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8121. ‘Ladder’-based safety culture assessments inversely predict safety outcomes. | PSNet
      psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
      January 22, 2025 - Commentary ‘Ladder’-based safety culture assessments inversely predict safety outcomes. Citation Text: Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…

8122. NCPDP | Digital Healthcare Research
      digital.ahrq.gov/ncpdp
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

8123. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. | PSNet
      psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians
      March 02, 2022 - Commentary Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. Citation Text: Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…

8124. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. | PSNet
      psnet.ahrq.gov/issue/identification-and-safe-storage-look-alike-sound-alike-medicines-automated-dispensing
      June 23, 2009 - Study Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Citation Text: Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets. Eur J Hosp Pharm. 2021…

8125. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet
      psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
      June 12, 2024 - Commentary Learning from incidents in healthcare: the journey, not the arrival, matters. Citation Text: Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …

8126. Microsoft Word - post-usability evaluation questionnaire.doc (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Post-UsabilityEvaluationQuestionnaire.pdf
      December 18, 2021 - Microsoft Word - post-usability evaluation questionnaire.doc Post-usability evaluation questionnaire 1. How would you rate your overall reactions to health IT? a. Terrible 0 1 2 3 4 5 6 7 8 9 Wonderful b. Difficult 0 1 2 3 4 5 6 7 8 9 Easy c. Frustrating 0 1 2 3 4 5…

8127. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet
      psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
      March 14, 2022 - Study Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Citation Text: Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med…

8128. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet
      psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
      February 14, 2024 - Review Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Citation Text: Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…

8129. SAFER Care: improving caregiver comprehension of discharge instructions. | PSNet
      psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
      October 26, 2022 - Study SAFER Care: improving caregiver comprehension of discharge instructions. Citation Text: Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. Copy Citation Fo…

8130. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. | PSNet
      psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
      August 04, 2021 - Study Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Citation Text: Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…

8131. Exploring the impact of employee engagement and patient safety. | PSNet
      psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
      July 27, 2022 - Review Exploring the impact of employee engagement and patient safety. Citation Text: Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059. Copy Citation Format: …

8132. Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet
      psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
      August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

8133. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet
      psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
      May 25, 2022 - Commentary RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. Citation Text: Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…

8134. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet
      psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
      June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…

8135. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. | PSNet
      psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
      December 10, 2014 - Study Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. Citation Text: March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…

8136. Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality
      March 15, 2023 - Study Effect of a rapid response team on the incidence of in-hospital mortality. Citation Text: Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. Copy…

8137. Developing and Evaluating Online Education to Improve Older Adults Health Information - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/annual-summary/2010
      January 01, 2010 - Developing and Evaluating Online Education to Improve Older Adults Health Information - 2010 Project Name Developing and Evaluating Online Education to Improve Older Adults Health Information Principal Investigator Fink, Arlene Organization Langley Research Institute …

8138. Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet
      psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
      April 10, 2024 - Study Development of patient safety measures to identify inappropriate diagnosis of common infections. Citation Text: White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…

8139. Health apps and health policy: what is needed? | PSNet
      psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
      December 02, 2020 - Commentary Emerging Classic Health apps and health policy: what is needed? Citation Text: Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378. Copy Citation Format: …

8140. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet
      psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety
      August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…