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NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. | PSNet

psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year

February 22, 2023 - Study NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. Citation Text: Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative documen…
HIE and Ambulatory Test Utilization - 2011 | Digital Healthcare Research

digital.ahrq.gov/ahrq-funded-projects/hie-and-ambulatory-test-utilization/annual-summary/2011

January 01, 2011 - HIE and Ambulatory Test Utilization - 2011 Project Name Health Information Exchange and Ambulatory Test Utilization Principal Investigator Nease, Donald Organization University of Colorado, Denver Funding Mechanism PAR: HS08-269: Exploratory and Developmental Grant …
Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. | PSNet

psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system

August 27, 2012 - Study Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. Citation Text: Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. | PSNet

psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality

July 21, 2021 - Study Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Citation Text: Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
Research Centers in Primary Care Practice-Based Research and Learning | Digital Healthcare Research

digital.ahrq.gov/ahrq-funded-projects/research-centers-primary-care-practice-based-research-and-learning

January 01, 2023 - Research Centers in Primary Care Practice-Based Research and Learning Project Final Report ( PDF , 190.53 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent th…
How Do I Evaluate Workflow? (ppt file)

digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt

January 01, 2009 - How Do I Evaluate Workflow? What is Workflow? Defining workflow Definitions of workflow vary. Here are a couple: The flow of work through space and time, where work is comprised of three components: inputs are transformed into outputs.[1] The activities, tools, and processes needed to produce or modify work, pr…
Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine." | Digital Healthcare Research

digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pluye-p-et

January 01, 2023 - Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine." Reference Pluye P, Grad RM. How information retrieval technology may impact on physician practice: an organizational case study in family medicine. J Eval Clin …
Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. | PSNet

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March 06, 2024 - Review Emerging Classic Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. Citation Text: Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Me…
The impact of technology on prescribing errors in pediatric intensive care: a before and after study. | PSNet

psnet.ahrq.gov/issue/impact-technology-prescribing-errors-pediatric-intensive-care-and-after-study

November 16, 2022 - Study The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Citation Text: Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Appl Clin Inform. 2020…
Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. | PSNet

psnet.ahrq.gov/issue/methods-used-obtain-pediatric-patient-weights-their-accuracy-and-associated-drug-dosing

March 01, 2023 - Study Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. Citation Text: Hoyle JD, Ekblad G, Woodwyk A, et al. Methods used to obtain pediatric patient weights, their accuracy and as…
Roland MO et al. 1985 "Evaluation of a computer assisted repeat prescribing programme in a general practice." | Digital Healthcare Research

digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/roland-mo-et-al-1985

January 01, 2023 - Roland MO et al. 1985 "Evaluation of a computer assisted repeat prescribing programme in a general practice." Reference Roland MO, Zander LI, Evans M, et al. Evaluation of a computer assisted repeat prescribing programme in a general practice. Br Med J (Clin Res Ed) 1985;291(6493):456-458. [Link] …
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. | PSNet

psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user

November 04, 2020 - Study Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. Citation Text: Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. | PSNet

psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning

September 14, 2022 - Study Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. Citation Text: Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …
Topic 0559 Disruptive Behavior Disorders in Children NSD FINAL SJ (pdf file)

effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0655-131114.pdf

May 22, 2013 - Topic 0559 Disruptive Behavior Disorders in Children NSD FINAL SJ Comparative Effectiveness of Treatments for Disruptive Behavior Disorders in Children Nomination Summary Document …
Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet

psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes

September 23, 2020 - Study Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. Citation Text: Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…
Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. | PSNet

psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

January 08, 2020 - Study Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. Citation Text: Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…
CDSiC Stakeholder Center Quarterly Report, April to June 2025 | CDSiC

cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-April-June-2025

June 27, 2025 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …
Reducing Avoidable Hospital Readmissions: The Role of the Patient Safety Organization (PSO) | PSO

pso.ahrq.gov/resources/readmission

August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Reducing Avoidable Hospital Readmissions …
Enhancing patient safety and risk management through clinical pathways in oncology. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology

September 13, 2023 - Study Enhancing patient safety and risk management through clinical pathways in oncology. Citation Text: Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024…
AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 2 (pdf file)

digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-2.pdf

June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 2 2-1 Section 2: Characterizing Your HIE Project This section describes background work that needs to be done to prepare for developing the evaluation plan by— z Describing the HIE project z Identifying the stakeholders z Articulati…