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digital.ahrq.gov/sites/default/files/CDSiC%20Infographic%202024_508_0.pdf
August 20, 2025 - Patient Preferences Are Essential to Bringing the Patient Into Focus
Patient Preferences … Providing care that respects what patients want makes it easier for them to actively participate and … Recognizing patients’ needs and desires and adjusting healthcare decision making to address
these preferences … enhances the
relevance and accuracy of PC CDS, while
mitigating potential safety implications. … community of variety of stakeholders at the forefront
of using technology to better support care teams, patients
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program … , especially for the most vulnerable patients transitioning to SNFs. … safety and comfort. … safety during the transitional period of care from hospitals to SNFs. … addressing medication safety, and further reveal areas of improvement to advance healthcare equity within
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024553-bardach-final-report-2018.pdf
January 01, 2018 - Patients and family
members are a potential source of patient safety data. … Scope:
To identify safety events observed by hospitalized patients and their family members. … Variations in reporting by patient characteristics
may reflect differences in the rate of patient safety … From the Closest Observers
of Care: Point of Care Inpatient Safety Reporting from Families and Patients … Mixed-Methods Evaluation of Real-Time Safety Reporting
by Hospitalized Patients and Their Care Partners
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - safety. … Safety
Despite the widespread use of computerized prescriber order entry (CPOE) systems, … wrong-drug and wrong-patient errors persist. … Problem lists are not well maintained and are often inaccurate and incomplete, jeopardizing patient safety … safety improvement.
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
January 01, 2005 - Further consideration was given to pending national patient safety standards such as the … .) and (7)
improve patients' knowledge about their treatment (e.g., printed, bilingual patient education … Access Hospitals; Presented at:
AHRQ’s Annual Patient Safety and Health IT Conference, Washington, DC … Also, how would they impact patient
safety, productivity or financial performance of your hospital? … To assess the greatest potential for impacting patient safety we must examine the significance of
the
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children
Poor EHR design can harm … patients. … Ratwani stresses, “it will harm patients.” … Ratwani and team explored how EHR usability can adversely affect safety among pediatric patients, using … They found that over a 5-year period, more than one-third of the 9,000 medication-related patient safety
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - KEY WORDS: health information technologies (HIT), patient safety, ambulatory, safety-net,
quality … Patient safety dashboards can have a significant impact on ambulatory patient safety
across a health … Is ambulatory patient safety just like hospital safety, only without the
"stat"? … World Alliance for Patient Safety, Patient safety research: an overview of the
global evidence. … and Patient Safety, .
2009 July, 2009;35(7):377-83.
28.
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digital.ahrq.gov/ahrq-funded-projects/improving-direct-notification-abnormal-test-results-patient-portals/citation/improving
January 01, 2023 - Improving diagnostic safety in primary care by unlocking digital data. … Improving diagnostic safety in primary care by unlocking digital data. … Jt Comm J Qual Patient Saf 2017 Jan;43(1):29-31. PMID: 28334582. … Singh, Hardeep
Project Name
Improving Direct Notification of Abnormal Test Results via Patient
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digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo
January 01, 2025 - (ICU) require seamless communication and coordination between surgical and critical care teams, as patients … Poor postoperative handoffs can risk patient safety Effective communication during postoperative handoffs … is crucial to patient safety. … that care transition failures can lead to potentially unsafe and high-risk situations for surgical patients … “We can do better when it comes to optimizing surgical patient experiences and patient safety and reducing
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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice
January 01, 2023 - Medication Safety in Primary Care Practice - Translating Research into Practice
Project … patient medication lists, greater use of EHR decision support, adopting medication refill protocols, … and using performance reports to identify patients with potential prescribing errors. … Improving medication safety in primary care using electronic health records. … J Patient Saf 2010 Dec;6(4):238-43.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety … patients from engaging with
their safety. … :
Understanding How the Clinician-Patient Relationship Influences Patient
Engagement in Safety. … The Value of Patient-Peer
Support in Improving Hospital Safety. … Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-value-rural-hospitals
January 01, 2023 - Safety
The national discussion of quality and patient safety has only recently begun to … identify and understand the unique quality and patient safety issues facing rural hospitals, as opposed … First, we documented the patient safety and health care quality challenges unique to rural hospitals. … Patient safety outcomes in small urban and small rural hospitals. … Effect of critical access hospital conversion on patient safety.
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - on Patient Safety which measures 9 dimensions of safety culture and 2
overall patient safety outcomes … Approximately 160 patient charts were examined for each time
period: forty patients each from general … Using staff perceptions on
patient safety as a tool for improving safety culture in
a pediatric hospital … Journal of Patient Safety.
[Case report]. 2008;4(2):113-8.
F. … Measuring staff perceptions on
patient safety in order to focus safety improvement
resources on areas
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/wisconsin
January 01, 2023 - Team Description
Governor Jim Doyle created the eHealth Care Quality and Patient … Safety Board by Executive Order 129 on November 2, 2005. … Safety Board (eHealth Board) work groups. … the state of Wisconsin's electronic health initiative can be found on its eHealth Care Quality and Patient … Safety Board Web site.
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digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department … Implementation of a Simulation
Based Patient Safety Curriculum
in a Pediatric Emergency
Department … Safety
Providing timely coordinated medical care to multiple
patients with varied acuity and complexity … One of three hundred patients experienced an
adverse event … Department
Disclosure Statement
Emergency Department Risk Factors for Patient Safety
Emergency
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2012
January 01, 2012 - Organization
Brigham and Women's Hospital
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … in ambulatory settings, and constitute an important target for patient safety and quality improvement … safety in ambulatory care. … through a patient portal. … of patients at each clinic using the EHR.
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2011
January 01, 2011 - Organization
Brigham and Women's Hospital
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … in the ambulatory setting, and constitute an important target for patient safety and quality improvement … Laboratory monitoring to ensure the safety and effectiveness of drug therapy and the timely management … safety in ambulatory care. … of patients at each clinic using the EHR.
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - Safety
Transitions in Care
The transfer of patients between hospitals, known as inter-hospital … Researchers will evaluate the impact of this intervention on patient safety outcomes, including medical … A better transition improves patient safety
Inter-hospital transfer is a common occurrence among patients … patient safety due to the lack of continuity of care. … to increase access to data for clinicians during transfers and ultimately improve safety for patients
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - Ambulatory Care Patient Safety Proactive Risk
Assessment (FOA HS-07-003), which supported
research … development and deployment of inter-
vention strategies to reduce threats to patient safety
in ambulatory … Ambulatory Safety and Quality | Summary9
•
•
•
•
Improving patient adherence to medication … Educating patients on appropriate medication
adherence, medication safety, and other issues. … Research in
ambulatory patient safety 2000–2010: A 10-year
review.
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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/citatio-1
January 01, 2023 - Improving medication safety in primary care using electronic health records. … Improving medication safety in primary care using electronic health records. … J Patient Saf 2010 Dec;6(4):238-43.
Link
Nemeth LS, Wessell AM. … Improving medication safety in primary care using electr…
Principal Investigator
Ornstein, … Steven
Project Name
Medication Safety in Primary Care Practice - Translating Research into