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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60826/psn-pdf
    August 19, 2020 - Variation in electronic test results management and its implications for patient safety: a multisite investigation. August 19, 2020 Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J Am Med Inform Assoc. 2020;27(8):12…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854641/psn-pdf
    October 18, 2023 - Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. October 18, 2023 Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021 There are recognized systemic w…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36333/psn-pdf
    July 10, 2008 - The care transitions intervention: results of a randomized controlled trial. July 10, 2008 Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8. https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra…
  5. cds.ahrq.gov/sites/default/files/cds/artifact/1181/Logic_Flow_Brief_Intervention_and_Referral_CDS.pdf
    July 14, 2020 - Brief Intervention and Referral CDS Logic Flow 7/14/2020 Clinical Decision Support (CDS) Logic Flow: Brief Behavioral Counseling Interventions for Excessive Alcohol Consumption with Optional Referral to Treatment The CDS logic flow diagram in Figure 1 displays an overview of the CDS logic that applies to pat…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46115/psn-pdf
    May 17, 2017 - Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. May 17, 2017 Sun EC, Dixit A, Humphreys K, et al. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. BMJ. 2017;356:j760. doi:10.1136…
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/HHS-Presentation-Agreement.docx
    July 01, 2024 - HHS Presentation Agreement HHS Presentation Agreement Representations: I hereby represent to (Conference Sponsor) that, with respect to the presentation titled I have prepared the presentation as part of my official duties as a Department of Health and Human Services (HHS) employee. I have obtained permission from cop…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840475/psn-pdf
    November 30, 2022 - Complexity and challenges of the clinical diagnosis and management of Long COVID. November 30, 2022 O’Hare AM, Vig EK, Iwashyna TJ, et al. Complexity and challenges of the clinical diagnosis and management of Long COVID. JAMA Netw Open. 2022;5(11):e2240332. doi:10.1001/jamanetworkopen.2022.40332. https://psnet.ah…
  9. www.ahrq.gov/pqmp/measures/fecc-access-ehr.html
    August 01, 2021 - Family Experiences with Coordination of Care (FECC) Measure: Caregiver has access to electronic health record Measure Domain:  Management of Chronic Conditions Measure Sub-Domain:  Care Coordination PQMP COE:  COE4CCN Associated NQF # and Name:  None Products: Fact Sheet  (PDF, 684 KB) Full Report…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838134/psn-pdf
    September 21, 2022 - Allergic adverse drug events after alert overrides in hospitalized patients. September 21, 2022 Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034. https://psnet.ahrq.gov/issue/aller…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844988/psn-pdf
    February 22, 2023 - Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023 Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j.jcjq.2022.11.002. https://psn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46187/psn-pdf
    December 06, 2017 - A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. December 6, 2017 Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850345/psn-pdf
    June 14, 2023 - Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. June 14, 2023 Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):1492-1501. doi:10.1097/ccm.0000000000…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43226/psn-pdf
    June 17, 2014 - Relationship between preventable hospital deaths and other measures of safety: an exploratory study. June 17, 2014 Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;26(3):298-307. doi:10.1093/intqhc/mz…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73610/psn-pdf
    January 01, 2022 - Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. August 18, 2021 Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical presentation in hospitalized older a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838013/psn-pdf
    September 07, 2022 - Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. September 7, 2022 Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/journal.pone.0272853. https://…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35716/psn-pdf
    July 10, 2008 - Adherence to black box warnings for prescription medications in outpatients. July 10, 2008 Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43713/psn-pdf
    December 03, 2014 - Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). December 3, 2014 West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care practices: A report from the sh…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60955/psn-pdf
    September 30, 2020 - The emergency department trigger tool: a novel approach to screening for quality and safety events. September 30, 2020 Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240. doi:10.1016/j.annemergm…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…