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  1. psnet.ahrq.gov/issue/single-parameter-early-warning-criteria-predict-life-threatening-adverse-events
    January 06, 2017 - Study Single-parameter early warning criteria to predict life-threatening adverse events. Citation Text: Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf…
  2. psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
    June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…
  3. digital.ahrq.gov/sites/default/files/docs/page/CarayonSuccessStory.pdf
    December 31, 2010 - Toolkit Available for Assessing the Impact of Health InformationTechnology on Workflow in Provider Offices 1 Toolkit Available for Assessing the Impact of Health Information Technology on Workflow in Provider Offices Health IT systems can impact workflow by changing how, when, and from whom a patient re…
  4. psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
    October 09, 2024 - Review Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. Citation Text: Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …
  5. psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
    November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …
  6. psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
    January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…
  7. psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
    October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
  8. psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
    November 24, 2021 - Study Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. Citation Text: Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…
  9. psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative
    September 29, 2017 - Study Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Citation Text: 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.…
  10. psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
    November 07, 2018 - Study Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Citation Text: Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…
  11. psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
    March 05, 2008 - Study Classic Medication use leading to emergency department visits for adverse drug events in older adults. Citation Text: Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…
  12. digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-spotlight
    January 01, 2022 - Research Spotlight The Algorithm Is In: Is Adoption of Healthcare AI Outpacing Understanding? Our Nation’s strategy for better healthcare hinges on putting digital technologies to work. Today’s powerful tools make it easier to capture and share patient information, coordinate care, and strea…
  13. cdsic.ahrq.gov/cdsic/workflow-execution-publication-resource
    June 22, 2024 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …
  14. www.ahrq.gov/teamstepps-program/curriculum/situation/teach/half-day.html
    July 01, 2023 - Half-Day Training Content In a half-day training, Module 3 activities should take about 30 minutes (as noted below). Components to include in the Situation Monitoring Module for a half-day training include: Introductory Teamwork Exercise #2 : 5 minutes Objectives and Introduction to Situation Monitoring : 2…
  15. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chap…
  16. www.ahrq.gov/news/newsroom/case-studies/202304.html
    October 01, 2023 - Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders Search All Impact Case Studies October 2023 Rural primary care practices in New Mexico have expanded on an AHRQ initiative to offer proven medication-assisted treatment to patients with opio…
  17. pso.ahrq.gov/pso/delisted
    SHARE: Filter the Results Search for a Delisted PSO Search by Keyword Search   Delisted PSOs Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons: Voluntary Relinquishment — the PSO …
  18. www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
    October 01, 2023 - Supplemental Items for the CAHPS Hospital Survey: Interpreter Services Population version: Adult Related topic: Health Literacy . Hospitals interested in items that assess interpreter services may also want to review and use supplemental items that ask about health literacy. Use with HCAHPS : These …
  19. psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
    August 26, 2020 - Review Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. Citation Text: Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
  20. psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
    November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…