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9061. Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet
      psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
      November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …

9062. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. | PSNet
      psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
      March 03, 2021 - Study Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. Citation Text: Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…

9063. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet
      psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
      February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

9064. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. | PSNet
      psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
      January 17, 2024 - Study Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Citation Text: Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …

9065. We want to know: patient comfort speaking up about breakdowns in care and patient experience. | PSNet
      psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience
      May 20, 2020 - Study Emerging Classic We want to know: patient comfort speaking up about breakdowns in care and patient experience. Citation Text: Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experie…

9066. Medication Reconciliation to Improve Quality of Transitional Care - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
      January 01, 2011 - Medication Reconciliation to Improve Quality of Transitional Care - 2011 Project Name Medication Reconciliation to Improve Quality of Transitional Care Principal Investigator Weiner, Michael Organization Indiana University Funding Mechanism PAR: HS08-270: Utilizing …

9067. 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.…

9068. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
      April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…

9069. 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 …

9070. Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. | PSNet
      psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
      February 17, 2021 - Study Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. Citation Text: Amelung D, Whitaker KL, Lennard D, et al. Influence of doctor-patient conversations on behaviours of patients pr…

9071. Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
      August 11, 2021 - Study Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. Citation Text: Brennan PL, Del Re AC, Henderson PT, et al. Healthcare sy…

9072. Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. | PSNet
      psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
      December 14, 2022 - Study Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. Citation Text: Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTE…

9073. Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. | PSNet
      psnet.ahrq.gov/issue/implicit-racial-bias-health-care-provider-attitudes-and-perceptions-health-care-quality-among
      March 31, 2021 - Study Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. Citation Text: Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptio…

9074. ICE Checklist 4: Cleaning and Disinfection of the Dialysis Station (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist4-cleaning-dialysis-station.pdf
      June 02, 2025 - ICE Checklist 4: Cleaning and Disinfection of the Dialysis Station …

9075. Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. | PSNet
      psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
      April 14, 2021 - Study Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. Citation Text: Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…

9076. Information technology interventions to improve medication safety in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/information-technology-interventions-improve-medication-safety-primary-care-systematic-review
      July 29, 2020 - Review Information technology interventions to improve medication safety in primary care: a systematic review. Citation Text: Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 20…

9077. Professional, structural and organisational interventions in primary care for reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
      December 16, 2020 - Review Professional, structural and organisational interventions in primary care for reducing medication errors. Citation Text: Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Databas…

9078. Validation of hospital administrative dataset for adverse event screening. | PSNet
      psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
      May 21, 2009 - Study Validation of hospital administrative dataset for adverse event screening. Citation Text: Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306. …

9079. Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. | PSNet
      psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
      August 24, 2016 - Study Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. Citation Text: Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an elec…

9080. Processes for identifying and reviewing adverse events and near misses at an academic medical center. | PSNet
      psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
      September 25, 2024 - Study Processes for identifying and reviewing adverse events and near misses at an academic medical center. Citation Text: Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient S…