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  1. psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
    October 27, 2021 - Review Effect of burnout among physicians on observed adverse patient outcomes: a literature review. Citation Text: Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
  2. psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
    August 04, 2021 - Study Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. Citation Text: Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scori…
  3. psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
    October 05, 2022 - Study Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. Citation Text: Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…
  4. psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
    September 06, 2017 - Review Classic The missing evidence: a systematic review of patients' experiences of adverse events in health care. Citation Text: Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…
  5. digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q2_EnrollmentOutreachCallSFHP.pdf
    June 16, 2021 - Automated Telephone Self-Management ProgramThe San Francisco Health Plan Enrollment Outreach Call 1 Automated Telephone Self-Management Program The San Francisco Health Plan Enrollment Outreach Call Hello, I am calling from San Francisco Health Plan. May I speak with (First and Last Name) please? Confirm…
  6. psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses-home-care-cross
    March 24, 2021 - Study Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data. Citation Text: ten Haken I, Ben Allouch S, van Harten WH. Reporting incidents involving the use of advanced medical technolo…
  7. psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
    September 11, 2013 - Study Performance of a fail-safe system to follow up abnormal mammograms in primary care. Citation Text: Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. Copy Citation Format:…
  8. digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
    January 01, 2011 - Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011 Project Name Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System Principal Investigator Levick, Donald Organization Lehigh Valley Hospital Funding Mechanism PAR: HS08-270:…
  9. psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
    December 21, 2022 - Study Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. Citation Text: Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
  10. psnet.ahrq.gov/issue/decreasing-malpractice-claims-reducing-preventable-perinatal-harm
    September 01, 2018 - Study Decreasing malpractice claims by reducing preventable perinatal harm. Citation Text: Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. Copy Citation…
  11. psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
    March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Citation Text: Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming…
  12. psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
    December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
  13. psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
    December 14, 2016 - Study Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17…
  14. psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-medication-discrepancies-during
    August 26, 2020 - Study Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. Citation Text: Cornu P, Steurbaut S, Leysen T, et al. Effect of medication reconciliation at hospital admission on medication disc…
  15. psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
    February 01, 2023 - Study Classic Fall prevention in acute care hospitals: a randomized trial. Citation Text: Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567. Copy Citat…
  16. psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
    February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Citation Text: Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…
  17. psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
    October 13, 2010 - Study Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. Citation Text: Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol era: analysis …
  18. psnet.ahrq.gov/issue/factors-influencing-medication-errors-prehospital-paramedic-environment-mixed-method
    August 25, 2021 - Review Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Citation Text: Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. …
  19. psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
    July 20, 2022 - Study Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Citation Text: Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…
  20. psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
    January 18, 2013 - Study Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. Citation Text: Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…