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9021. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet
      psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
      August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

9022. Diverticulitis (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
      November 01, 2019 - Diverticulitis Diverticulitis Diagnosis · Abdominal pain (usually left lower quadrant, ~90%), low-grade fever (~90%) · Diagnostic testing: computed tomography (CT) scan of abdomen for diagnosis and complications (e.g., abscess, perforation) · Microbiology: Escherichia coli, Klebsiella pneumoniae, Ba…

9023. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. | PSNet
      psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
      March 24, 2019 - Study Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. Citation Text: Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…

9024. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. | PSNet
      psnet.ahrq.gov/issue/introduction-medical-emergency-teams-australia-and-new-zealand-multi-centre-study
      January 04, 2012 - Study Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Citation Text: Jones D, George C, Hart GK, et al. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care. 2008;12(2):R46. doi:10.1186/cc6857.…

9025. Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. | PSNet
      psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
      August 28, 2024 - Commentary Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. Citation Text: Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…

9026. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. | PSNet
      psnet.ahrq.gov/issue/workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-current
      February 07, 2024 - Review Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. Citation Text: Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of curren…

9027. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. | PSNet
      psnet.ahrq.gov/issue/clinical-profile-hospitalized-children-provided-urgent-assistance-medical-emergency-team
      February 01, 2011 - Study Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Citation Text: Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team. Pediatrics. 20…

9028. Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. | PSNet
      psnet.ahrq.gov/issue/patient-safety-patients-who-occupy-beds-clinically-inappropriate-wards-qualitative-interview
      January 12, 2022 - Study Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. Citation Text: Goulding L, Adamson J, Watt I, et al. Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview s…

9029. Operational rounds: a practical administrative process to improve safety and clinical services in radiology. | PSNet
      psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
      May 12, 2010 - Commentary Operational rounds: a practical administrative process to improve safety and clinical services in radiology. Citation Text: Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…

9030. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
      October 30, 2013 - Review The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Citation Text: Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…

9031. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. | PSNet
      psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point
      August 02, 2011 - Study Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. Citation Text: Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot st…

9032. Influence of socioeconomic bias on emergency medicine resident decision making and patient care. | PSNet
      psnet.ahrq.gov/issue/influence-socioeconomic-bias-emergency-medicine-resident-decision-making-and-patient-care
      March 02, 2022 - Study Influence of socioeconomic bias on emergency medicine resident decision making and patient care. Citation Text: Fasano HT, McCarter MSJ, Simonis JM, et al. Influence of socioeconomic bias on emergency medicine resident decision making and patient care. Simul Healthc. 2021;6(2):85-9…

9033. Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. | PSNet
      psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
      January 12, 2022 - Study Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. Citation Text: Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…

9034. A call to action: next steps to advance diagnosis education in the health professions. | PSNet
      psnet.ahrq.gov/issue/call-action-next-steps-advance-diagnosis-education-health-professions
      November 25, 2020 - Commentary A call to action: next steps to advance diagnosis education in the health professions. Citation Text: Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.151…

9035. Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. | PSNet
      psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
      September 07, 2022 - Commentary Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. Citation Text: Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Di…

9036. Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
      January 01, 2023 - Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Data Visualization to Improve Care Simple and informative graphic displays in emergency department trauma bays can streaml…

9037. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. | PSNet
      psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
      February 24, 2021 - Commentary Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. Citation Text: Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…

9038. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. | PSNet
      psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
      June 18, 2014 - Study The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. Citation Text: Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…

9039. U.S. Preventive Services Task Force Recommendations | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/us-preventive-services-task-force-recommendations
      January 01, 2023 - U.S. Preventive Services Task Force Recommendations Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect Description This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work…

9040. Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review. | PSNet
      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…