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9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867381/psn-pdf
      December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…

9622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46455/psn-pdf
      April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm…

9623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38662/psn-pdf
      April 12, 2011 - Patient error: a preliminary taxonomy. April 12, 2011 Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy Preliminary research has found that patient factors may contribute to er…

9624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47254/psn-pdf
      September 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.…

9625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864853/psn-pdf
      March 20, 2024 - Question answering systems for health professionals at the point of care - a systematic review. March 20, 2024 Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-1024. doi:10.1093/jamia/ocae015. h…

9626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46262/psn-pdf
      January 01, 2020 - Description and yield of current quality and safety review in selected US academic emergency departments. August 30, 2017 Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Saf. 2020;16(4):e245-e249. doi:10.…

9627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45432/psn-pdf
      September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s…

9628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50376/psn-pdf
      September 25, 2019 - Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. September 25, 2019 DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary study. Am J Health Syst Pharm. 2…

9629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45384/psn-pdf
      November 18, 2016 - Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. November 18, 2016 Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579. htt…

9630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45250/psn-pdf
      July 27, 2016 - Risk factors for i.v. compounding errors when using an automated workflow management system. July 27, 2016 Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:10.2146/ajhp150278. https://psnet.…

9631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863222/psn-pdf
      February 28, 2024 - Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? February 28, 2024 Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…

9632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866347/psn-pdf
      July 24, 2024 - Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. July 24, 2024 Amici LD, van Pelt M, Mylott L, et al. Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. …

9633. Allocation of Function Analysis | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/allocation-of-function-analysis
      January 01, 2023 - Allocation of Function Analysis Description An allocation of function analysis is used during design to determine how to allocate jobs, tasks, functions, and responsibilities for the system under analysis. During the analysis, each task must be considered, weighing the advantages and disadvantages of …

9634. T.E.A.M.S. infographic | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
      March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction. Culture influences how change can occur. T Team Formation The most effective…

9635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73220/psn-pdf
      May 05, 2021 - Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? May 5, 2021 Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst the COVID…

9636. Labor and Delivery Unit Staff Safety Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.html
      July 01, 2023 - Labor and Delivery Unit Staff Safety Assessment AHRQ Safety Program for Perinatal Care Purpose: To tap into the knowledge and experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., health unit coordinators and environmental services personnel) to find ou…

9637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840479/psn-pdf
      January 01, 2023 - A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13. doi:10.…

9638. Appendix D. Clinical-Community Relationships Measures Instruments (11-15) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd6c.html
      March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Appendix D. Clinical-Community Relationships Measures Instruments (11-15) Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relat…

9639. Translating Research Evidence to Daily Practice for Behavioral Health and Primary Care (doc file)
      integrationacademy.ahrq.gov/sites/default/files/2020-07/neil_korsen.docx
      January 01, 2020 - Translating Research Evidence to Daily Practice for Behavioral Health and Primary Care Neil Korsen Transcript AHRQ Academy Video My work for Maine health involves translating research evidence into daily practice. And one of the key things in doing that work is that you have to pay attention to the details and help pe…

9640. Indiana University Indianapolis | Digital Healthcare Research
      digital.ahrq.gov/organization/indiana-university-indianapolis
      January 01, 2023 - Indiana University Indianapolis Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response Description This research is developing and evaluating a machine learning algorithm that uses existing electronic health record data to predict childho…