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2041. Final Progress Report: Emergency Physician Workload (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/kellogg-report.pdf
      January 01, 2024 - Final Progress Report: Emergency Physician Workload Emergency Physician Workload Grant Award Number: R03-HS024801 Principal Investigator: Kathryn M. Kellogg, MD, MPH Team: Allan Fong, MS Raj Ratwani, PhD Rollin J. Fairbanks, MD, MS Amy Will Tracy Kim Organization: MedStar Health MedStar Institute for Inno…

2042. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - SPOTLIGHT CASE The Missing Abscess: Radiology Reads in the Digital Era Citation Text: Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation…

2043. Communication During Transitions of Care | PSNet
      psnet.ahrq.gov/perspective/communication-during-transitions-care
      July 10, 2024 - Annual Perspective Communication During Transitions of Care Ayse P. Gurses; Sarah Mossburg; Zoe Sousane | March 27, 2024  View more articles from the same authors. Citation Text: Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…

2044. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
      August 21, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 5: Response and Disclosure Communication In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. 1 Objectives Define the Response and Disclosure component of the CANDOR Proc…

2045. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet
      psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study
      August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

2046. Effects of learning climate and registered nurse staffing on medication errors. | PSNet
      psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
      February 15, 2011 - Study Effects of learning climate and registered nurse staffing on medication errors. Citation Text: Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc. Copy Citation Format: …

2047. Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
      January 01, 2011 - Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011 Project Name State and Regional Demonstration in Health Information Technology: Utah …

2048. A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet
      psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
      October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

2049. Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study. | PSNet
      psnet.ahrq.gov/issue/early-warning-scores-predict-noncritical-events-overnight-hospitalized-medical-patients
      March 30, 2022 - Study Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study. Citation Text: Bittman J, Nijjar AP, Tam P, et al. Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospe…

2050. Machine learning to enhance electronic detection of diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
      December 18, 2024 - Commentary Machine learning to enhance electronic detection of diagnostic errors. Citation Text: Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. Copy Cit…

2051. Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet
      psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
      April 04, 2018 - Study Exploring perinatal shift-to-shift handover communication and process: an observational study. Citation Text: Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…

2052. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. | PSNet
      psnet.ahrq.gov/issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-medical-staff
      December 15, 2021 - Study Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. Citation Text: Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e…

2053. Relationship between nursing home safety culture and Joint Commission accreditation. | PSNet
      psnet.ahrq.gov/issue/relationship-between-nursing-home-safety-culture-and-joint-commission-accreditation
      June 02, 2010 - Study Relationship between nursing home safety culture and Joint Commission accreditation. Citation Text: Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. Copy Citation…

2054. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet
      psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
      July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

2055. Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). | PSNet
      psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
      August 28, 2024 - Commentary Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). Citation Text: Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…

2056. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. | PSNet
      psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
      February 06, 2013 - Review Emerging Classic Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Citation Text: Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…

2057. A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet
      psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers
      October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

2058. Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/AppendixD_Comm_Tech_For_AA_Women.pdf
      June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6) Appendix D: Change in Stage of Change by Risk, Pilot-Testing (n=6) RISK INITIAL STAGE Initial Value ENDING STAGE Ending Value Direction of Chan…

2059. Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet
      psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
      July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

2060. Teaching quality improvement and patient safety to trainees: a systematic review. | PSNet
      psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
      June 09, 2015 - Review Classic Teaching quality improvement and patient safety to trainees: a systematic review. Citation Text: Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…