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4801. National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet
      psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
      September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

4802. Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety | Digital Healthcare Research
      digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
      January 01, 2018 - Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety Impact “Studies like that by Adelman and colleagues point the way to the creation of a digital learning health care system, in which the results of the interactions between clinicians (and, increasingly, patients …

4803. AHRQ Intensifies its Efforts to Strengthen Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/strengthen-primary-care.html
      October 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Intensifies its Efforts to Strengthen Primary Care OCT 9 2024 By Aimee Eden, Ph.D., M.P.H., and Tess Miller, Dr.PH. Primary care is foundational to good health and well-being, providing services that span  preventive care to diag…

4804. Virginia Health System Uses AHRQ Surveys on Patient Safety Culture® To Improve Quality of Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202503.html
      June 01, 2025 - Virginia Health System Uses AHRQ Surveys on Patient Safety Culture® To Improve Quality of Care Search All Impact Case Studies June 2025 Riverside Health System, based in Newport News, VA, has been using the  AHRQ Surveys on Patient Safety Culture ® (SOPS) for nearly a decade, administering surveys annually …

4805. Healthcare Spending 26 Percent Higher Among Adults Who Had Adverse Childhood Experiences | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/healthcare-costs-childhood-experiences.html
      August 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Healthcare Spending 26 Percent Higher Among Adults Who Had Adverse Childhood Experiences AUG 19 2024 By Robert Otto Valdez, Ph.D., M.H.S.A., and Thomas M. Selden, Ph.D. Robert Otto Valdez, Ph.D., M.H.S. It is a tragic reality tha…

4806. Arm in Arm with AcademyHealth, AHRQ is Poised to Build on Successes in Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/arm-in-arm-with-academyhealth.html
      June 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Arm in Arm with AcademyHealth, AHRQ is Poised to Build on Successes in Health Services Research JUN 27 2024 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. We are halfway through AHRQ’s 35 th an…

4807. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet
      psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
      December 21, 2022 - Study Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. Citation Text: Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences o…

4808. The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. | PSNet
      psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
      September 23, 2020 - Review The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. Citation Text: Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…

4809. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
      December 01, 2017 - On-Time Prevention Program for Long Term Care: Clinical Decision Support Slide Presentation On June 17, 2013, William Spector and Sandra Hudak made a presentation at the American Health Information Management Association (AHIMA) Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Summit. This is the text ve…

4810. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
      January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 14 What are the SOPS Surveys? • Surveys of providers and staff about the extent to which their organizational …

4811. Percentage of Verbal Orders (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
      March 01, 2009 - Percentage of Verbal Orders Percentage of Verbal Orders Monitoring the percentage of verbal orders allows organizations to measure the use of verbal ordering over time and whether that use is trending downward with the implementation of health IT, most commonly, computerized provider order entry (CPOE). Such …

4812. AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix E (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-e.pdf
      December 02, 2013 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix E E-1 Appendix E: Glossary Computerized Provider Order Entry (CPOE). An application that allows health care providers to use information technology to directly enter medical orders electronically in inpatient and ambulatory settings, re…

4813. Enhancing self-management of T2DM with an Automated Reminder and Feedback System | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhancing-self-management-t2dm-automated-reminder-and-feedback-system
      January 01, 2023 - Enhancing self-management of T2DM with an Automated Reminder and Feedback System Project Final Report ( PDF , 468.64 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 necessarily r…

4814. Center of Excellence Operations | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence2.html
      April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Center of Excellence Operations 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 C…

4815. Education outcomes from a duty-hour flexibility trial in internal medicine. | PSNet
      psnet.ahrq.gov/issue/education-outcomes-duty-hour-flexibility-trial-internal-medicine
      December 12, 2012 - Study Classic Education outcomes from a duty-hour flexibility trial in internal medicine. Citation Text: Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:1…

4816. AHRQ-Funded Research at the 2019 AMIA Annual Research Symposium | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-dissemination/disseminating-knowledge-and-research-findings-conferences/ahrq-funded-research-2019-amia-annual-research-symposium
      January 01, 2019 - AHRQ-Funded Research at the 2019 AMIA Annual Research Symposium Table 1: Impact Stories of AHRQ-Funded Research Exemplars Completed in 2019 AHRQ Principal Investigator AHRQ-Funded Research Profile AMIA Session Anne M. Turner Addressing the Personal Health Information …

4817. Patient-Centered Data Visualizations for Diabetes | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-centered-data-visualizations-diabetes
      January 01, 2023 - Patient-Centered Data Visualizations for Diabetes Project Final Report ( PDF , 461.39 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 necessarily represent the views of AHRQ. No …

4818. Rhode Island Statewide Health Information Exchange (HIE) State and Regional Demonstration Project (currently known as currentcare) - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/rhode-island-statewide-health-information-exchange-hie-state-and-regional/annual-summary/2011
      January 01, 2011 - Rhode Island Statewide Health Information Exchange (HIE) State and Regional Demonstration Project (currently known as currentcare) - 2011 Project Name State and Regional Demonstration in Health Information Technology: Rhode Island Principal Investigator Zimmerman, Amy Organizatio…

4819. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
      March 08, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summ…

4820. Pf-Engagement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
      May 01, 2017 - It should track, trend, and analyze necessary data for quality assurance and other identified purposes