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9141. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet
      psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
      September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

9142. Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. | PSNet
      psnet.ahrq.gov/issue/teamwork-associated-reduced-hospital-staff-burnout-military-treatment-facilities-findings
      July 31, 2013 - Study Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. Citation Text: Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff …

9143. Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. | PSNet
      psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
      August 24, 2016 - Study Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. Citation Text: Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…

9144. Hospital readmission and parent perceptions of their child's hospital discharge. | PSNet
      psnet.ahrq.gov/issue/hospital-readmission-and-parent-perceptions-their-childs-hospital-discharge
      July 03, 2016 - Study Hospital readmission and parent perceptions of their child's hospital discharge. Citation Text: Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt0…

9145. Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
      June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …

9146. The social cost of adverse medical events, and what we can do about it. | PSNet
      psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
      February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…

9147. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. | PSNet
      psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours
      September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…

9148. Centers for Education and Research on Therapeutics (CERTs) Program (U18) | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/centers-education-and-research-therapeutics-certs-program-u18
      January 01, 2023 - Centers for Education and Research on Therapeutics (CERTs) Program (U18) The effects of electronic prescribing by community-based providers on ambulatory medication safety. Citation Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based…

9149. Artificial intelligence related safety issues associated with FDA medical device reports. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports
      May 29, 2024 - Study Artificial intelligence related safety issues associated with FDA medical device reports. Citation Text: Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-…

9150. Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. | PSNet
      psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
      November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …

9151. Clinical Decision Making | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/clinical-decision-making
      January 01, 2023 - Clinical Decision Making Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…

9152. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet
      psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
      March 24, 2019 - Study Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. Citation Text: Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…

9153. "ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis. | PSNet
      psnet.ahrq.gov/issue/chatgpt-can-you-help-me-save-my-childs-life-diagnostic-accuracy-and-supportive-capabilities
      February 01, 2023 - Study "ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis. Citation Text: Bushuven S, Bentele M, Bentele S, et al…

9154. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. | PSNet
      psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
      October 09, 2024 - Review Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. Citation Text: Guise V, Anderson JE, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv …

9155. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
      December 12, 2014 - Study Classic Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. Citation Text: Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional …

9156. Data | Digital Healthcare Research
      digital.ahrq.gov/technology/data
      January 01, 2025 - Data Precision acute medical care through "-omic" analyses: A scoping review. Citation Ettingoff C, Von Isenburg M, Birrenkott D, Ata H, Kabrhel C, Safdar B, Hasegawa K, Monte A, Korley FF, Arnold CG, Heitsch L, Strehlow M, Limkakeng AT Jr. Precision acute medical care through…

9157. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet
      psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
      July 21, 2021 - Study Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. Citation Text: Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…

9158. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. | PSNet
      psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
      June 15, 2022 - Study Team-based approach to improving medication reconciliation rates in family medicine residency clinics. Citation Text: Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…

9159. Medical teamwork and the evolution of safety science: a critical review. | PSNet
      psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review
      January 26, 2022 - Review Medical teamwork and the evolution of safety science: a critical review. Citation Text: Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi:10.1007/s10111-019-00545-8. Copy Citation …

9160. Monitor Patient Outcomes | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes
      August 01, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…