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  1. digital.ahrq.gov/population/nurse-practitioner
    January 01, 2023 - Nurse Practitioner Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation o…
  2. digital.ahrq.gov/population/physician-assistant
    January 01, 2023 - Physician Assistant Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation …
  3. digital.ahrq.gov/2019-year-review/research-dissemination/disseminating-knowledge-and-research-findings-conferences/ahrq-funded-research-2019-amia-annual-research-symposium
    January 01, 2019 - AHRQ-Funded Research at the 2019 AMIA Annual Research Symposium Table 1: Impact Stories of AHRQ-Funded Research Exemplars Completed in 2019 AHRQ Principal Investigator AHRQ-Funded Research Profile AMIA Session Anne M. Turner Addressing the Personal Health Information …
  4. psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
    October 09, 2019 - Study Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study Citation Text: Fernholm R, Holzmann MJ, Wachtler C, et al. Patient-related factors associated with an increased risk of being a rep…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846457/psn-pdf
    March 22, 2023 - Feds move to rein in prior authorization, a system that harms and frustrates patients. March 22, 2023 Sausser L. Kaiser Health News. March 13, 2023. https://psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients Lack of access to appropriate testing, procedures, and medication…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838139/psn-pdf
    September 21, 2022 - Error traps in acute pain management in children. September 21, 2022 Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. https://psnet.ahrq.gov/issue/error-traps-acute-pain-management-children Appropriate pediatric pain…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849130/psn-pdf
    May 17, 2023 - Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. May 17, 2023 Powell M. J Health Org Manag. 2023;37(1):67-83. https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry Individual, team, and organizational willingness to identify and add…
  9. effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain_surveillance.pdf
    July 08, 2015 - Opioid analgesics and the risk of fractures in older adults with arthritis. … ;RESULTS: Of the 236 participants, 66 (28%) had dementia, and 213 (90%) received opioids postoperatively
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854637/psn-pdf
    October 18, 2023 - A scoping review of clinical handover mnemonic devices. October 18, 2023 Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices Cogniti…
  11. digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-user-centric-patient-portals
    January 01, 2023 - Improving Healthcare Quality with User-Centric Patient Portals Project Final Report ( PDF , 290.12 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 views…
  12. integrationacademy.ahrq.gov/news-and-events/news/workforce-innovation-behavioral-health-integration-insights-idaho-health
    October 28, 2024 - 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…
  13. integrationacademy.ahrq.gov/products/ibh-lexicon/method-development
    March 01, 2024 - 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…
  14. psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
    April 26, 2023 - We did a ten-year review study, looking at death and harm related to administration of opioids, and no … one died in that inpatient setting from opioids when using this system. … A lot of patients in the hospital are on opioids. … This is the idea of serious but treatable complications, and respiratory arrests due to opioids are a
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60186/psn-pdf
    April 01, 2020 - Eleven basic procedures/practices for dental patient safety. April 1, 2020 Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234. https://psnet.ahrq.gov/issue/eleven-basic-procedurespractices-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48045/psn-pdf
    June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46254/psn-pdf
    October 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42663/psn-pdf
    October 16, 2023 - Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. October 16, 2023 Agrawal A, Bhatt J, eds. Cham, Switzerland, Springer Nature; 2023. ISBN: 9783031359330. https://psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition This publication describes a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867754/psn-pdf
    March 12, 2025 - Decision fatigue in hospital settings: a scoping review. March 12, 2025 Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med. 2024;Epub Nov 11. doi:10.1002/jhm.13550. https://psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review Production pressu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867021/psn-pdf
    October 23, 2024 - Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. October 23, 2024 Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310. https://psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-…