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  1. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Appr…

  2. Research Themes and Findings | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-reports/2023-year-review/research-themes-and-findings
    January 01, 2023 - Research Themes and Findings The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared decis…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60858/psn-pdf
    August 26, 2020 - When the Meds Don’t Reach the Bed August 26, 2020 Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed The Case A 69-year-old man with cognitive impairment and marginal housing was admitted for acute exacerbation of chronic obs…

  4. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
    January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery 1. Title Page Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH Organization University of Chicago Dates of the Project 07/01/2018 - 04/30…

  5. 6. Research Gaps and Prioritization of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality

    www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
    June 01, 2020 - that a research gap still exists in the use of billing and other data to identify where waste can be reduced … but to design, test, and implement strategies to change how care is delivered so that disparities are reduced … functions was conducted: The number of acute patients we see in primary care offices has dramatically reduced

  6. CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
    January 01, 2020 - This difference in pre- and post-CancelRx emphasizes that the instantaneous technology significantly reduced … Examples of these reduced barriers include: less time and human resources needed to communicate medication … CancelRx reduced the number of “Inbox Messages” directed towards MAs.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39082/psn-pdf
    January 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:…

  8. Rand, Cynthia | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumrand.html
    October 01, 2014 - Rand, Cynthia Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Rochester Grant Title: Using Health Information Technology to Improve Delivery of HPV Vaccine Gra…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38902/psn-pdf
    November 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the national poison data system. November 13, 2009 Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823. https://psnet.ahrq.gov/issue/o…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47531/psn-pdf
    June 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46843/psn-pdf
    June 21, 2018 - Electronic health record reviews to measure diagnostic uncertainty in primary care. June 21, 2018 Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. https://psnet.ahrq.gov/issue/elect…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50426/psn-pdf
    January 01, 2020 - Community pharmacy medication review, death and re- admission after hospital discharge: a propensity score- matched cohort study. September 4, 2019 Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re- admission after hospital discharge: a propensity score-matched cohort s…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46504/psn-pdf
    February 22, 2018 - How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. February 22, 2018 Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study. BMJ Qual Saf. 2…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38116/psn-pdf
    February 18, 2011 - Factors associated with intern fatigue. February 18, 2011 Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3. https://psnet.ahrq.gov/issue/factors-associated-intern-fatigue Reducing duty hours for physicians in train…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41535/psn-pdf
    December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…

  16. Appendix E. Poster on Urinary Catheter Risks and Indications | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-e.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix E. Poster on Urinary Catheter Risks and Indications Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Imple…

  17. Appendix N. Skin Care in the Incontinent Patient | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-n.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix N. Skin Care in the Incontinent Patient Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Gui…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42883/psn-pdf
    September 01, 2016 - Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. September 1, 2016 Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS …

  19. Learn About Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/about/concepts-of-patient-safety.html
    January 01, 2025 - Learn About Patient Safety These resources can help you learn the basics about safety and quality . Patient Safety PSNet : is a Web-based resource that features the latest news and essential resources on patient safety, including weekly literature updates, news, tools, and meetings; patient safety primers; a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41526/psn-pdf
    April 05, 2013 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. April 5, 2013 Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Me…
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