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psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - Optimizing situation awareness to reduce emergency
transfers in hospitalized children.
October 20, 2021
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in
hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/48010/psn-pdf
May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a
structured debrief on maximizing training while sensing
patient safety threats.
May 22, 2019
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a
Structured Debrief on Maximizing Training While Sensing …
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psnet.ahrq.gov/node/35850/psn-pdf
May 27, 2011 - Computerization can create safety hazards: a bar-coding
near miss.
May 27, 2011
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med.
2006;144(7):510-6.
https://psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
This case study shares the …
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psnet.ahrq.gov/node/61048/psn-pdf
October 21, 2020 - Streamlining care in crisis: rapid creation and
implementation of a digital support tool for COVID-19.
October 21, 2020
Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a
digital support tool for COVID-19. West J Emerg Med. 2020;21(5):1095-1101.
doi:10.5811/we…
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psnet.ahrq.gov/node/853610/psn-pdf
September 20, 2023 - Ten years later, alarm fatigue is still a safety concern.
September 20, 2023
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.
https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
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psnet.ahrq.gov/node/73919/psn-pdf
October 06, 2021 - Evaluation of an interprofessional team training program
to improve the use of patient safety strategies among
healthcare professions students.
October 6, 2021
King AE, Gerolamo AM, Hass RW, et al. J Allied Health. 2021;50(3):175-181.
https://psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-…
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psnet.ahrq.gov/node/60960/psn-pdf
September 30, 2020 - COVID-19 pandemic preparation: using simulation for
systems-based learning to prepare the largest healthcare
workforce and system in Canada.
September 30, 2020
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulation for systems-based
learning to prepare the largest healthcare workforce an…
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psnet.ahrq.gov/node/866203/psn-pdf
June 26, 2024 - How a major public hospital is protecting doctors by
silencing the patients who accuse them.
June 26, 2024
Kamb L. NBC News. June 14, 2024,
https://psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-
them
Transparency is a primary element of an organizational safety cu…
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psnet.ahrq.gov/node/60292/psn-pdf
May 06, 2020 - Overcoming COVID-19: what can human factors and
ergonomics offer?
May 6, 2020
Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and
ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764.
https://psnet.ahrq.gov/issue/overcoming-covid-19-…
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psnet.ahrq.gov/node/43954/psn-pdf
May 13, 2015 - Training safer surgeons: how do patients view the role of
simulation in orthopaedic training?
May 13, 2015
Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation
in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186/s13037-015-0058-5.
https://psnet.a…
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/final-report
January 01, 2023 - Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision Support and Feedback - Final Report
Citation
Forrest C. Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision Support and Feedback - Final Report. (Prepared by The Children's Hosp…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-welcome.pdf
June 02, 2025 - AHRQ CAHPS Program: Addressing Emergining Needs for Patient Experience Measurement & Improvement webcast - WELCOME
AHRQ’s CAHPS Program: Addressing Emerging Needs
for Patient Experience Measurement and Improvement
A Webinar Presented by the AHRQ CAHPS User Network
Wednesday, September 13
12:00 – 1:00 pm ET
Webc…
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www.ahrq.gov/evidencenow/tools/tools-tip-sheets.html
June 01, 2025 - Urinary Incontinence EHR Screening Tools Tip Sheets
Urinary Incontinence EHR Screening Tools Tip Sheets (PDF, 874 KB) This document contains IT 2 Team – Northwestern Medicine’s EPIC© Tip Sheets to guide clinicians and clinical support staff on how to review female urinary incontinence screening tools in the…
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psnet.ahrq.gov/node/72672/psn-pdf
January 27, 2021 - Use of simulation to measure the effects of just-in-time
information to prevent nursing medication errors: a
randomized controlled study.
January 27, 2021
Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information
to Prevent Nursing Medication Errors. Simul Healthc. 20…
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psnet.ahrq.gov/node/864375/psn-pdf
March 13, 2024 - Experiences of physicians investigated for
professionalism concerns: a narrative review.
March 13, 2024
Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a
narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-023-08550-4.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - Errors during resuscitation: the impact of perceived
authority on delivery of care.
March 25, 2020
Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on
delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359.
https://psnet.ahrq.gov/issue/e…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/final-report
January 01, 2023 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - Final Report
Citation
Field T. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - F…
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-health-system-integrate-care-substance-misuse-and-hiv-treatment-and-prevention/final-report
January 01, 2023 - A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients - Final Report
Citation
Held M., Thompson H. A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized …
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect/citation/assessment
January 01, 2023 - Implementation guide: longitudinal ASCVD risk assessment tool for updated 10-year ASCVD risk.
Citation
Ricciardelli P, Sebastian S, Teich, J. Implementation guide: longitudinal ASCVD risk assessment tool for updated 10-year ASCVD risk. Prepared under Contract No. 290-16-00001U. AHRQ Publication No. 18…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect/citation/aspirin
January 01, 2023 - Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and colorectal cancer.
Citation
Ricciardelli P, Sebastian S, Teich, J. Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and colorectal cancer. Prepared un…