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psnet.ahrq.gov/node/73320/psn-pdf
May 26, 2021 - What are the implications for patient safety and
experience of a major healthcare IT breakdown? A
qualitative study.
May 26, 2021
Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a
major healthcare IT breakdown? A qualitative study. Digit Health. 2021;7:20552…
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psnet.ahrq.gov/node/853059/psn-pdf
August 30, 2023 - Anesthesia Risk Alert program: a proactive safety
initiative.
August 30, 2023
Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J
Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005.
https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr…
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psnet.ahrq.gov/node/34055/psn-pdf
March 07, 2005 - What is driving hospitals' patient-safety efforts?
March 7, 2005
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood).
2004;23(2):103-15.
https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
This study evaluated the role professionalism, regulati…
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/final-report
January 01, 2023 - Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE) - Final Report
Citation
Dykes P. Shareable, Interoperable Clinical Decision Support for Older Adults: A…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous/citation/pragmatic
January 01, 2024 - A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury.
Citation
Tignanelli CJ, Shah S, Vock D, Siegel L, Serrano C, Haut E, Switzer S, Martin CL, Rizvi R, Peta V, Jenkins PC, Le…
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digital.ahrq.gov/organization/thomson-reuters-healthcare-inc
January 01, 2023 - Thomson Reuters Healthcare, Inc.
Structuring Care Recommendations for Clinical Decision Support - 2011
Principal Investigator
Osheroff, Jerry
Project Name
Structuring Care Recommendations for Clinical Decision Support
Design of a Toolkit t…
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digital.ahrq.gov/care-setting/free-clinic
January 01, 2023 - Free Clinic
School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities
Description
This study examined parent and provider experiences and care costs for in-person, …
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome/citation/development
January 01, 2023 - Development of frail RISC-HIV: A risk score for predicting frailty risk in the short-term for care of people with HIV.
Citation
Ruderman SA, Nance RM, Drumright LN, Whitney BM, Hahn AW, Ma J, Haidar L, Eltonsy S, Mayer KH, Eron JJ, Greene M, Mathews WC, Webel A, Saag MS, Willig AL, Kamen C, McCaul M, …
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digital.ahrq.gov/funding-mechanism/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional
January 01, 2023 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01)
The Role of Telehealth in COVID-19 Response
Description
This research, using data from the country’s largest telehealth provider and claims from a large commercial…
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psnet.ahrq.gov/node/47015/psn-pdf
May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal
error.
May 9, 2018
Porter S. HealthLeaders Media. April 26, 2018.
https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
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psnet.ahrq.gov/node/46706/psn-pdf
March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
March 20, 2018
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/72625/psn-pdf
January 13, 2021 - US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic.
January 13, 2021
Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20…
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors.
September 20, 2017
ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4.
https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors
Workflow process…
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psnet.ahrq.gov/node/44756/psn-pdf
September 12, 2016 - Importance of teamwork, communication and culture on
failure-to-rescue in the elderly.
September 12, 2016
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the
elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
https://psnet.ahrq.gov/issue/importance-teamw…
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psnet.ahrq.gov/node/44361/psn-pdf
November 20, 2015 - Communication in healthcare: a narrative review of the
literature and practical recommendations.
November 20, 2015
Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature
and practical recommendations. Int J Clin Pract. 2015;69(11):1257-67. doi:10.1111/ijcp.12686.…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/index.html
May 01, 2025 - Primary Care Research Webinars
New 2025 Webinar Series: The Value and Impact of Primary Care Research Watch recordings and access slides from past webinars in this series: Approaches to Address the Health of Specific Patient Populations in Primary Care (May 1, 2025) The Impact of Consolidation and Ownership…
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digital.ahrq.gov/ahrq-funded-projects/rheumatology-informatics-system-effectiveness-patient-reported-outcome-rise-pro/citation/development
January 01, 2023 - The development of the rheumatology informatics system for effectiveness learning collaborative for improving patient-reported outcome collection and patient-centered communication in adult rheumatology.
Citation
Subash M, Liu LH, DeQuattro K, Choden S, Jacobsohn L, Katz P, Bajaj P, Barton JL, Bartels…
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digital.ahrq.gov/ahrq-funded-projects/i-matter-investigating-mhealth-texting-tool-embedding-patient-reported-data/final-report
January 01, 2023 - i-Matter: Investigating an mHealth Texting Tool for Embedding Patient-Reported Data into Diabetes Management - Final Report
Citation
Schoenthaler A., Mann D. i-Matter: Investigating an mHealth Texting Tool for Embedding Patient-Reported Data into Diabetes Management – Final Report. (Prepared by New Yo…
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digital.ahrq.gov/ahrq-funded-projects/school-based-tele-physiatry-assistance-rehabilitative-and-therapeutic-services/final-report
January 01, 2023 - School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS) for Children with Special Health Care Needs Living in Rural and Underserved Communities - Final Report
Citation
Marcin J. School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Ch…
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digital.ahrq.gov/care-setting/rehabilitation-center
January 01, 2023 - Rehabilitation Center
Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals
Description
This project engaged individuals with physical, sensory, and cognitive disabilities to expand upon existing consumer mobile health application design guidance for …