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8461. Surgical safety checklist: implementation in an ambulatory surgical facility. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility
      September 23, 2020 - Study Surgical safety checklist: implementation in an ambulatory surgical facility. Citation Text: Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. C…

8462. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet
      psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
      October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …

8463. A comparison of the effects of different typographical methods on the recognizability of printed drug names. | PSNet
      psnet.ahrq.gov/issue/comparison-effects-different-typographical-methods-recognizability-printed-drug-names
      May 31, 2011 - Study A comparison of the effects of different typographical methods on the recognizability of printed drug names. Citation Text: Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:1…

8464. Inadequate preoperative team briefings lead to more intraoperative adverse events. | PSNet
      psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
      June 07, 2023 - Study Inadequate preoperative team briefings lead to more intraoperative adverse events. Citation Text: Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. Cop…

8465. The effects of bar-coding technology on medication errors: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
      March 20, 2024 - Review The effects of bar-coding technology on medication errors: a systematic literature review. Citation Text: Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…

8466. Practical-Methods-Care-Coordination-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/practical-methods-care-coordination-slides.pdf
      June 02, 2025 - Practical Methods for Improving Care Coordination for Cardiac Rehabilitation Patients K a t h e B r i g g s , CEP, MS S t a c e y G r e e n w a y, MA, MPH​ V i r g i n i a M o r r i s , OTR/L, MIPH, FACHE H i c h a m S k a l i , MD, MSc 1 Chat Function HOW TO ASK QUESTIONS To ask a question or make a …

8467. Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet
      psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
      February 03, 2011 - Review Association between organisational and workplace cultures, and patient outcomes: systematic review. Citation Text: Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). do…

8468. Characteristics and trends of medical diagnostic errors in the United States. | PSNet
      psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
      December 14, 2022 - Study Characteristics and trends of medical diagnostic errors in the United States. Citation Text: Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. Copy Citation Format: …

8469. Delivery System Research Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/index.html
      December 01, 2020 - Delivery System Research Initiative ARRA Grants Initiative Findings from a set of 10 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research. Improving the way that care is delivered is critic…

8470. Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
      September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Project Description Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…

8471. Transitions in Care | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/transitions-care
      January 01, 2023 - Transitions in Care Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery Description This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that…

8472. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
      November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

8473. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/tools/index.html
      June 01, 2025 - Tools To Improve Diagnostic Safety AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…

8474. PowerPoint Presentation (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/NASSBrochure_031220.pdf
      March 18, 2020 - PowerPoint Presentation What is the NASS? The Nationwide Ambulatory Surgery Sample (NASS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NASS produces national estimates of major ambulatory surgery encounters performed in hospital-owned faci…

8475. Failure mode and effects analysis outputs: are they valid? | PSNet
      psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
      November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…

8476. Kidbrochure 050218 (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/KIDBrochure_050218.pdf
      May 16, 2018 - What is the KID? The Kids' Inpatient Database (KID) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The KID is the largest publicly available all-payer pediatric inpatient care database in the United States, containing data from approximately three…

8477. Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. | PSNet
      psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
      July 24, 2013 - Review Emerging Classic Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. Citation Text: Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of…

8478. Strategies for learning from failure. | PSNet
      psnet.ahrq.gov/issue/strategies-learning-failure
      September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

8479. Optimizing Pediatric Patient Safety in the Emergency Care Setting. | PSNet
      psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
      March 15, 2023 - Organizational Policy/Guidelines Optimizing Pediatric Patient Safety in the Emergency Care Setting. Citation Text: Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. …

8480. Assessing the value of electronic prescribing in ambulatory care: A focus group study. | PSNet
      psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study
      September 01, 2016 - Study Assessing the value of electronic prescribing in ambulatory care: A focus group study. Citation Text: Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j…