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psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
October 19, 2022 - Study
Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture.
Citation Text:
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…
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psnet.ahrq.gov/issue/computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency
December 17, 2010 - Study
Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.
Citation Text:
Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate prescrib…
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digital.ahrq.gov/ahrq-funded-projects/identifying-sepsis-phenotypes-associated-antibiotic-resistant-pathogens-using
January 01, 2025 - Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning
Project Description
Publications
Identifying when broad-spectrum antibiotics can be safely avoided in suspected sepsis has the potential to impro…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Opportunities and Challenges Ahead
Previous Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testi…
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Study
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.
Citation Text:
Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Appendix B. References
Previous Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned From Implementati…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave3.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Understanding AI’s Potential: Healthcare Applications of Deep Learning
Previous Page Next Page
Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
…
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www.ahrq.gov/research/findings/final-reports/ptflow/references.html
October 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
References
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1. The Need to Addres…
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psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors
June 05, 2024 - Review
Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review.
Citation Text:
Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision suppo…
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psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
July 16, 2019 - Review
Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.
Citation Text:
Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…
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psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
June 16, 2010 - Study
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.
Citation Text:
Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a …
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psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
May 20, 2009 - Study
How will we know patients are safer? An organization-wide approach to measuring and improving safety.
Citation Text:
Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…
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psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
May 08, 2017 - Study
Classic
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Citation Text:
Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medicat…
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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-…
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psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
September 23, 2020 - Study
The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue.
Citation Text:
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…
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psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time
July 10, 2008 - Study
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Citation Text:
Smith DH, Perrin N, Feldstein AC, et al. The impact of prescribing safety alerts for elderly persons in an electronic medical record:…
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psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
January 12, 2022 - Commentary
2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission.
Citation Text:
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
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www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste
Long Description
Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD
AHRQ Grant No.: HS23553
Project Period: 09/30/14–03/29/19
Description: The goal of the Johns Hopkins Armstrong Institute L…
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psnet.ahrq.gov/node/40648/psn-pdf
February 09, 2012 - The pros and cons of electronic prescribing for children.
February 9, 2012
Caldwell NA, Power B. The pros and cons of electronic prescribing for children. Arch Dis Child. 2011;97(2).
doi:10.1136/adc.2010.204446.
https://psnet.ahrq.gov/issue/pros-and-cons-electronic-prescribing-children
This commentary explores how…
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digital.ahrq.gov/location/usa-ny-amherst
January 01, 2023 - USA, NY, Amherst
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients
Description
This research will integrate cross-sector care alerts…