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9561. Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. | PSNet
      psnet.ahrq.gov/issue/acting-between-guidelines-and-reality-interview-study-exploring-strategies-first-line
      May 19, 2021 - Study Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. Citation Text: Hedsköld M, Sachs MA, Rosander T, et al. Acting between guidelines and reality- an interview study exploring the strategies of first line…

9562. High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet
      psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
      May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

9563. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. | PSNet
      psnet.ahrq.gov/issue/unplanned-early-hospital-readmission-among-critical-care-survivors-mixed-methods-study
      September 23, 2020 - Study Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. Citation Text: Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.…

9564. The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns | PSNet
      psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate
      September 12, 2018 - Journal Article The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns Citation Text: Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…

9565. The social cost of adverse medical events, and what we can do about it. | PSNet
      psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
      February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…

9566. Microsoft PowerPoint - pharmacy-data.ppt [Compatibility Mode] (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn5.pdf
      June 21, 2014 - Microsoft PowerPoint - pharmacy-data.ppt [Compatibility Mode] “Using Clinically Enhanced“Using Clinically-Enhanced Claims Data to Guide Treatment of Acute Heart Failure” An AHRQ Grant to MHA Data Acquisition & Transmission Pharmacy Data Overview of Data Acquisition Strategyq gy • Establish data specification…

9567. Assessing experiences of racism among Black and White patients in the emergency department. | PSNet
      psnet.ahrq.gov/issue/assessing-experiences-racism-among-black-and-white-patients-emergency-department
      December 14, 2022 - Study Assessing experiences of racism among Black and White patients in the emergency department. Citation Text: Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):…

9568. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet
      psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
      January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…

9569. Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health
      March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

9570. Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet
      psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
      April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

9571. Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. | PSNet
      psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
      August 24, 2022 - Study Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. Citation Text: Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualita…

9572. Relationship between patient safety and hospital surgical volume. | PSNet
      psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
      May 04, 2012 - Study Relationship between patient safety and hospital surgical volume. Citation Text: Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. Copy Citati…

9573. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. | PSNet
      psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality
      March 20, 2017 - Commentary Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Citation Text: Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…

9574. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet
      psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
      July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

9575. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
      December 14, 2022 - Review A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…

9576. Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. | PSNet
      psnet.ahrq.gov/issue/do-patient-engagement-interventions-work-all-patients-systematic-review-and-realist-synthesis
      May 25, 2022 - Review Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety. Citation Text: Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A systematic review and …

9577. The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
      May 15, 2013 - Review The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Citation Text: van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …

9578. Safety climate and its association with office type and team involvement in primary care. | PSNet
      psnet.ahrq.gov/issue/safety-climate-and-its-association-office-type-and-team-involvement-primary-care
      August 08, 2012 - Study Safety climate and its association with office type and team involvement in primary care. Citation Text: Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-4…

9579. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=10
      March 01, 2016 - 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. 101 - 110 of 191 Publications displayed Find Publications by Keyword or To…

9580. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. | PSNet
      psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
      March 02, 2022 - Study Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. Citation Text: Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…