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digital.ahrq.gov/ahrq-funded-projects/using-electronic-medical-record-identify-and-screen-patients-risk-delirium
January 01, 2023 - Using the Electronic Medical Record to Identify and Screen Patients at Risk for Delirium
Project Final Report ( PDF , 940.88 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 neces…
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-materials
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications - 2011
Project Name
Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications
Principal Investigator
Wolf, Michael
Organization
Nort…
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digital.ahrq.gov/ahrq-funded-projects/impact-consumer-health-informatics-applications/annual-summary/2009
January 01, 2009 - Impact of Consumer Health Informatics Applications - 2009
Project Name
Impact of Consumer Health Informatics Applications
Principal Investigator
Gibbons, M. Chris
Organization
Johns Hopkins University
Contract Number
290-07-10061
Project Period
08/08 – 10/09…
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psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
October 18, 2023 - Study
Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study.
Citation Text:
Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…
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psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
January 15, 2020 - Study
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Citation Text:
Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…
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psnet.ahrq.gov/issue/implementing-and-evaluating-patient-focused-safety-technology-adult-acute-mental-health-wards
April 06, 2022 - Study
Implementing and evaluating patient-focused safety technology on adult acute mental health wards.
Citation Text:
Kendal S, Louch G, Walker L, et al. Implementing and evaluating patient‐focused safety technology on adult acute mental health wards. J Psychiatr Ment Health Nurs. 2024;…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-dynamic-chronic-care-registry-quality-care
January 01, 2023 - Assessing the Impact of a Dynamic Chronic Care Registry on Quality of Care
Project Final Report ( PDF , 2.17 MB)
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Publications
Project Details -
Completed
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psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
June 30, 2021 - Study
Evaluating incident learning systems and safety culture in two radiation oncology departments.
Citation Text:
Adamson L, Beldham‐Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):2…
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psnet.ahrq.gov/issue/prescribers-responses-alerts-during-medication-ordering-long-term-care-setting
February 26, 2009 - Study
Prescribers' responses to alerts during medication ordering in the long term care setting.
Citation Text:
Judge J, Field T, DeFlorio M, et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc. 2006;13(4):385-90.
Co…
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psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
August 31, 2022 - Study
System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.
Citation Text:
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Kirchner
Overview of the SOPS Surveys
Jess Kirchner, M.A.
SOPS Program Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What are the SOPS Surveys?
• Surveys of providers and staff about the extent to which their
organizational cu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/031-hand-hygiene-monitoring.docx
October 01, 2024 - Direct Observation: Covert1-4
Incorporates unknown or undercover (“secret shopper”) observers to facilitate accurate data collection
Advantages
Disadvantages
· Minimizes the Hawthorne effect—the observer’s effect on the behavior being observed
· Identifies trends and barriers to adherence
· Includes possibility t…
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cdsic.ahrq.gov/cdsic/technology-landscape-patient-centered-cds
June 06, 2022 - :
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CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
November 17, 2021 - Study
The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.
Citation Text:
Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…
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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…
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psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
July 22, 2020 - Study
Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.
Citation Text:
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
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psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
November 10, 2021 - Study
In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.
Citation Text:
Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - Study
Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study.
Citation Text:
Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…