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  1. digital.ahrq.gov/principal-investigator/vawdrey-david-kent
    March 23, 2017 - Vawdrey, David Kent Interventions to increase patient portal use in vulnerable populations: a systematic review. Citation Grossman LV, Masterson Creber RM, Benda NC, Wright D, Vawdrey DK, Ancker JS. Interventions to increase patient portal use in vulnerable populations: a syst…
  2. effectivehealthcare.ahrq.gov/sites/default/files/c-diff-infections-nomination-140925.pdf
    February 19, 2014 - Update Topic CER 31 Clostridium difficile NSD FINAL Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection Nomination …
  3. psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care
    September 28, 2016 - Study Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. Citation Text: Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…
  4. psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
    March 09, 2011 - Study Classic Automated identification of postoperative complications within an electronic medical record using natural language processing. Citation Text: Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…
  5. psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
    March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…
  6. psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
    May 25, 2022 - Study Technology-based closed-loop tracking for improving communication and follow-up of pathology results. Citation Text: Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…
  7. digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology
    January 01, 2023 - Enabling Health Care Decisionmaking through the Use of Health Information Technology Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-07-10066-5 Funding Mechanism(s) Evidence-…
  8. psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
    April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…
  9. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety …
  10. digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
    January 01, 2010 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010 Project Name Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Principal Investigator Smith, Kenneth J. Organization University of Pittsburgh Funding Mechanism PAR…
  11. psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
    January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…
  12. psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
    October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…
  13. digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-decision-support-improve-rural-primary-care-quality
    January 01, 2023 - Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality Project Final Report ( PDF , 275.07 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 …
  14. psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
    October 26, 2022 - Review Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. Citation Text: Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…
  15. psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
    November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…
  16. psnet.ahrq.gov/issue/impact-full-personal-protective-equipment-alertness-healthcare-workers-prospective-study
    August 24, 2022 - Study Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. Citation Text: Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…
  17. www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. … Measurement challenges in shared decision making: putting the “patient” in patient-reported measures.
  18. www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
    January 01, 2024 - Final Progress Report: Improved Patient Safety with Information Technology Final Progress Report Title of Project: Improved Patient Safety with Information Technology Principal Investigator: J. Marc Overhage, MD, PhD Team Members: Irmina Gradus-Pizlo, MD Chris Steinmetz, MD Karen Wolf, MD JingJin Li, PhD…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
    December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …
  20. digital.ahrq.gov/sites/default/files/docs/citation/r01hs025071-schnall-final-report-2022.pdf
    January 01, 2022 - The Wise App Trial for Improving Health Outcomes in PLWH – Final Report 1 Final Progress Report: The Wise App Trial for Improving Health Outcomes in PLWH Principal Investigator: Rebecca Schnall, PhD, MPH, RN-BC, FAAN Team Members: Melissa Beauchemin, Melissa Gradilla, Dawon Baik, Hwayoun…