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9021. Continuity of Insurance: Informed Participation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-fullreport.pdf
      May 23, 2018 - Such testing provides evidence for assessing measure’s performance for disparities identification. … Describe efforts to assess the understandability of this measure (e.g., focus group testing with stakeholders … Health IT Testing Has the measure been tested as part of an electronic health record (EHR) or other … If so, in what health IT system was it tested and what were the results of testing? … Some States are in the process of testing the measure using the MSIS data. 11.C.

9022. Sarkar, Urmimala | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/sarkar-urmimala
      January 01, 2023 - Sarkar, Urmimala Designing and implementing an electronic patient registry to improve warfarin monitoring in the ambulatory setting. Citation Lee SY, Cherian R, Ly I, et al. Designing and implementing an electronic patient registry to improve warfarin monitoring in the ambulat…

9023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45125/psn-pdf
      January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. January 26, 2023 Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute for Safe Medication Practices; January 2023. https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…

9024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40743/psn-pdf
      February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues …

9025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836861/psn-pdf
      April 06, 2022 - How health systems decide to use artificial intelligence for clinical decision support. April 6, 2022 Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416. https://psnet…

9026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846757/psn-pdf
      March 29, 2023 - Managing interruptions to improve diagnostic decision- making: strategies and recommended research agenda. March 29, 2023 Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Intern Med. 2023;38(6):1526-1531. doi:10.1…

9027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845639/psn-pdf
      March 08, 2023 - Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. March 8, 2023 Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.…

9028. Hemoglobin (Blood) Disorder | Digital Healthcare Research
      digital.ahrq.gov/medical-condition/hemoglobin-blood-disorder
      January 01, 2023 - Hemoglobin (Blood) Disorder Use of mobile technology to monitor pain and reduce outpatient, emergency department (ED), and hospital visits for sickle cell pain crisis. Citation Narine K, Chang J, Jonassaint J, et al. Use of mobile technology to monitor pain and reduce outpati…

9029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36434/psn-pdf
      February 18, 2011 - Protocol-based computer reminders, the quality of care and the non-perfectability of man. February 18, 2011 McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…

9030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44773/psn-pdf
      January 13, 2016 - A tool for the concise analysis of patient safety incidents. January 13, 2016 Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33. https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents Once identified,…

9031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836985/psn-pdf
      April 27, 2022 - Standardized assessment of medication reconciliation in post-acute care. April 27, 2022 Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post? acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. https://psnet.ahrq.gov/issue/standardized-assessm…

9032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34707/psn-pdf
      September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…

9033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836990/psn-pdf
      April 27, 2022 - Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. April 27, 2022 Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. Am J Emerg Med. 2022;…

9034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50576/psn-pdf
      October 23, 2019 - Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. October 23, 2019 Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a frequent sou…

9035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60175/psn-pdf
      April 01, 2020 - ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. April 1, 2020 American College of Radiology. March 11, 2020. https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct- suspected-covid-19 As COVID-19 s…

9036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837642/psn-pdf
      July 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. July 6, 2022 Rockville, MD: Agency for Health Quality and Research; June 2022. https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants The potential for workplace violence degrades patient and staff safet…

9037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50889/psn-pdf
      February 12, 2020 - Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. February 12, 2020 Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Amb…

9038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45787/psn-pdf
      February 01, 2017 - Infusion medication error reduction by two-person verification: a quality improvement initiative. February 1, 2017 Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). https://psnet.ahrq.gov/issue/infusio…

9039. Implement an Infection Prevention Quality Improvement Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
      March 01, 2017 - Implement an Infection Prevention Quality Improvement Project Start with the Implementation Guide , and then consult the Sustainability Guide Long -Term Care Safety Toolkit Modules Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…

9040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35571/psn-pdf
      April 06, 2011 - Overestimation of clinical diagnostic performance caused by low necropsy rates. April 6, 2011 Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. https://psnet.ahrq.gov/issue/overestimation-clinical-dia…