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  1. digital.ahrq.gov/organization/university-utah
    January 01, 2023 - University of Utah An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics Description The study will create and implement digital tools using the SMART on FHIR framework to support Age-Friendly care in clinical practice and institu…
  2. psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-investment
    October 29, 2017 - Study Intravenous infusion safety technology: return on investment. Citation Text: Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. Copy Citation Format: DOI Google Scho…
  3. psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
    August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Citation Text: Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. Copy Citation For…
  4. www.ahrq.gov/news/newsroom/case-studies/201809.html
    January 01, 2019 - AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low Search All Impact Case Studies January 2019 Chicago’s NorthShore University Health System was on a mission to maintain low rates of catheter-associated urinary tract infections (CAUTI). Then NorthShore infection preventionist Mona …
  5. www.ahrq.gov/news/newsroom/case-studies/201526.html
    January 01, 2018 - Iowa’s Waverly Health Center Uses AHRQ Tools to Improve Patient Safety Search All Impact Case Studies September 2015 Waverly Health Center, a critical access hospital in Waverly, Iowa, has used three AHRQ resources to improve communication, teamwork, and leadership engagement as part of ongoing efforts to i…
  6. psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
    June 01, 2022 - Study Health information technology-related wrong-patient errors: context is critical. Citation Text: Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.    Copy Citation …
  7. psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
    March 03, 2019 - Organizational Policy/Guidelines Preventing home medication administration errors. Citation Text: Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
    October 10, 2018 - Commentary The elusive and illusive quest for diagnostic safety metrics. Citation Text: Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. Copy Citation Format: DOI Google Sch…
  9. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-access.html
    September 01, 2015 - Chartbook on Women's Health Care Access to Health Care Previous Page Next Page Table of Contents Chartbook on Women's Health Care Acknowledgments Women's Health Care Key Findings of the 2014 QDR 2014 Chartbooks Access to Health Care Affordability Communication and Care Coordination …
  10. psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
    November 18, 2016 - Commentary ACR guidance document on MR safe practices: 2013. Citation Text: Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011. Copy Citation Format: DOI Google Scho…
  11. psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
    September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…
  12. psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
    November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…
  13. psnet.ahrq.gov/issue/business-case-investing-physician-well-being
    June 05, 2019 - Commentary The business case for investing in physician well-being. Citation Text: Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340. Copy Citation Format: DO…
  14. psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
    November 16, 2022 - Study Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Citation Text: Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…
  15. psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
    November 13, 2024 - Review Addressing postdischarge adverse events: a neglected area. Citation Text: Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
  16. digital.ahrq.gov/health-care-theme/human-factors
    January 01, 2023 - Human Factors Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of art…
  17. digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/delaware
    January 01, 2023 - Delaware Project Overview | Data and Functionality | Technical Design and Architecture   Project Overview The goal of this initiative is to facilitate the design and implementation of an integrated, statewide health data system to support the information needs of healthcare provide…
  18. psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
    August 04, 2021 - Commentary Classic Continuous improvement as an ideal in health care. Citation Text: Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  19. psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
    September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Citation Text: Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…
  20. digital.ahrq.gov/location/usa-ut-salt-lake-city
    January 01, 2023 - USA, UT, Salt Lake City An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics Description The study will create and implement digital tools using the SMART on FHIR framework to support Age-Friendly care in clinical practice and in…