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9461. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet
      psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients
      July 16, 2015 - Study Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. Citation Text: Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2…

9462. With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
      September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum SEP 12 2023 By Craig Umscheid, M.D., M.S., and Monika Haugstetter, M.H.A., M.S.N., R.N. It has been 17 years since AHRQ launched TeamSTEPPS, a patient s…

9463. 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…

9464. A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
      December 22, 2018 - Study A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Citation Text: Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…

9465. AHRQ Health Services Research Demonstration and Dissemination Grants (R18) | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/ahrq-health-services-research-demonstration-and-dissemination-grants-r18
      January 01, 2023 - AHRQ Health Services Research Demonstration and Dissemination Grants (R18) Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Description …

9466. 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…

9467. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/executive-summary.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

9468. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
      January 17, 2019 - Study The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. Citation Text: Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…

9469. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet
      psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
      February 20, 2019 - Study Using Safety-II and resilient healthcare principles to learn from Never Events. Citation Text: Anderson JE, Watt AJ. Using Safety-II and resilient healthcare principles to learn from Never Events. Int J Qual Health Care. 2020;32(3):196-203. doi:10.1093/intqhc/mzaa009. Copy Citati…

9470. Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
      December 09, 2020 - Study Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Citation Text: Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…

9471. A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. | PSNet
      psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
      July 24, 2024 - Study A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. Citation Text: Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration error…

9472. Child Health Care Quality Toolbox: Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/resources/index.html
      June 01, 2020 - Child Health Care Quality Toolbox: Resources The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. This section identifies national initiatives that serve as clearinghouses for measures of the quality of children's health, health care, and general …

9473. Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. | PSNet
      psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency
      May 08, 2017 - Study Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. Citation Text: Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with pharmacists or pharmacy …

9474. AHRQ patient safety project reduces bloodstream infections by 40 percent. | PSNet
      psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
      January 22, 2020 - Newspaper/Magazine Article AHRQ patient safety project reduces bloodstream infections by 40 percent. Citation Text: AHRQ patient safety project reduces bloodstream infections by 40 percent. Schmidt B. Patient Saf Qual Hcare. September 12, 2012. Copy Citation Save …

9475. Research Initiative in Clinical Economics | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/rice/index.html
      August 01, 2018 - Research Initiative in Clinical Economics Research on cost-effectiveness analysis (CEA), cost-benefit analysis, and methods for estimating the value of health care interventions, use of resources, outcomes, and quality. Contents Program Focus Priorities Policy Projects Database Resources Outcome…

9476. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. | PSNet
      psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review
      March 17, 2021 - Review Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis. Citation Text: Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review…

9477. Psychological safety and error reporting within Veterans Health Administration hospitals. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals
      November 24, 2021 - Study Psychological safety and error reporting within Veterans Health Administration hospitals. Citation Text: Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/…

9478. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet
      psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
      September 01, 2016 - Study Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. Citation Text: Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…

9479. Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-care-developing-countries-southeast-asia-systematic-literature
      July 29, 2020 - Review Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. Citation Text: Harrison R, Cohen AWS, Walton M. Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. Int J Qual He…

9480. Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. | PSNet
      psnet.ahrq.gov/issue/differences-between-managers-and-safety-professionals-perceptions-upwards-influence-attempts
      December 08, 2021 - Study Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. Citation Text: Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within s…