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9901. AHRQ Evidence Reviews: Catalysts for Practice Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
      January 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Evidence Reviews: Catalysts for Practice Change JAN 19 2022 By Lionel Bañez, M.D., and David Meyers, M.D. Lionel Bañez, M.D. Medical research keeps advancing while clinicians are busy taking care of patients. It is a const…

9902. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
      April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. Citation Text: Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative…

9903. Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet
      psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
      March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

9904. Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet
      psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
      October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

9905. Evaluation of outcomes from a national patient-initiated second-opinion program. | PSNet
      psnet.ahrq.gov/issue/evaluation-outcomes-national-patient-initiated-second-opinion-program
      July 15, 2015 - Study Evaluation of outcomes from a national patient-initiated second-opinion program. Citation Text: Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second-opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. Copy Citation …

9906. Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
      March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. Citation Text: Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…

9907. Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-interventions-provided-emergency-department-quality-use-medicines
      July 21, 2021 - Review Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis. Citation Text: Atey TM, Peterson GM, Salahudeen MS, et al. Impact of pharmacist interventions provided in the emergency department on quality…

9908. Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. | PSNet
      psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
      November 21, 2018 - Study Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. Citation Text: de Vries C, Doggen C, Hilbers E, et al. Results of a survey among GP practices on how they manage patient safety aspects related t…

9909. Assessing frequency and risk of weight entry errors in pediatrics. | PSNet
      psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
      December 21, 2018 - Study Assessing frequency and risk of weight entry errors in pediatrics. Citation Text: Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865. Copy Citation …

9910. Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
      November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections Toolkit Effectiveness When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…

9911. Job Aid: Joy in Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
      June 02, 2025 - Job Aid: Joy in Work Primary Care Practice Facilitator Training Series 1 Job Aid: Joy in Work Joy in work is one of three categories of common goals practices have for improvement. Joy in work is central to good patient care and in recognition of this, the national triple aim has been expanded to…

9912. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 2. Talking With Residents’ Family Members—short checklist version  What are antibiotics? • Antibiotics are medicines that fight infections caused by bacteria. Antibiot…

9913. Job Aid: Standardized Quality Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
      June 02, 2025 - Job Aid: Standardized Quality Measures Primary Care Practice Facilitator Training Series 1 Job Aid: Standardized Quality Measures Familiarity with the standardized quality measures that payers and regulatory groups use is an important part of a practice facilitator's core knowledge. Standar…

9914. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
      October 01, 2016 - Tool 2. Talking With Residents’ Family Members—short checklist version · What are antibiotics? Antibiotics are medicines that fight infections caused by bacteria. Antibiotics work by targeting and killing harmful bacteria. · How do people get bacterial infections? Normally, your immune system helps control the bacteria…

9915. Interventions to improve team effectiveness within health care: a systematic review of the past decade. | PSNet
      psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade
      March 05, 2010 - Review Classic Interventions to improve team effectiveness within health care: a systematic review of the past decade. Citation Text: Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systemati…

9916. Investigation of mental and physical health of nurses associated with errors in clinical practice. | PSNet
      psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
      September 21, 2022 - Study Investigation of mental and physical health of nurses associated with errors in clinical practice. Citation Text: Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated with errors in clinical practice. Healthcare (Basel). 2022;1…

9917. Patient-Centered Medical Home Cost of Sustaining and Transforming | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/systems/primary-care/pcp-costs/valko-costs.html
      May 01, 2015 - Patient-Centered Medical Home Cost of Sustaining and Transforming AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants Principal Investigator: George Paul Valko, MD Institution: Thomas Jefferson University AHRQ Grant Number: R03 HS22630 Overview of Estimating Costs G…

9918. Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet
      psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
      April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

9919. About the eCare Plan for Multiple Chronic Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/ecareplan/about/index.html
      August 01, 2024 - About the eCare Plan for Multiple Chronic Conditions The eCare Plan project aims to build care planning tools that will improve how we do research and provide healthcare for people with multiple chronic conditions (MCC). These tools include data standards and electronic care plan applications that allow all mem…

9920. Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. | PSNet
      psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
      January 25, 2023 - Study Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. Citation Text: Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…