM5ubvygH5GrqDZHC
    August 01, 2008 - Benefits and Harms of Prostate-Specific Antigen Screening for Prostate Cancer: An Evidence Update Benefits and Harms of Prostate-Specific Antigen Screening for Prostate Cancer: An Evidence Update for the U.S. Preventive Services Task Force Kenneth Lin, MD; Robert Lipsitz, MD, MPH; Therese Miller, DrPH; and Supriya Ja…
  18. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
    January 01, 2008 - HIT Support for Safe Nursing Care Grant Final Report Grant ID: R01HS015054 HIT Support for Safe Nursing Care Inclusive Dates: 09/01/04 – 08/31/08 Principal Investigator: Gail M. Keenan, PhD, RN * Team Members: Elizabeth Yakel, PhD Laura Szalacha, PhD † Mary Mandeville, MBA * Dana Ts…
  19. digital.ahrq.gov/sites/default/files/docs/publication/r36hs018272-barrette-final-report-2011.pdf
    January 01, 2011 - The Impact of Health Information Technology on Demand for Inpatient Services - Final Report Grant Final Report Grant ID: R36HS18272 The Impact of Health Information Technology on Demand for Inpatient Services Inclusive Dates: 08/31/09 – 04/…
  20. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
    December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Webinar Transcript AHA – Chicago May National Content Call May 13, 2014 11:00AM CT Operator:  This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me…