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3821. Advancing Public Health with Interoperable Data Exchange | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/advancing-public-health-interoperable-data-exchange
      January 01, 2023 - Advancing Public Health with Interoperable Data Exchange Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Optimizing Data Exchange Through Health Information Exchange Facilitating data exchange between public health and clinical care information systems leads to effi…

3822. Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. | PSNet
      psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
      October 23, 2024 - Study Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. Citation Text: Hampton S, Murray J, Lawton R, et al. Understanding the challenges and successes of implementi…

3823. Guidelines into Decision Support (GLIDES) - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2012
      January 01, 2012 - Guidelines into Decision Support (GLIDES) - 2012 Project Name Guidelines Into Decision Support (GLIDES) Principal Investigator Shiffman, Richard N. Organization Yale University Funding Mechanism Clinical Decision Support Services Contract Number 290-08-10011…

3824. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet
      psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
      October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

3825. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet
      psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
      August 18, 2010 - Study Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. Citation Text: Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Tea…

3826. Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet
      psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
      July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

3827. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. | PSNet
      psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line
      February 18, 2011 - Study Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. Citation Text: Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…

3828. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. | PSNet
      psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
      October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…

3829. How the USPSTF Gets Input (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2025-06/how-the-uspstf-gets-input-2021_updated_2025.pdf
      January 01, 2025 - How the USPSTF Gets Input How the USPSTF Gets Input The U.S. Preventive Services Task Force (USPSTF or Task Force) is a scientifically independent group of national experts in primary care, prevention, evidence-based medicine. The Task Force m…

3830. Foundations of Diagnosis Education | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
      March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Foundations of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Im…

3831. Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-table1.html
      August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Table 1. Implications of Telediagnosis for Diagnostic Quality and Safety Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Ev…

3832. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Chapter 2. Patient Safety Advisory Councils The success of any team requires active participation from every member. The approach health care systems traditionally take neglects the most critical member of the team—the patient. Programs an…

3833. Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. | PSNet
      psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
      January 27, 2016 - Study Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Citation Text: Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…

3834. The Veterans Affairs root cause analysis system in action. | PSNet
      psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
      June 22, 2022 - Study Classic The Veterans Affairs root cause analysis system in action. Citation Text: Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…

3835. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
      psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
      October 23, 2013 - Study Classic Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Citation Text: Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…

3836. Morris CJ et al. 2006 "Preventing drug related morbidity: a process for facilitating changes in practice." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-cj-et
      January 01, 2023 - Morris CJ et al. 2006 "Preventing drug related morbidity: a process for facilitating changes in practice." Reference Morris CJ, Cantrill JA, Avery AJ, et al. Preventing drug related morbidity: a process for facilitating changes in practice. Qual Saf Health Care 2006;15(2):116-121. [Link] Abstr…

3837. Fall TIPS: A Patient-Centered Fall Prevention Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
      February 01, 2021 - Fall TIPS: A Patient-Centered Fall Prevention Toolkit This toolkit, developed through an AHRQ Patient Safety Learning Lab , consists of a formal risk assessment and tailored plan of care for each patient. The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals…

3838. Chapman L 2009 "EHR supports healthier patients and a healthier bottom line." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
      January 01, 2009 - Chapman L 2009 "EHR supports healthier patients and a healthier bottom line." Reference Chapman L. EHR supports healthier patients and a healthier bottom line. 2009 [cited 2010 February 16] Abstract "Graybill Medical Group boasts 130,000 patient visits per year and annual revenues of more th…

3839. Transforming the medication regimen review process using telemedicine to prevent adverse events. | PSNet
      psnet.ahrq.gov/issue/transforming-medication-regimen-review-process-using-telemedicine-prevent-adverse-events
      November 11, 2015 - Study Transforming the medication regimen review process using telemedicine to prevent adverse events. Citation Text: Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…

3840. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
      psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
      January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…