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  1. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
    February 01, 2024 - Preventing Pressure Ulcers in Hospitals Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer prevention that we want to use? 4. How…
  2. psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
    May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…
  3. psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
    May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
  4. www.ahrq.gov/news/blog/ahrqviews/2st-century-ai.html
    October 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Healthcare’s Next Technological Frontier: 21st Century Artificial Intelligence OCT 24 2024 By Robert Otto Valdez, Ph.D., M.H.S.A.; Chris Dymek, Ed.D.; and Kevin Chaney, M.G.S. In recent days, we at AHRQ have been excited by the ent…
  5. 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…
  6. www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
    September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety SEP 16 2024 By Robert Otto Valdez, Ph.D., M.H.S.A., and Craig A. Umscheid, M.D., M.S. Robert Otto Valdez, Ph.D., M.H.S. As the healthcar…
  7. effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0193_08-12-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0184-0193 Document Completion Date: 2-23-10 1 Results of Topic Selection Process & Next Steps  Interventions to improve prescription medication adherence will be considered for refinement as an umbrella review of systematic reviews to outline current evi…
  8. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
    April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Alignment Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowledg…
  9. psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
    July 31, 2019 - Study Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Citation Text: Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
  10. psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
    August 19, 2020 - Review The impact of health information technology on the management and follow-up of test results—a systematic review. Citation Text: Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J A…
  11. digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/annual-summary/2010
    January 01, 2010 - Improving Uptake and Use of Personal Health Records - 2010 Project Name Improving Uptake and Use of Personal Health Records Principal Investigator Bates, David Organization Brigham and Women's Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Te…
  12. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
    January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…
  13. psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
    June 23, 2021 - Review Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Citation Text: Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …
  14. psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
    February 17, 2021 - Study Safety risks and workflow implications associated with nursing-related free-text communication orders. Citation Text: Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…
  15. psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy
    July 29, 2020 - Study Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. Citation Text: Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty…
  16. psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
    June 11, 2010 - Study Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. Citation Text: Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…
  17. digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
    March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human…
  18. psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
    July 16, 2019 - Study Classic Evaluation of perioperative medication errors and adverse drug events. Citation Text: Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…
  19. psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
    October 13, 2021 - Study Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Citation Text: Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…
  20. psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication
    April 10, 2024 - Review Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. Citation Text: Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medi…