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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.
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-and-human-factors-healthcare-quality-safety
September 29, 2025 - Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Project Description
By bringing together experts from academia, industry, and clinical practice to integrate human factors engineering (HFE) into artificial intelligence (AI) implementation and usage, this…
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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.
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digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2019 - Supporting Clinicians to Improve Decision Making and Patients' Care
Research funded by AHRQ’s Digital Healthcare Research Program aims to support clinicians and other healthcare professionals in providing health services. In 2019, total program investment in research to support clinical …
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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…
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digital.ahrq.gov/program-overview/research-stories/machine-learning-algorithm-improve-use-interpreters-hospitalized
January 01, 2023 - A Machine Learning Algorithm to Improve the Use of Interpreters for Hospitalized Patients with Complex Care Needs
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Improving Equity in Healthcare with Digital Healthcare Solutions
A machine learning, predictive analytic i…
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psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
September 28, 2022 - Commentary
Social risk, health inequity, and patient safety.
Citation Text:
Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519.
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psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
December 12, 2018 - Newspaper/Magazine Article
IV push medications survey results—part 1 and part 2.
Citation Text:
IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
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psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
August 07, 2019 - Commentary
Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety.
Citation Text:
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …
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psnet.ahrq.gov/issue/seeking-answers-hearing-silence
October 09, 2024 - Commentary
Seeking answers, hearing silence.
Citation Text:
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535.
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digital.ahrq.gov/principal-investigator/kazemi-donna
January 01, 2023 - Kazemi, Donna
Systematic review of smartphone apps as a mHealth intervention to address substance abuse in adolescents and adults.
Citation
Kazemi DM, Li S, Levine MJ, Auten B, Granson M. Systematic review of smartphone apps as a mHealth intervention to address substance abus…
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psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
April 06, 2022 - Book/Report
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report.
Citation Text:
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …
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psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
April 07, 2021 - Review
Diagnostic difficulty and error in primary care—a systematic review.
Citation Text:
Kostopoulou O, Delaney B, Munro CW. Diagnostic difficulty and error in primary care--a systematic review. Fam Pract. 2008;25(6):400-413. doi:10.1093/fampra/cmn071.
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psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
August 13, 2014 - Study
Managing clinical failure: a complex adaptive system perspective.
Citation Text:
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
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psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
March 02, 2014 - Commentary
Infection prevention in the operating room anesthesia work area.
Citation Text:
Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303.
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psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and-safety-diagnosis
January 11, 2017 - Book/Report
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis.
Citation Text:
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; Augu…
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psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
October 19, 2022 - Review
Diagnostic reasoning and cognitive biases of nurse practitioners.
Citation Text:
Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03.
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psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
January 15, 2014 - Study
Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.
Citation Text:
Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…
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psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
March 10, 2021 - Book/Report
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Citation Text:
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…
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psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention
August 25, 2010 - Commentary
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Citation Text:
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…