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5581. A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet
      psnet.ahrq.gov/issue/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
      November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

5582. 2020 Letter of Appreciation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/2020-letter-of-appreciation.pdf
      January 01, 2020 - 2020 Letter of Appreciation Letter of Appreciation We sincerely thank the 178 Peer Reviewers who completed reviews for the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care (EHC) Program in 2020. Peer reviewers donate substantial time and effort to complete insightful and rigorous critiques…

5583. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. | PSNet
      psnet.ahrq.gov/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions
      January 29, 2014 - Study Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Citation Text: Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-7…

5584. Letter of Appreciation 2013 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/letter-of-appreciation-2013.pdf
      January 01, 2013 - Letter of Appreciation 2013 DEPARTMENT OF HEALTH & HUMAN SERVICES Agency for Healthcare Research and Quality 540 Gaither Road Rockv…

5585. Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. | PSNet
      psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent
      December 30, 2014 - Study Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. Citation Text: Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…

5586. Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. | PSNet
      psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
      December 19, 2018 - Study Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. Citation Text: Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Progr…

5587. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. | PSNet
      psnet.ahrq.gov/issue/patients-and-family-members-views-how-clinicians-enact-and-how-they-should-enact-incident
      September 29, 2017 - Study Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. Citation Text: Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how they shoul…

5588. Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial
      September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

5589. Effect of bar-code technology on the safety of medication administration. | PSNet
      psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
      October 25, 2010 - Study Classic Effect of bar-code technology on the safety of medication administration. Citation Text: Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.10…

5590. 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.…

5591. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. | PSNet
      psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
      December 14, 2016 - Study Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17…

5592. 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…

5593. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. | PSNet
      psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
      November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…

5594. Errors associated with outpatient computerized prescribing systems. | PSNet
      psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
      June 28, 2010 - Study Classic Errors associated with outpatient computerized prescribing systems. Citation Text: Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136…

5595. We want to know: patient comfort speaking up about breakdowns in care and patient experience. | PSNet
      psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience
      May 20, 2020 - Study Emerging Classic We want to know: patient comfort speaking up about breakdowns in care and patient experience. Citation Text: Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experie…

5596. Can Risk Score Alerts Improve Office Care for Chest Pain? | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain
      January 01, 2023 - Can Risk Score Alerts Improve Office Care for Chest Pain? Project Final Report ( PDF , 247.27 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 A…

5597. When safety event reporting is seen as punitive: "I've been PSN-ed!" | PSNet
      psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed
      September 02, 2020 - Study When safety event reporting is seen as punitive: "I've been PSN-ed!" Citation Text: Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048. Copy Citati…

5598. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. | PSNet
      psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
      October 05, 2016 - Study Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…

5599. Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
      January 01, 2023 - Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) Project Final Report ( PDF , 323.72 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 necessaril…

5600. Patient-clinician diagnostic concordance upon hospital admission. | PSNet
      psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
      October 16, 2024 - Study Patient-clinician diagnostic concordance upon hospital admission. Citation Text: Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. Copy Citation Format: …