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psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
October 25, 2023 - Commentary
Ten years later, alarm fatigue is still a safety concern.
Citation Text:
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Study
Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit.
Citation Text:
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …
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www.ahrq.gov/news/newsroom/press-releases/state-based-health-extension-cooperatives.html
September 01, 2024 - AHRQ Announces Historic Funding Opportunities to Establish State-based Solutions to Accelerate Health Care Improvement
Press Release Date: September 9, 2024
Today, the Agency for Healthcare Research and Quality (AHRQ) at the U.S. Department of Health and Human Services (HHS) announced a Notice of Funding Opportu…
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psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
May 13, 2020 - Study
Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.
Citation Text:
Farrell C‐JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in…
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
October 01, 2018 - Research Centers for Excellence in Clinical Preventive Services
AHRQ has funded three Research Centers for Excellence in Clinical Preventive Services focusing on the delivery of preventive services in the clinical setting. Each center is conducting three research projects seeking solutions to the problems of un…
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psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
March 08, 2023 - Study
Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?
Citation Text:
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…
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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
November 20, 2015 - Study
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections.
Citation Text:
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…
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digital.ahrq.gov/health-care-theme/technology-usability
January 01, 2023 - Technology Usability
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…
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psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
May 29, 2019 - Commentary
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions.
Citation Text:
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…
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psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
June 16, 2021 - Study
Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics.
Citation Text:
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…
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psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
January 07, 2022 - Study
"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk.
Citation Text:
McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…
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psnet.ahrq.gov/issue/efforts-improve-patient-safety-result-13-million-fewer-patient-harms-interim-update-2013
January 07, 2015 - Book/Report
Classic
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.
Citation Text:
Efforts To Improve …
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - Commentary
Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.
Citation Text:
Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - neuronal excitability, and thereby
mimicking the neurodepressant effect of alcohol.12,13 This mechanism reduces
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - Reducing
incidence of low-back injuries reduces cost. AIHAJ
2001 Jul–Aug;62(4):508–11.
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www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging
Agency for Healthcare Quality and Research
Research Grant Final Report
December 5, 2024
Watchful Waiting as a Strategy for Reducing Low-valu…
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www.ahrq.gov/data/infographics/retail-drug.html
April 01, 2021 - Reduced Median Annual Spending for Retail Drugs by People Under Age 65
Reduced Median Annual Spending for Retail Drugs by People Under Age 65 (PDF, 1.2 MB)
Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #532: Out-of-Pocket Spending for Retail Prescription Drugs by Age and Type of Prescr…
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digital.ahrq.gov/principal-investigator/dziorny-adam-c
January 01, 2023 - Dziorny, Adam C.
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilizat…
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digital.ahrq.gov/principal-investigator/shah-sareen-s
January 01, 2023 - Shah, Sareen S.
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilizati…