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  1. digital.ahrq.gov/ahrq-funded-projects/use-mobile-technology-improve-acute-care-utilization-sickle-cell-disease/citation/use
    January 01, 2023 - Use of mobile technology to monitor pain and reduce outpatient, emergency department (ED), and hospital visits for sickle cell pain crisis. Citation Narine K, Chang J, Jonassaint J, et al. Use of mobile technology to monitor pain and reduce outpatient, emergency department (ED), and hospital visits f…
  2. digital.ahrq.gov/organization/university-kentucky
    January 01, 2023 - University of Kentucky Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description This research tests the effectiveness of MedSMA℞T M…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44053/psn-pdf
    November 16, 2015 - ANA CAUTI Prevention Tool. November 16, 2015 Silver Spring, MD: American Nurses Association; 2015. https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). This toolkit, developed as a Partnership for Patients strategy, …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836781/psn-pdf
    March 23, 2022 - Diagnostic error in pediatrics: a narrative review. March 23, 2022 Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics. 2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d. https://psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review Reduci…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836968/psn-pdf
    April 20, 2022 - Diagnostic time-outs to improve diagnosis. April 20, 2022 Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185- 194. doi:10.1016/j.ccc.2021.11.008. https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis A broad differential diagnosis can limit missed d…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854390/psn-pdf
    October 11, 2023 - How the physician's financial wellness could impact patient safety. October 11, 2023 Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J. 2024;100(1182):276-278. doi:10.1093/postmj/qgad076. https://psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-imp…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34129/psn-pdf
    January 16, 2019 - WHO Patient Safety. January 16, 2019 World Health Organization. https://psnet.ahrq.gov/issue/who-patient-safety Reducing accidents and the risk of error requires a significant and sustained response at national and global levels. With this in mind, the World Health Organization and its partners launched the World …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72822/psn-pdf
    March 10, 2021 - Extended work shifts and neurobehavioral performance in resident-physicians. March 10, 2021 Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. Pediatrics. 2021;147(3):e2020009936. doi:10.1542/peds.2020-009936. https://psnet.ahrq.gov/issue/extended…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851367/psn-pdf
    July 12, 2023 - A hard look at hard stops and workarounds in the acute care setting. July 12, 2023 ISMP Medication Safety Alert! Acute care edition. June 29, 2023;28(13);1-4. https://psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting Hard stops in the electronic medical record prevent continuation of ord…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50568/psn-pdf
    October 23, 2019 - Automation of the I-PASS tool to improve transitions of care. October 23, 2019 Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47311/psn-pdf
    October 10, 2018 - Cognitive error in an academic emergency department. October 10, 2018 Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department In 2015, the Nation…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845351/psn-pdf
    March 01, 2023 - Access to Clinical Information at the Bedside. March 1, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; February 2023. https://psnet.ahrq.gov/issue/access-clinical-information-bedside Patient misidentification in emergent situations can reduce the appropriateness of care delivery and safety. This rep…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60187/psn-pdf
    April 01, 2020 - What are we doing when we double check? April 1, 2020 Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. https://psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check Double checking is one strategy for detecting …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46659/psn-pdf
    December 06, 2017 - Focus On: Health Care Policy and Quality. December 6, 2017 AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334. https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this special issue explore cl…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46677/psn-pdf
    June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. June 25, 2018 Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care R…
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-4.html
    June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Conclusion Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement: Ove…
  17. digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/identifying
    January 01, 2023 - Identifying high need primary care patients using nursing knowledge and machine learning methods. Citation Hewner S, Smith E, Sullivan SS. CIC 2022: Identifying high need primary care patients using nursing knowledge and machine learning methods. Appl Clin Inform. 2023 Mar 7. doi: 10.1055/a-2048-7343.…
  18. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023875-kazemi-final-report-2018.pdf
    January 01, 2018 - With reduced costs and reduced needs for staff training, time, and space,
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
    December 31, 2015 - Multi-component interventions have reduced readmissions in several adult populations with various clinical … ambulatory or long-term care, and the provision of timely followup care have been associated with reduced … clinical care leads to decreased exacerbations, severity, and complications and, in turn, can lead to a reduced
  20. www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - for harm in the NICU, a significant number of errors that occur in this clinical setting could be reduced