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9901. Another medical malpractice crisis?: Try something different. | PSNet
      psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different
      November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

9902. Liability claims and costs before and after implementation of a medical error disclosure program. | PSNet
      psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
      April 24, 2018 - Study Classic Liability claims and costs before and after implementation of a medical error disclosure program. Citation Text: Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …

9903. The problem with root cause analysis. | PSNet
      psnet.ahrq.gov/issue/problem-root-cause-analysis
      August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

9904. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet
      psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality
      August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

9905. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. | PSNet
      psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
      April 03, 2005 - Review Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Citation Text: Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…

9906. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
      September 09, 2020 - Study Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Citation Text: Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized control…

9907. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. | PSNet
      psnet.ahrq.gov/issue/teamgains-tool-structured-debriefings-simulation-based-team-trainings
      October 08, 2016 - Study TeamGAINS: a tool for structured debriefings for simulation-based team trainings. Citation Text: Kolbe M, Weiss M, Grote G, et al. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Saf. 2013;22(7):541-53. doi:10.1136/bmjqs-2012-000917. Co…

9908. Debrief it all: a tool for inclusion of Safety-II. | PSNet
      psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
      June 08, 2022 - Study Debrief it all: a tool for inclusion of Safety-II. Citation Text: Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. Copy Citation Format: DOI Google Schola…

9909. Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/index.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Background and Introduction 2. Developing and Running …

9910. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. | PSNet
      psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
      November 16, 2022 - Study Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Citation Text: McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1…

9911. Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
      August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Project Description Improving patient engagement in physical therapy (PT) through remote therapeutic monit…

9912. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
      psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
      January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Citation Text: Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…

9913. Electronic Records to Improve Care for Children | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children
      January 01, 2023 - Electronic Records to Improve Care for Children Project Final Report ( PDF , 84.66 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 the views of AHRQ. No sta…

9914. Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
      April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

9915. AHRQ’s Evidence-based Practice Center Program Synthesizing evidence to improve health care practice and delivery (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-synthesizing-evidence-improve.pdf
      July 01, 2020 - AHRQ’s Evidence-based Practice Center Program Synthesizing evidence to improve health care practice and delivery 1 EPC Program Methods for Systematic Reviews What is the Evidence-based Practice Center Program? The vision for AHRQ’s Evidence-based Practice Center (EPC) Program is that all health care decisions are…

9916. Resident duty hours and resident and patient outcomes: systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/resident-duty-hours-and-resident-and-patient-outcomes-systematic-review-and-meta-analysis
      July 14, 2021 - Review Resident duty hours and resident and patient outcomes: systematic review and meta-analysis. Citation Text: Sephien A, Reljic T, Jordan J, et al. Resident duty hours and resident and patient outcomes: systematic review and meta‐analysis. Med Educ. 2023;57(3):221-232. doi:10.1111/me…

9917. Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet
      psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
      November 30, 2022 - Study Examining medication ordering errors using AHRQ Network of Patient Safety Databases. Citation Text: Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…

9918. Implementing high-reliability organization principles into practice: a rapid evidence review. | PSNet
      psnet.ahrq.gov/issue/implementing-high-reliability-organization-principles-practice-rapid-evidence-review
      October 21, 2020 - Review Implementing high-reliability organization principles into practice: a rapid evidence review. Citation Text: Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. do…

9919. The care transitions intervention: results of a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
      July 10, 2008 - Study Classic The care transitions intervention: results of a randomized controlled trial. Citation Text: Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…

9920. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. | PSNet
      psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units
      December 16, 2020 - Study How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. Citation Text: Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative …