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  1. Home Health Care | Digital Healthcare Research

    digital.ahrq.gov/type-care/home-health-care
    January 01, 2023 - Home Health Care A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Description This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching tec…

  2. Patient self-medication--a change in hospital practice. | PSNet

    psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
    March 09, 2022 - Study Patient self-medication--a change in hospital practice. Citation Text: Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  3. Using the AHRQ Quality Indicators to improve health care quality. | PSNet

    psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality
    December 23, 2008 - Commentary Using the AHRQ Quality Indicators to improve health care quality. Citation Text: Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality. Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5. Copy Cit…

  4. Cognitive biases associated with medical decisions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
    March 01, 2023 - Review Cognitive biases associated with medical decisions: a systematic review. Citation Text: Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. Copy Citation Format: …

  5. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet

    psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
    November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

  6. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-engaging-patients-diagnostic-decision-making-emergency
    April 22, 2020 - Book/Report Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Citation Text: Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Mangus CW, Singh H, Mahajan P. Rockville, MD:…

  7. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…

  8. To improve health care, focus on fixing systems — not people. | PSNet

    psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
    September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…

  9. Patient Safety Research Summaries. | PSNet

    psnet.ahrq.gov/issue/patient-safety-research-summaries
    December 24, 2008 - Book/Report Patient Safety Research Summaries. Citation Text: Patient Safety Research Summaries. Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.  Copy Citation Save Save to your library Print Download PDF Share Face…

  10. Wide heart monitor use tied to missed alarms. | PSNet

    psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
    July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…

  11. Improving process while changing practice: FMEA and medication administration. | PSNet

    psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
    January 18, 2011 - Commentary Improving process while changing practice: FMEA and medication administration. Citation Text: Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. Copy Citation Format: DOI…

  12. Between a rock and a hard place: disclosing medical errors. | PSNet

    psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
    October 19, 2022 - Commentary Between a rock and a hard place: disclosing medical errors. Citation Text: Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  13. Technology, cognition and error. | PSNet

    psnet.ahrq.gov/issue/technology-cognition-and-error
    September 04, 2024 - Commentary Technology, cognition and error. Citation Text: Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  14. Physician perception of hospital safety and barriers to incident reporting. | PSNet

    psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
    February 16, 2011 - Study Physician perception of hospital safety and barriers to incident reporting. Citation Text: Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. Copy Citation Format: Goog…

  15. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
    October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…

  16. Crisis in the Lakeshore Hospital ER. | PSNet

    psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
    March 15, 2022 - Newspaper/Magazine Article Crisis in the Lakeshore Hospital ER. Citation Text: Crisis in the Lakeshore Hospital ER. Derfel A. Montreal Gazette. February 24- March 1, 2023 Copy Citation Save Save to your library Print Download PDF Shar…

  17. Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. | PSNet

    psnet.ahrq.gov/issue/executive-order-safe-secure-and-trustworthy-development-and-use-artificial-intelligence
    October 05, 2022 - Government Resource Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Citation Text: Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Washington DC: The White House; October 30, 2023.&n…

  18. Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2010
    January 01, 2010 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010 Project Name Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model Principal Investigator McConnochie, Kenneth Organization University of Rochester Funding M…

  19. Patient safety in women's health care: a framework for progress. | PSNet

    psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
    January 12, 2011 - Commentary Patient safety in women's health care: a framework for progress. Citation Text: Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):525-36. Copy Citation Format: Google Scholar PubMed BibTeX…

  20. Reducing Hospital Length of Stay Supplemental Info (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nom-length-stay-supplement.pdf
    June 27, 2019 - Reducing Hospital Length of Stay Supplemental Info Reducing Hospital Length of Stay: Topic Nomination from the LHS Panel Project June 27, 2019 1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evid…
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