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5941. When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet
      psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
      March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

5942. Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet
      psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
      December 24, 2007 - Government Resource Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Citation Text: Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005. Copy Citation …

5943. COVID-19 exposes potential gaps in PPE training, effectiveness. | PSNet
      psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
      May 26, 2021 - Newspaper/Magazine Article COVID-19 exposes potential gaps in PPE training, effectiveness. Citation Text: COVID-19 exposes potential gaps in PPE training, effectiveness. Ault A. Medscape Medical News. April 6, 2020. Copy Citation Save Save to your library …

5944. Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. | PSNet
      psnet.ahrq.gov/issue/findings-and-lessons-improving-management-individuals-complex-health-care-needs-through
      October 02, 2013 - Book/Report Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. Citation Text: Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…

5945. Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/annual-summary/2010
      January 01, 2010 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2010 Project Name Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology Principal Investigator Koppel, Ross Orga…

5946. Do staffing levels predict missed nursing care? | PSNet
      psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
      September 27, 2017 - Study Do staffing levels predict missed nursing care? Citation Text: Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011;23(3):302-8. doi:10.1093/intqhc/mzr009. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

5947. Knowledge Creation | Digital Healthcare Research
      digital.ahrq.gov/goal/knowledge-creation
      January 01, 2023 - Knowledge Creation Improving Healthcare Quality with User-Centric Patient Portals Description This project studied patient portals, their use in primary care, and the impact of use on chronic conditions, and identified opportunities to improve adoption of patient portals. …

5948. Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. | PSNet
      psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
      September 16, 2015 - Book/Report Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Citation Text: Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…

5949. Report on the Safe Use of Pick Lists in Ambulatory Care Settings. | PSNet
      psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
      June 29, 2016 - Government Resource Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Citation Text: Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. Copy Citation …

5950. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet
      psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
      November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

5951. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet
      psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
      September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…

5952. Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). | PSNet
      psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
      January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…

5953. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet
      psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
      December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

5954. Fatality involving vinblastine overdose as a result of a complex medical error. | PSNet
      psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
      January 25, 2023 - Study Fatality involving vinblastine overdose as a result of a complex medical error. Citation Text: Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95. Copy Citation …

5955. Learning from malpractice claims about negligent, adverse events in primary care in the United States. | PSNet
      psnet.ahrq.gov/issue/learning-malpractice-claims-about-negligent-adverse-events-primary-care-united-states
      April 07, 2011 - Study Learning from malpractice claims about negligent, adverse events in primary care in the United States. Citation Text: Phillips RL, Bartholomew LA, Dovey S, et al. Learning from malpractice claims about negligent, adverse events in primary care in the United States. Qual Saf Healt…

5956. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet
      psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
      June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

5957. Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
      August 07, 2013 - Commentary Human factors and systems engineering approach to patient safety for radiotherapy. Citation Text: Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177. Copy Citation …

5958. Taking risky business out of the MRI suite. | PSNet
      psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
      September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …

5959. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet
      psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
      September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …

5960. Public reporting of surgical outcomes: surgeons, hospitals, or both? | PSNet
      psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
      April 05, 2013 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…