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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36946/psn-pdf
    September 09, 2011 - The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. September 9, 2011 Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Qual Manag Health Care. 2007;16…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38546/psn-pdf
    June 16, 2009 - Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. June 16, 2009 Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage. 2009;37(6):1039-49. doi:10.1016/j.j…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40218/psn-pdf
    December 29, 2014 - Preventable adverse drug events and their causes and contributing factors: the analysis of register data. December 29, 2014 Jylhä V, Saranto K, Bates DW. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. Int J Qual Health Care. 2011;23(2):187-97. doi:10.1093/i…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72732/psn-pdf
    February 10, 2021 - Health care workers in the midst of crisis. February 10, 2021 Sentinel Event Alert. Feb 2, 2021;(62):1-7.  https://psnet.ahrq.gov/issue/health-care-workers-midst-crisis Safe patient care is reliant on a healthy healthcare workforce. This alert emphasizes organizational conditions and supporting the wellb…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37406/psn-pdf
    March 28, 2012 - Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. March 28, 2012 Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40328/psn-pdf
    September 27, 2016 - Critical phase distractions in anaesthesia and the sterile cockpit concept. September 27, 2016 Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. https://psnet.ahrq.gov/issue/critic…
  7. digital.ahrq.gov/principal-investigator/sim-ida
    January 01, 2023 - Sim, Ida Standardized integration of person-generated data into routine clinical care. Citation Zeng B, Bove R, Carini S, Lee JS, Pollak JP, Schleimer E, Sim I. Standardized integration of person-generated data into routine clinical care. JMIR Mhealth Uhealth. 2022 Feb 10;10(…
  8. digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/fall
    January 01, 2023 - Fall risk management using clinical decision support in a rural nursing-led primary care practice. Citation Schentrup D, Middlemas A, Shear K, Bjarnadottir RI, Lucero RJ. Fall risk management using clinical decision support in a rural nursing-led primary care practice. J Am Assoc Nurse Pract. 2022 Aug…
  9. digital.ahrq.gov/principal-investigator/lucero-robert-j
    January 01, 2023 - Lucero, Robert J. Usability testing of an interoperable computerized clinical decision support tool for fall risk management in primary care Citation Shear K, Rice H, Garabedian PM, Bjarnadottir R, Lathum N, Horgas AL, Harle CA, Dykes PC, Lucero R. Usability testing of an inte…
  10. digital.ahrq.gov/consumer-health-information-technology-home-guide-human-factors-design-considerations-0
    January 01, 2023 - Consumer Health Information Technology in the Home: A Guide for Human Factors Design Considerations Every day, in households across the country, people engage in behavior to improve their current health states, recover from disease and injury, or cope with chronic, debilitating…
  11. digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-in/citation/rta
    January 01, 2023 - Real time alert system: a disease management system leveraging health information exchange. Citation Anand V, Sheley ME, Xu S, et al. Real time alert system: a disease management system leveraging health information exchange. Online J Public Health Inform. 2012;4(3). Link http://www.ncbi.nlm.n…
  12. digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy/citation/medication
    January 01, 2023 - Medication therapy management delivery by community pharmacists: insights from a national sample of Medicare Part D beneficiaries. Citation Adeoye OA, Farley JF, Coe AB, Pestka DL, Farris KB, Zillich AJ, Snyder ME. Medication therapy management delivery by community pharmacists: insights from a nation…
  13. www.ahrq.gov/nursing-home/resources/post-traumatic-stress-symptoms.html
    September 01, 2021 - Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review Resource:   Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs)…
  14. digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/managing
    January 01, 2023 - Managing multiple perspectives in the collaborative design process of a team health information technology. Citation Hose BZ, Carayon P, Hoonakker PLT, Ross JC, Eithun BL, Rusy DA, Kohler JE, Brazelton TB 3rd, Dean SM, Kelly MM. Managing multiple perspectives in the collaborative design process of a t…
  15. digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr/citation/health
    January 01, 2023 - A health system's pilot experience with using Social Knowledge Networking (SKN) technology to enable meaningful use of EHR medication reconciliation technology. Citation Rangachari P, Dellsperger KC, Rethemeyer RK. A health system's pilot experience with using Social Knowledge Networking (SKN) technol…
  16. digital.ahrq.gov/ahrq-funded-projects/showing-health-information-value-community-network/citation/coupling-direct
    January 01, 2023 - Coupling direct collection of health risk information from patients through kiosks with decision support for proactive care management. Citation Lobach DF, Silvey GM, Willis JM, et al. Coupling direct collection of health risk information from patients through kiosks with decision support for proactiv…
  17. integrationacademy.ahrq.gov/products/topic-briefs/telehealth
    February 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
    January 01, 2003 - A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement 109 A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement R. B. Akins Abstract This paper presents a patient safety applicator tool for implementing and assessin…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/sum.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology Evalua…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-cancer-staging_executive.pdf
    September 01, 2014 - 1 Comparative Effectiveness Review Number 142 Imaging Tests for the Staging of Colorectal Cancer Executive Summary Background Colorectal Cancer In the United States each year colon cancer is diagnosed in approximately 100,000 people and rectal cancer is diagnosed in another 50,000.1 Colorectal cancer usually…