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8901. Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet
      psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
      December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

8902. Structured override reasons for drug–drug interaction alerts in electronic health records. | PSNet
      psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
      April 29, 2018 - Study Structured override reasons for drug–drug interaction alerts in electronic health records. Citation Text: Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…

8903. Patient safety in inpatient mental health settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
      November 13, 2019 - Review Emerging Classic Patient safety in inpatient mental health settings: a systematic review. Citation Text: Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.…

8904. Analysis of clinical decision support system malfunctions: a case series and survey. | PSNet
      psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
      April 29, 2018 - Study Analysis of clinical decision support system malfunctions: a case series and survey. Citation Text: Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…

8905. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet
      psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
      February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

8906. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
      January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …

8907. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
      March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety …

8908. Evaluating incident learning systems and safety culture in two radiation oncology departments. | PSNet
      psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
      June 30, 2021 - Study Evaluating incident learning systems and safety culture in two radiation oncology departments. Citation Text: Adamson L, Beldham‐Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):2…

8909. Assessment of patient retention of inpatient care information post-hospitalization. | PSNet
      psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
      June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

8910. The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
      August 07, 2024 - Review Emerging Classic The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials. Citation Text: Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact…

8911. Clinical Case Scenarios | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
      July 01, 2023 - Clinical Case Scenarios AHRQ Safety Program for Perinatal Care, Phase 2 The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scena…

8912. Schectman JM et al. 2005 "Determinants of physician use of an ambulatory prescription expert system." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/schectman-jm-et-al-2005
      January 01, 2005 - Schectman JM et al. 2005 "Determinants of physician use of an ambulatory prescription expert system." Reference Schectman JM, Schorling JB, Nadkarni MM, et al. Determinants of physician use of an ambulatory prescription expert system. Int J Med Inf 2005;74(9):711-717. Abstract "Purpose: To det…

8913. Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
      January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study." Reference Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…

8914. Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. | PSNet
      psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial
      June 09, 2021 - Study Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. Citation Text: Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospit…

8915. Does teamwork improve performance in the operating room? A multilevel evaluation. | PSNet
      psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
      July 02, 2014 - Study Does teamwork improve performance in the operating room? A multilevel evaluation. Citation Text: Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42. Copy Citat…

8916. Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
      January 01, 2022 - Study Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. Citation Text: Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…

8917. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet
      psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
      October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

8918. Reducing medication errors for adults in hospital settings. | PSNet
      psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
      March 09, 2022 - Review Reducing medication errors for adults in hospital settings. Citation Text: Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. Copy Cita…

8919. Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. | PSNet
      psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
      July 20, 2022 - Study Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. Citation Text: McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spok…

8920. Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/changes-burnout-and-satisfaction-work-life-integration-physicians-over-first-2-years-covid-19
      June 01, 2022 - Study Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic. Citation Text: Shanafelt TD, West CP, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years …