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7041. Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
      October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

7042. Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet
      psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
      March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

7043. Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet
      psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
      January 15, 2014 - Study Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. Citation Text: Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…

7044. How Do You Define Regional? The Geography of Health Information Exchange | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/how-do-you-define-regional-geography-health-information-exchange
      January 01, 2023 - How Do You Define Regional? The Geography of Health Information Exchange Project Final Report ( PDF , 482.38 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…

7045. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet
      psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
      July 06, 2022 - Study Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Citation Text: Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…

7046. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet
      psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
      October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

7047. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet
      psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
      December 21, 2014 - Study Classic Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. Citation Text: Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…

7048. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet
      psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
      October 02, 2019 - Study Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). Citation Text: Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-…

7049. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet
      psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
      January 23, 2019 - Review Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Citation Text: Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…

7050. Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet
      psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
      March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

7051. The burden of opioid-related mortality in the United States. | PSNet
      psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
      June 02, 2021 - Study Classic The burden of opioid-related mortality in the United States. Citation Text: Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217…

7052. A systems approach to analyzing and preventing hospital adverse events. | PSNet
      psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
      March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

7053. Hierarchy and medical error: speaking up when witnessing an error. | PSNet
      psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
      April 14, 2011 - Review Emerging Classic Hierarchy and medical error: speaking up when witnessing an error. Citation Text: Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…

7054. Patient-Centered Medical Home Information Model | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-centered-medical-home-information-model
      January 01, 2023 - Patient-Centered Medical Home Information Model Project Final Report ( PDF , 1.5 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - Completed …

7055. Implementation of electronic triggers to identify diagnostic errors in emergency departments. | PSNet
      psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
      September 25, 2024 - Study Implementation of electronic triggers to identify diagnostic errors in emergency departments. Citation Text: Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…

7056. Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
      January 01, 2012 - Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012 Project Name Enhancing Complex Care through an Integrated Care Coordination Information System Principal Investigator Dorr, David Organization Oregon Health and Science University …

7057. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. | PSNet
      psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
      June 16, 2011 - Study Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Citation Text: Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…

7058. Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet
      psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
      November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …

7059. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. | PSNet
      psnet.ahrq.gov/issue/mortality-among-patients-va-hospitals-first-2-years-following-acgme-resident-duty-hour-reform
      February 18, 2011 - Study Classic Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. Citation Text: Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME residen…

7060. Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. | PSNet
      psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
      July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…