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7921. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet
      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.…

7922. The missing evidence: a systematic review of patients' experiences of adverse events in health care. | PSNet
      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…

7923. Automated Telephone Self-Management ProgramThe San Francisco Health Plan Enrollment Outreach Call (pdf file)
      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…

7924. Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data. | PSNet
      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…

7925. Performance of a fail-safe system to follow up abnormal mammograms in primary care. | PSNet
      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:…

7926. Data Flow & Clinical Outcomes in a Perinatal Continuum of Care System - 2011 | Digital Healthcare Research
      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:…

7927. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. | PSNet
      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;…

7928. Decreasing malpractice claims by reducing preventable perinatal harm. | PSNet
      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…

7929. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet
      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…

7930. 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. | PSNet
      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…

7931. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. | PSNet
      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…

7932. Operational failures in general practice: a consensus-building study on the priorities for improvement. | PSNet
      psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
      February 07, 2024 - Study Operational failures in general practice: a consensus-building study on the priorities for improvement. Citation Text: Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2…

7933. Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. | PSNet
      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…

7934. Fall prevention in acute care hospitals: a randomized trial. | PSNet
      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…

7935. Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet
      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…

7936. Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences. | PSNet
      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 …

7937. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. | PSNet
      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. …

7938. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet
      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…

7939. 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. | PSNet
      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…

7940. Influencing a culture of quality and safety through huddles. | PSNet
      psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
      April 05, 2023 - Study Influencing a culture of quality and safety through huddles. Citation Text: McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. Copy Citation Format:…