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9841. The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
      March 17, 2021 - Commentary The morbidity and mortality conference: opportunities for enhancing patient safety. Citation Text: Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…

9842. Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
      February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

9843. Just Culture Webcast Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
      May 01, 2007 - Just Culture Webcast Presentation University of North Carolina Health System 13 Celeste Mayer, PhD University of North Carolina Health Care System, Chapel Hill, NC UNC Medical Center • Public Academic Medical Center • Memorial, Children’s, Neurosciences, Women’s and Cancer Hospital • ~850 beds • Chapel Hill, N…

9844. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? | PSNet
      psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional
      November 16, 2022 - Review Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Citation Text: Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…

9845. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/economic-value-pharmacist-led-medication-reconciliation-reducing-medication-errors-after
      March 04, 2009 - Study Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Citation Text: Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital …

9846. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. | PSNet
      psnet.ahrq.gov/issue/estimation-breast-cancer-overdiagnosis-us-breast-screening-cohort
      March 30, 2022 - Study Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Citation Text: Ryser MD, Lange J, Inoue LYT, et al. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Ann Intern Med. 2022;175(4):471-478. doi:10.7326/m21-3577. Copy Citation …

9847. Inappropriate medication in a national sample of US elderly patients receiving home health care. | PSNet
      psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
      September 09, 2020 - Study Inappropriate medication in a national sample of US elderly patients receiving home health care. Citation Text: Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…

9848. An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. | PSNet
      psnet.ahrq.gov/issue/investigation-diagnostic-accuracy-and-confidence-associated-diagnostic-checklists-well-gender
      February 21, 2024 - Study An investigation of diagnostic accuracy and confidence associated with diagnostic checklists as well as gender biases in relation to mental disorders. Citation Text: Cwik JC, Papen F, Lemke J-E, et al. An Investigation of Diagnostic Accuracy and Confidence Associated with Diagnosti…

9849. Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. | PSNet
      psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
      October 30, 2024 - Study Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. Citation Text: François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical …

9850. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet
      psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
      February 22, 2019 - Study A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …

9851. Patient involvement in patient safety: how willing are patients to participate? | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate
      September 05, 2013 - Study Classic Patient involvement in patient safety: how willing are patients to participate? Citation Text: Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…

9852. Pathologists' perspectives on disclosing harmful pathology error. | PSNet
      psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
      January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

9853. Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet
      psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
      May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Citation Text: Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…

9854. AHRQ’s Digital Healthcare Research Program Is Identifying the Technology To Advance Care Quality, Safety, and Effectiveness | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
      September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders AHRQ’s Digital Healthcare Research Program Is Identifying the Technology To Advance Care Quality, Safety, and Effectiveness SEP 19 2023 By Chris Dymek, Ed.D.        Chris Dymek, Ed.D. We know that digital healthcare techn…

9855. Patient-Centered Care | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/patient-centered-care
      January 01, 2023 - Patient-Centered Care Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support Description The study will develop and test a vendor-compatible clinical decision support system to support intensive care unit nurses and physi…

9856. For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/hospice-care-ensure-quality.html
      December 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders For Hospice Care, a Pressing Need to Ensure Quality for Patients and Families DEC 20 2022 By Members of AHRQ’s National Advisory Council: Krista Hughes, B.C.P.A., and Andrew D. Auerbach, M.D., M.P.H. Krista Hughes, B.C.P.A. …

9857. Ambulatory Care | Digital Healthcare Research
      digital.ahrq.gov/type-care/ambulatory-care
      January 01, 2023 - Ambulatory Care Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology Description This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review pr…

9858. Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. | PSNet
      psnet.ahrq.gov/issue/safe-clinical-practice-patients-hospitalised-mental-health-wards-during-suicidal-crisis
      August 17, 2022 - Study Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Safe clinical practice for patients hospitalised in mental health wards during a suicidal…

9859. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet
      psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
      December 02, 2020 - Review A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Citation Text: Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…

9860. Development of the CAHPS Health Plan Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/hp/about/Development-CAHPS-HP-Survey.html
      May 01, 2022 - Development of the CAHPS Health Plan Survey AHRQ launched the development of the CAHPS Health Plan Survey in 1995 and released the first version for public use in 1997. Since that time, the CAHPS team has clarified and updated the survey instrument several times to reflect changes in healthcare delivery, survey…