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9101. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet
      psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
      July 14, 2021 - Study The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. Citation Text: Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…

9102. Opioid Epidemic COVID OUD Treatment Telehealth | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-oud-treatment-telehealth
      December 23, 2020 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

9103. The $17.1 billion problem: the annual cost of measurable medical errors. | PSNet
      psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
      May 26, 2021 - Study Classic The $17.1 billion problem: the annual cost of measurable medical errors. Citation Text: Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…

9104. Sustaining reliability on accountability measures at the Johns Hopkins Hospital. | PSNet
      psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
      January 19, 2014 - Study Sustaining reliability on accountability measures at the Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544. Cop…

9105. Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet
      psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
      October 19, 2022 - Study Improving emergency medicine clinician awareness of prehospital-administered medications. Citation Text: Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…

9106. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. | PSNet
      psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
      April 08, 2018 - Study Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Citation Text: Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…

9107. Secure Messaging in a Pediatric Respiratory Medicine Setting | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/secure-messaging-pediatric-respiratory-medicine-setting
      January 01, 2023 - Secure Messaging in a Pediatric Respiratory Medicine Setting Project Final Report ( PDF , 1.14 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - Com…

9108. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta
      April 15, 2020 - Review Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Citation Text: Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and …

9109. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
      psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
      June 23, 2015 - Study Classic Incidence and types of preventable adverse events in elderly patients: population based review of medical records. Citation Text: Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…

9110. 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet
      psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
      February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

9111. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
      November 07, 2012 - Review Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. Citation Text: Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…

9112. Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. | PSNet
      psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
      August 09, 2017 - Study Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. Citation Text: Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Val…

9113. SINC: Synchronized Immunization Notifications | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/sinc-synchronized-immunization-notifications
      January 01, 2023 - SINC: Synchronized Immunization Notifications Project Final Report ( PDF , 580.25 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 stat…

9114. Burnout and medical errors among American surgeons. | PSNet
      psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
      December 21, 2014 - Study Burnout and medical errors among American surgeons. Citation Text: Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3. Copy Citation Format: DOI Google Schol…

9115. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/patient-safety-culture.html
      June 01, 2024 - What Is Patient Safety Culture? Patient Safety Culture Defined Patient safety culture is the extent to which an organization's culture supports and promotes patient safety. It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff throughout the organization that in…

9116. Culture change in infection control: applying psychological principles to improve hand hygiene. | PSNet
      psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
      November 21, 2021 - Study Culture change in infection control: applying psychological principles to improve hand hygiene. Citation Text: Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…

9117. Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. | PSNet
      psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
      October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…

9118. Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-qualitative-exploration-acute-care-nurses
      October 20, 2021 - Study Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses' perceptions of their roles and responsibilities. Citation Text: Latimer S, Hewitt J, de Wet C, et al. Medication reconciliation at hospital discharge: A qualitative exploration of acute…

9119. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. | PSNet
      psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
      October 07, 2020 - Study Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. Citation Text: Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events rep…

9120. 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 …