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9321. Medication errors in the outpatient setting: classification and root cause analysis. | PSNet
      psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
      December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

9322. Clinicians' assessments of electronic medication safety alerts in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/clinicians-assessments-electronic-medication-safety-alerts-ambulatory-care
      September 02, 2009 - Study Clinicians' assessments of electronic medication safety alerts in ambulatory care. Citation Text: Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch…

9323. Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. | PSNet
      psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
      June 27, 2018 - Study Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. Citation Text: Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…

9324. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet
      psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
      September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

9325. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
      December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…

9326. Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. | PSNet
      psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
      May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…

9327. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=13
      September 01, 2014 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 131 - 140 of 191 Publications displayed Find Publications by Keyword or To…

9328. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. | PSNet
      psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
      May 12, 2021 - Commentary The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Citation Text: Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…

9329. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=12
      February 01, 2015 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 121 - 130 of 191 Publications displayed Find Publications by Keyword or To…

9330. Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. | PSNet
      psnet.ahrq.gov/issue/work-effort-readability-and-quality-pharmacy-transcription-patient-directions-electronic
      June 29, 2022 - Study Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. Citation Text: Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of pa…

9331. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. | PSNet
      psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
      July 03, 2014 - Study Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Citation Text: Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…

9332. Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. | PSNet
      psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and
      November 07, 2011 - Study Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. Citation Text: de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outco…

9333. Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet
      psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
      June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

9334. Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet
      psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
      July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

9335. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet
      psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
      February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

9336. Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? | PSNet
      psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery
      December 16, 2011 - Study Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? Citation Text: Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief resident general surgery servic…

9337. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. | PSNet
      psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
      February 10, 2021 - Study Classic Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Citation Text: Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:…

9338. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. | PSNet
      psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
      August 30, 2023 - Commentary Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. Citation Text: Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a …

9339. Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet
      psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous
      July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

9340. Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. | PSNet
      psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
      June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…