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9201. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
      psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
      December 16, 2015 - Commentary When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. Citation Text: Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…

9202. Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. | PSNet
      psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and
      July 08, 2015 - Review Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. Citation Text: Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolut…

9203. A novel ICU hand-over tool: the glass door of the patient room. | PSNet
      psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
      October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …

9204. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. | PSNet
      psnet.ahrq.gov/issue/cost-adverse-drug-events-related-potentially-inappropriate-medication-use-systematic-review
      December 21, 2022 - Review Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. Citation Text: Schiavo G, Forgerini M, Lucchetta RC, et al. Cost of adverse drug events related to potentially inappropriate medication use: a systematic review. J Am Pharm Assoc …

9205. EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet
      psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety
      January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

9206. The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/public-health-emergency-refocus.html
      May 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders The End of the Public Health Emergency Refocuses the Urgency to Improve Healthcare Quality MAY 19 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. On May 11, 2023, the Biden-Harris Administrat…

9207. Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202304.html
      October 01, 2023 - Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders Search All Impact Case Studies October 2023 Rural primary care practices in New Mexico have expanded on an AHRQ initiative to offer proven medication-assisted treatment to patients with opio…

9208. Patient-Centered Care Takes Center Stage in New Report from AHRQ’s Digital Healthcare Research Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/patient-centered-care-dhr.html
      September 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders Patient-Centered Care Takes Center Stage in New Report from AHRQ’s Digital Healthcare Research Program SEP 29 2022 By Chris Dymek, Ed.D.       Chris Dymek, Ed.D. The goal of patient-centered care supported by digital health…

9209. Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). | PSNet
      psnet.ahrq.gov/issue/validation-secondary-screener-suicide-risk-results-emergency-department-safety-assessment-and
      May 31, 2023 - Study Validation of a secondary screener for suicide risk: results from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE). Citation Text: Boudreaux ED, Larkin C, Camargo CA, et al. Validation of a secondary screener for suicide risk: results from the Emergency…

9210. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet
      psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
      October 21, 2020 - Study Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. Citation Text: Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …

9211. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. | PSNet
      psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
      February 23, 2011 - Study Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. Citation Text: Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…

9212. American Hospital Association Linkage Files
      hcup-us.ahrq.gov/ahalinkage/ahalinkage_search.jsp
      August 01, 2025 - American Hospital Association Linkage Files An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email U…

9213. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet
      psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
      October 26, 2010 - Study Classic Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Citation Text: Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…

9214. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. | PSNet
      psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
      February 10, 2011 - Study Classic Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Citation Text: Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on preventio…

9215. How safe is primary care? A systematic review. | PSNet
      psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
      December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…

9216. Adverse drug events in U.S. adult ambulatory medical care. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
      June 21, 2010 - Study Classic Adverse drug events in U.S. adult ambulatory medical care. Citation Text: Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…

9217. Identifying trigger concepts to screen emergency department visits for diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
      March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…

9218. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
      September 08, 2021 - Study Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Citation Text: Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…

9219. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/chronbn/nisnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

9220. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/bodysystemn/nisnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…