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psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
May 13, 2020 - Study
Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.
Citation Text:
Farrell C‐JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in…
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digital.ahrq.gov/care-setting/patient-home
January 01, 2023 - Patient Home
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Description
This research examines whether remote therapeutic monitoring can improve physica…
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www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes
Press Release Date: October 10, 2023
A new study funded by the Agency for Healthcare Research and Quality (AHRQ) found that nursing homes using a chlorhexidine bathing routine to clean the skin and nose with over-the-counter antiseptic solutions pr…
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety-center
November 30, 2011 - Commentary
Classic
Patient safety goals for the proposed Federal Health Information Technology Safety Center.
Citation Text:
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform…
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - Study
Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system.
Citation Text:
Rowily AA, Jalal Z, Paudyal V. Contributory factors…
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psnet.ahrq.gov/issue/association-between-health-care-staff-engagement-and-patient-safety-outcomes-systematic
February 02, 2022 - Review
Emerging Classic
The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.
Citation Text:
Janes G, Mills T, Budworth L, et al. The association between health care staff engagement and patient …
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psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts
July 22, 2020 - Study
The potential for leveraging machine learning to filter medication alerts.
Citation Text:
Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives
January 01, 2023 - Past Initiatives
Evaluation of Meaningful Use (2013-2015)
AHRQ worked in partnership with the Office of the National Coordinator for Health IT and CMS to support rapid cycle research on Stage 3 of the Meaningful Use (MU) incentive program. In 2103 AHRQ awarded 12 grants and contracts under…
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psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
August 05, 2020 - Commentary
COVID-19: the dark side and the sunny side for patient safety.
Citation Text:
Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116.
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Format: …
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psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - Study
Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.
Citation Text:
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…
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psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
May 15, 2024 - Study
Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.
Citation Text:
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…
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psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
March 09, 2022 - Study
Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.
Citation Text:
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…
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psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee
June 24, 2020 - Commentary
What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff.
Citation Text:
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…
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psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
June 07, 2017 - Study
Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department.
Citation Text:
OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…
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psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
October 28, 2020 - Commentary
Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.
Citation Text:
Gaur S, Kumar R, Gillespie SM, et al. Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic. J Am Med Dir A…
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psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
April 07, 2021 - Study
Assessing the perceived level of institutional support for the second victim after a patient safety event.
Citation Text:
Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…
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www.ahrq.gov/news/newsroom/case-studies/201806.html
October 01, 2018 - Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools
Search All Impact Case Studies
October 2018
Bridgeport Hospital, a 383-bed safety net hospital in Bridgeport, Connecticut, used two AHRQ tools to improve care in its facility. With AHRQ’s Door-to-Doc patient safety toolkit , …
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - Review
Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.
Citation Text:
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological safety and error reporting in heal…
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psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient
April 03, 2013 - Study
Reported medication events in a paediatric emergency research network: sharing to improve patient safety.
Citation Text:
Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…