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9401. Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet
      psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
      July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

9402. Improving communication in the emergency department. | PSNet
      psnet.ahrq.gov/issue/improving-communication-emergency-department
      September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

9403. Minimizing surgical error by incorporating objective assessment into surgical education. | PSNet
      psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
      January 12, 2022 - Review Minimizing surgical error by incorporating objective assessment into surgical education. Citation Text: Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsu…

9404. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. | PSNet
      psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
      January 23, 2017 - Study Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Citation Text: Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…

9405. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet
      psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
      January 13, 2021 - Review Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Citation Text: Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin N…

9406. How to "DEAL" with disruptive physician behavior. | PSNet
      psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior
      December 02, 2020 - Commentary How to "DEAL" with disruptive physician behavior. Citation Text: Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology. 2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021. Copy Citation Format: DOI Google Scholar Bi…

9407. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. | PSNet
      psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
      January 08, 2016 - Study Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Citation Text: Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. Copy Citation Forma…

9408. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. | PSNet
      psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
      April 10, 2013 - Commentary Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. Citation Text: Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008…

9409. The investigation and analysis of critical incidents and adverse events in healthcare. | PSNet
      psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare
      March 05, 2014 - Study Classic The investigation and analysis of critical incidents and adverse events in healthcare. Citation Text: Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …

9410. The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. | PSNet
      psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
      December 18, 2013 - Review The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. Citation Text: Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…

9411. Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
      May 29, 2019 - Commentary Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. Citation Text: Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043…

9412. Engagement and Retention of Nonabstinent Patients in SUD Treatment – New ASAM Clinical Guidance | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/engagement-and-retention-nonabstinent-patients-sud-treatment-new-asam-clinical
      December 20, 2024 - 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…

9413. Ambiguity and workarounds as contributors to medical error. | PSNet
      psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
      December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. Citation Text: Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

9414. Tertiary Care | Digital Healthcare Research
      digital.ahrq.gov/type-care/tertiary-care
      January 01, 2023 - Tertiary Care ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Description The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilization…

9415. Teaching quality improvement. | PSNet
      psnet.ahrq.gov/issue/teaching-quality-improvement
      July 19, 2023 - Commentary Teaching quality improvement. Citation Text: Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

9416. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet
      psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
      July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

9417. Guided prescription of psychotropic medications for geriatric inpatients. | PSNet
      psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
      February 04, 2018 - Study Guided prescription of psychotropic medications for geriatric inpatients. Citation Text: Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. Copy Citation Format: Goog…

9418. Medication-related clinical decision support in computerized provider order entry systems: a review. | PSNet
      psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-entry-systems-review
      March 11, 2011 - Review Medication-related clinical decision support in computerized provider order entry systems: a review. Citation Text: Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2…

9419. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. | PSNet
      psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
      July 02, 2014 - Study Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. Citation Text: Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;3…

9420. Medication Management | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/medication-management
      January 01, 2023 - Medication Management Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction Description This research will use artificial intelligence and machine learning to create prediction too…