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7661. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
      February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…

7662. The ongoing quality improvement journey: next stop, high reliability. | PSNet
      psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
      January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…

7663. Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. | PSNet
      psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
      March 02, 2011 - Study Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. Citation Text: Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…

7664. Missing clinical information during primary care visits. | PSNet
      psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
      March 28, 2011 - Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

7665. Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. | PSNet
      psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care
      July 07, 2021 - Government Resource Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Citation Text: Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Centers for Medic…

7666. Prevent errors during emergency use of hypertonic sodium chloride solutions. | PSNet
      psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
      March 10, 2021 - Newspaper/Magazine Article Prevent errors during emergency use of hypertonic sodium chloride solutions. Citation Text: Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. Copy Citat…

7667. Integrating CUSP and TRIP to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
      June 16, 2011 - Commentary Integrating CUSP and TRIP to improve patient safety. Citation Text: Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348. Copy Citation Format: DOI Google…

7668. Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2021-year-review
      January 01, 2021 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review Executive Summary "The Digital Healthcare Research Program funds research to create actionable findings around 'what and how digital healthcare technologies work best' for its key stakehold…

7669. Opportunity for Public Comment | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/public-comments-and-nominations/opportunity-for-public-comment
      March 01, 2013 - Opportunity for Public Comment Share to Facebook Share to X Share to WhatsApp Share to Email Print In an effort to make the U.S. Preventive Services Task Force (USPSTF) recommendations clearer and its processes more transparent, the Task Forc…

7670. Telehealth. | PSNet
      psnet.ahrq.gov/issue/telehealth
      January 27, 2019 - Commentary Telehealth. Citation Text: Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

7671. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet
      psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
      January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…

7672. Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. | PSNet
      psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
      October 07, 2020 - Book/Report Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. Citation Text: Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…

7673. What to do with healthcare incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
      November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…

7674. Automatic errors: a case series on the errors inherent in electronic prescribing. | PSNet
      psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
      March 14, 2022 - Commentary Automatic errors: a case series on the errors inherent in electronic prescribing. Citation Text: Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…

7675. Fostering transparency in outcomes, quality, safety, and costs. | PSNet
      psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
      January 29, 2015 - Commentary Fostering transparency in outcomes, quality, safety, and costs. Citation Text: Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. Copy Citation Format: DOI …

7676. Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2010
      January 01, 2010 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2010 Project Name Text Messaging to Improve Hypertension Medication Adherence in African Americans Principal Investigator Buis, Lorraine Organization Wayne State University Funding Mech…

7677. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
      November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital. Citation Text: Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…

7678. How effective are incident-reporting systems for improving patient safety? A systematic literature review. | PSNet
      psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
      January 18, 2023 - Review How effective are incident-reporting systems for improving patient safety? A systematic literature review. Citation Text: How effective are incident-reporting systems for improving patient safety? A systematic literature review. Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;…

7679. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. | PSNet
      psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
      March 28, 2012 - Study The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. Citation Text: Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…

7680. Patient safety initiatives in obstetrics: a rapid review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
      September 23, 2020 - Review Patient safety initiatives in obstetrics: a rapid review. Citation Text: Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. Copy Citation Format: DOI Google Schola…