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  1. National trends in patient safety for four common conditions, 2005–2011. | PSNet

    psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011
    August 03, 2016 - Study Classic National trends in patient safety for four common conditions, 2005–2011. Citation Text: Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005-2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NE…

  2. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? | PSNet

    psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
    February 18, 2011 - Study Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Citation Text: Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…

  3. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
    June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Long Description Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS23553 Project Period: 09/30/14–03/29/19 Description: The goal of the Johns Hopkins Armstrong Institute L…

  4. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
    December 02, 2020 - Study Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. Citation Text: Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…

  5. Tests Pending at Discharge Survey (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/tests-pending-at-discharge-survey.pdf
    June 16, 2021 - Tests Pending at Discharge Survey Tests Pending at Discharge Survey Brigham and Women’s Hospital; Boston, Massachusetts This is a questionnaire designed to be completed by physicians in an inpatient setting. The tool includes questions to assess the current state of a…

  6. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. | PSNet

    psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
    October 28, 2020 - Study Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Citation Text: Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in…

  7. A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
    March 29, 2023 - Study A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. Citation Text: Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. Copy Citation Format: …

  8. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings
    March 02, 2022 - Review Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review. Citation Text: Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a sco…

  9. 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…

  10. Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet

    psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
    January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…

  11. SASD Related Reports

    hcup-us.ahrq.gov/db/state/sasdrelatedreports.jsp
    July 01, 2016 - SASD Related Reports An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  12. Treatment Strategies for Women With Coronary Artery Disease: Future Research Needs (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment-future_research.pdf
    February 01, 2013 - Suggested citation: Dolor, RJ, Patel MR, Melloni C, Chatterjee R, Heidenfelder BL, Musty MD, Chobot … Evidence suggested a small benefit of initial conservative management at 5 years (2 studies, OR 1.05 … For stable and unstable angina trials comparing PCI with CABG, two studies suggested a nonsignificant … Evidence suggested a small benefit of initial conservative management at 5 years (2 studies, OR 1.05 … Given the small suggested benefit at 5 years in women, the wide confidence interval crossing 1, and

  13. Disposition of Comments for Technical Brief 22 Environmental Cleaning for the Prevention of Healthcare-Associated Infections (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/healthcare-infections_disposition-comments.pdf
    August 10, 2015 - We have made changes as suggested. … The heading was changed as suggested. … We have added text as suggested. … We have revised the text as suggested. … We have revised the text as suggested.

  14. StartSmart: Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024738-gance-cleveland-final-report-2019.pdf
    January 01, 2019 - One suggested adding screening for intimate partner violence (IPV). … One of the midwives suggested including a graph of the maternal weight gain to aid in understanding of … A nurse suggested that the graphics depicting a healthy baby while asking about substance use could … She suggested using another graphic would minimize the influence of social desirability. … Multiple participants suggested that the physical activity questions should appear on the same screen

  15. Health IT Research Priorities To Support the Health Care Delivery System of the Future (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/health-it-research-priorities-to-support-health-care-delivery-system-of-future.pdf
    October 19, 2014 - Suggested Citation: Dimitropoulos L. … Suggested Research Funding Mechanisms for Health IT Research ..............................27 Table … Suggested Research Funding Mechanisms for Research Questions for Health Services Researchers ...... … The Visionary Panel suggested that significant change will occur in all three areas. … Table 3 includes suggested funding vehicles to support needed research in health IT.

  16. #06 Developmental Delays ADHD, and Autism (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1306.pdf
    June 01, 2013 - Suggested citation: ECRI Institute. … In ongoing and completed trials, study results have suggested increased oxytocin levels in the body … intranasal oxytocin has been administered most often at a dose of 24 IU twice daily.5-8 Study results have suggested … Some experts suggested the data are promising and others were more reserved about drawing conclusions … One expert suggested that if proven effective, this intervention has the potential to be the standard

  17. Implementation Guide: Statin Use for the Primary Prevention of CVD in Adults: Patient-Facing CDS Intervention (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
    January 01, 2024 - Suggested Citation CMS Alliance to Modernize Healthcare (The Health FFRDC). … This time, he decides to schedule the suggested appointment. … the CDS logic that generates the display of CDS interventions and suggested actions. … These interventions and suggested actions listed align with content that was created by b.well, the …  Reflect the CQL-generated interventions and suggested actions in the health IT user interface.

  18. Treating Comorbid Depression In Care Transitions with Relational Agents - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
    January 01, 2017 - It was suggested that this would make the RA more accessible to use more often, which would assist users … One participant suggested having a stylus to assist in ease of use. … Another participant suggested selling to the program to behavioral health providers to use in conjunction … For example, one participant suggested having the RA connect to a case worker who could monitor data … and send it to a PCP or psychiatrist, and another suggested sending a summary report to providers with

  19. CDS Connect Implementation Guide Draft (doc file)

    cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
    October 01, 2017 - Suggested Citation Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2 Primary Use Cases 3 Additional Use Cases 5 Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions The recommendations, warnings, and interventions provided by this

  20. CDS Connect Implementation Guide Draft (doc file)

    cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
    October 01, 2017 - Suggested Citation Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2 Primary Use Cases 3 Additional Use Cases 4 Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions The recommendations, warnings, and interventions provided by this
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