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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…
Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. | PSNet

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June 23, 2021 - Review Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. Citation Text: Kelley-Quon LI, Kirkpatrick MG, Ricca RL, et al. Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion. JAMA Surg. 20…
Automated identification of postoperative complications within an electronic medical record using natural language processing. | PSNet

psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using

March 09, 2011 - Study Classic Automated identification of postoperative complications within an electronic medical record using natural language processing. Citation Text: Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…
Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home

April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…
Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet

psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first

December 21, 2014 - Study Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. Citation Text: Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…
Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary (pdf file)

www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf

November 15, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Car…
Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design

January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…
Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry | Agency for Healthcare Research and Quality

www.ahrq.gov/patient-safety/resources/learning-lab/owll-long-desc.html

August 01, 2025 - Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry Principal Investigator: Muhammad Walji, Ph.D., University of Texas Health Science Center at Houston, Houston, TX AHRQ Grant No.: HS027268 Project Period: 09/09/19-08/31/24 Description: OWLL aimed to improve patient safety in dental sett…
Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series. | PSNet

psnet.ahrq.gov/issue/characteristics-and-unexpected-covid-19-diagnoses-resuscitation-room-patients-during-covid-19

September 02, 2020 - Commentary Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series. Citation Text: Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients dur…
Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/changes-hospital-safety-following-penalties-us-hospital-acquired-condition-reduction-program

September 29, 2021 - Study Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. Citation Text: Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction …
Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. | PSNet

psnet.ahrq.gov/issue/changes-hospital-acquired-conditions-and-mortality-associated-hospital-acquired-condition

July 24, 2019 - Study Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. Citation Text: Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition red…
Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. | PSNet

psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing

August 28, 2024 - Study Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Me…
| Agency for Healthcare Research and Quality

www.ahrq.gov/research/publications/search.html

June 01, 2025 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 191 Publications displayed Find Publications by Keyword or Topic…
| Agency for Healthcare Research and Quality

www.ahrq.gov/tools/index.html

December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …
About AHRQ | Agency for Healthcare Research and Quality

www.ahrq.gov/cpi/about/index.html

March 01, 2025 - About AHRQ The Agency for Healthcare Research and Quality (AHRQ) is the federal agency charged with improving the quality and safety of healthcare delivery. The agency develops and disseminates scientific evidence, tools, and data to help patients and their families, healthcare professionals, and policymakers m…
Lessons Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision Support | CDSiC

cdsic.ahrq.gov/cdsic/lessons-learned-resource

July 26, 2023 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …
Opioid Epidemic COVID OUD Treatment Telehealth | The Academy

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December 23, 2020 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…