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  1. www.ahrq.gov/news/newsroom/case-studies/coe1304.html
    April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications Search All Impact Case Studies April 2013 The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…
  2. psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning
    September 09, 2020 - Study Association of state-level opioid-reduction policies with pediatric opioid poisoning. Citation Text: Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapedi…
  3. psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
    September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…
  4. psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
    May 29, 2019 - Study Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Citation Text: Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …
  5. psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
    November 16, 2022 - Study Cultural transformation after implementation of crew resource management: is it really possible? Citation Text: Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390…
  6. digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
    January 01, 2010 - The Medication Metronome Project - 2010 Project Name The Medication Metronome Project Principal Investigator Grant, Richard Organization Massachusetts General Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Technology (IT) to Improve Health Ca…
  7. psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
    December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …
  8. psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
    December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …
  9. psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare
    January 26, 2022 - Commentary It’s time to consider national culture when designing team training initiatives in healthcare. Citation Text: Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…
  10. psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
    August 22, 2018 - Study Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Citation Text: Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…
  11. psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11
    November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…
  12. psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory
    August 10, 2022 - Study The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective. Citation Text: Upadhyay S, Weech-Maldonado R, Opoku-Agyeman W. The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspect…
  13. psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
    July 13, 2010 - Study The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Citation Text: Jones D, Bagshaw SM, Barrett J, et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Car…
  14. psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
    November 20, 2015 - Study Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. Citation Text: Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…
  15. psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
    September 28, 2022 - Study Implementation of patient safety structures and processes in the patient-centered medical home. Citation Text: Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in the patient-centered medical home. J Healthc Qual. 2021;43(6):…
  16. psnet.ahrq.gov/issue/new-graduate-registered-nurses-risk-mitigation-strategies-ensure-safety-and-successful
    September 28, 2022 - Commentary New graduate registered nurses: Risk mitigation strategies to ensure safety and successful transition to practice. Citation Text: Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to ensure safety and successful transition to …
  17. psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
    November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…
  18. psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure
    January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…
  19. psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
    March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…
  20. psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
    April 18, 2019 - Study Emerging Classic Association of state opioid duration limits with postoperative opioid prescribing. Citation Text: Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid Prescribing. JAMA Netw Open. 2019;2(…