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  1. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism/citation/application
    January 01, 2023 - Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. Citation Carayon P, Hoonakker P, Hundt AS, Salwei M, Wiegmann D, Brown RL, Kleinschmidt P, Novak C, Pulia M, Wang Y, Wirkus E, Patterson B. Application of …

  2. Team adaptation to complex clinical situations: The case of VTE prophylaxis in hospitalized patients. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism/citation/team
    January 01, 2023 - Team adaptation to complex clinical situations: The case of VTE prophylaxis in hospitalized patients. Citation Salwei M.E., Carayon, P., Hundt, A.S., Kleinschmidt, P., Hoonakker, P.L.T., Patterson, B.W., Wiegmann, D. (2018). Team adaptation to complex clinical situations: The case of VTE prophylaxis i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48081/psn-pdf
    January 01, 2021 - Sharing lessons learned to prevent adverse events in anesthesiology nationwide. August 21, 2019 Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.0000000000000616. https://psnet.ahrq.gov/iss…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47827/psn-pdf
    February 27, 2019 - Improving Usability, Safety and Patient Outcomes With Health Information Technology. February 27, 2019 Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN: 9781614999508. https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technol…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41203/psn-pdf
    December 18, 2014 - A multicenter collaborative approach to reducing pediatric codes outside the ICU. December 18, 2014 Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227. https://psnet.ahrq.gov/issue/mu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34778/psn-pdf
    December 23, 2008 - Anesthetic mishaps: breaking the chain of accident evolution. December 23, 2008 Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution A review of anesthesia saf…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48068/psn-pdf
    June 12, 2019 - Health Professions Education. June 12, 2019 Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185. https://psnet.ahrq.gov/issue/health-professions-education Clinical and educational environments are increasingly focusing on improving diagnosis. This special issue explores an overarching approac…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836789/psn-pdf
    March 23, 2022 - COVID-19 Focused Inspection Initiative in Healthcare. March 23, 2022 Occupational Safety and Health Administration. March 2, 2022. https://psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare The impact of nursing home inspections to ensure the quality and safety of the service environment is…

  9. Health Literacy | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/research/health-literacy.html
    October 01, 2024 - Health Literacy Health literacy occurs when health information and services created for patients match with their capacity to find, understand, and use them. AHRQ provides the research, tools, and training to help healthcare organizations, leaders, and professionals improve health literacy and more effectively …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40875/psn-pdf
    November 21, 2016 - Implementation of Condition Help: family teaching and evaluation of family understanding. November 21, 2016 Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.1097/NCQ.0b013e318235bdec. https:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42019/psn-pdf
    December 29, 2014 - Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. December 29, 2014 Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. Int J Qual Health Care. 20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47960/psn-pdf
    May 15, 2019 - A systematic review of clinical decision support systems for clinical oncology practice. May 15, 2019 Pawloski PA, Brooks GA, Nielsen ME, et al. A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice. J Natl Compr Canc Netw. 2019;17(4):331-338. doi:10.6004/jnccn.2018.7104. https://…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45633/psn-pdf
    December 21, 2016 - Lost in translation: medication labeling for immigrant families. December 21, 2016 Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002. https://psnet.ahrq.gov/issue/lost-translation-medication-lab…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34648/psn-pdf
    April 21, 2015 - Gaps in the continuity of care and progress on patient safety. April 21, 2015 Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety This commentary discusses the concept o…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866358/psn-pdf
    July 24, 2024 - To improve health care, focus on fixing systems — not people. July 24, 2024 Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people While a focus on the…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73973/psn-pdf
    October 13, 2021 - Agency information collection activities: National Healthcare Safety Network (NHSN); comment request. October 13, 2021 Zirger JM, Centers for Disease Control and Prevention. Fed Register. September 27, 2021;86:53309-53312. https://psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthca…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47961/psn-pdf
    January 01, 2021 - Patient and physician experience with interhospital transfer: a qualitative study. June 2, 2019 Mueller SK, Shannon E, Dalal A, et al. Patient and Physician Experience with Interhospital Transfer: A Qualitative Study. J Patient Saf. 2021;17(8):e752-e757. doi:10.1097/PTS.0000000000000501. https://psnet.ahrq.gov/iss…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864385/psn-pdf
    April 05, 2024 - Common Formats for Patient Safety Data Collection. March 13, 2024 Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection A standard system for voluntary reporting to patient safety organizations improves measurem…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764410/psn-pdf
    March 02, 2022 - Five strategies for clinicians to advance diagnostic excellence. March 2, 2022 Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. https://psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
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