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2161. Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. | PSNet
      psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
      February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. Citation Text: Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…

2162. Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet
      psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
      September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

2163. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical
      August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

2164. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=0
      June 01, 2025 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 191 Publications displayed Find Publications by Keyword or Topic…

2165. Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. | PSNet
      psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
      September 27, 2023 - Study Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. Citation Text: Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…

2166. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. | PSNet
      psnet.ahrq.gov/issue/impact-opioid-administration-intensive-care-unit-and-subsequent-use-opioid-naive-patients
      April 06, 2022 - Study Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Citation Text: Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacothe…

2167. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
      January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…

2168. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/impact-commercial-computerized-provider-order-entry-cpoe-and-clinical-decision-support
      August 26, 2020 - Review Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. Citation Text: Prgomet M, Li L, Niazkhani Z, et al. Impac…

2169. Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. | PSNet
      psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
      December 08, 2021 - Review Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. Citation Text: Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…

2170. Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. | PSNet
      psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
      January 18, 2023 - Study Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. Citation Text: Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…

2171. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. | PSNet
      psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
      August 24, 2015 - Study Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Citation Text: Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…

2172. Appendix 3-B. Pre/Post-Test Questions and Answers for Module 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 3-B. Pre/Post-Test Questions and Answers for Module 3 Previous Page   Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating…

2173. Chapter 3. Qualitative Analysis of Consumer Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program3.html
      April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Chapter 3. Qualitative Analysis of Consumer Perspectives Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Ele…

2174. Quality Improvement Study Framework (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
      June 02, 2025 - Quality Improvement Study Framework Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. · Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed. · Speculating about the cause of a problem before a th…

2175. Medication errors involving patient-controlled analgesia.   | PSNet
      psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
      May 24, 2015 - Study Medication errors involving patient-controlled analgesia.   Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…

2176. Variation in electronic test results management and its implications for patient safety: a multisite investigation. | PSNet
      psnet.ahrq.gov/issue/variation-electronic-test-results-management-and-its-implications-patient-safety-multisite
      June 02, 2021 - Study Variation in electronic test results management and its implications for patient safety: a multisite investigation. Citation Text: Thomas J, Dahm MR, Li J, et al. Variation in electronic test results management and its implications for patient safety: a multisite investigation. J A…

2177. Grant Closeout Requirements | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grant-mgmt/closeout.html
      October 01, 2024 - Grant Closeout Requirements This section provides details regarding required documentation that must be submitted to AHRQ's Grants Management within 120 days of the project end date of a grant or cooperative agreement to close out a grant in accordance with HHS regulations and AHRQ policy. This section provid…

2178. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. | PSNet
      psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
      April 12, 2014 - Study Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Citation Text: Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patie…

2179. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
      February 17, 2021 - Study Classic Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. Citation Text: Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…

2180. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. | PSNet
      psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
      December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …