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9181. Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. | PSNet
      psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
      July 13, 2022 - Study Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. Citation Text: Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…

9182. Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. | PSNet
      psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
      December 16, 2020 - Study Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Citation Text: Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…

9183. Supporting involved health care professionals (second victims) following an adverse health event: a literature review. | PSNet
      psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
      April 10, 2019 - Review Supporting involved health care professionals (second victims) following an adverse health event: a literature review. Citation Text: Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature revi…

9184. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
      September 22, 2021 - Study Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. Citation Text: Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…

9185. Integration of an NLP-based Application to Support Medication Management | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/integration-nlp-based-application-support-medication-management
      January 01, 2023 - Integration of an NLP-based Application to Support Medication Management Project Final Report ( PDF , 1.47 MB) 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 t…

9186. Improving safety for hospitalized patients: much progress but many challenges remain. | PSNet
      psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
      September 24, 2017 - Commentary Improving safety for hospitalized patients: much progress but many challenges remain. Citation Text: Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887. Copy…

9187. Standardized assessment of medication reconciliation in post-acute care. | PSNet
      psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
      December 16, 2020 - Study Standardized assessment of medication reconciliation in post-acute care. Citation Text: Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post‐acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655. Copy Citation …

9188. Vawdrey, David Kent | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/vawdrey-david-kent
      March 23, 2017 - Vawdrey, David Kent Interventions to increase patient portal use in vulnerable populations: a systematic review. Citation Grossman LV, Masterson Creber RM, Benda NC, Wright D, Vawdrey DK, Ancker JS. Interventions to increase patient portal use in vulnerable populations: a syst…

9189. Update Topic CER 31 Clostridium difficile NSD FINAL (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/c-diff-infections-nomination-140925.pdf
      February 19, 2014 - Update Topic CER 31 Clostridium difficile NSD FINAL Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection Nomination …

9190. Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. | PSNet
      psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care
      September 28, 2016 - Study Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. Citation Text: Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…

9191. Automated identification of postoperative complications within an electronic medical record using natural language processing. | PSNet
      psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
      March 09, 2011 - Study Classic Automated identification of postoperative complications within an electronic medical record using natural language processing. Citation Text: Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…

9192. Prologue: Laying the Foundation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
      June 02, 2025 - Prologue: Laying the Foundation Prologue Laying the Foundation Kerm Henriksen, PhD The volume starts with papers that look to the future and examine the past with respect to patient safety; however, its overarching theme is assessment. An underlying premise to any volume that focuses on assessment is tha…

9193. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet
      psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
      March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…

9194. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. | PSNet
      psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
      May 25, 2022 - Study Technology-based closed-loop tracking for improving communication and follow-up of pathology results. Citation Text: Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…

9195. Enabling Health Care Decisionmaking through the Use of Health Information Technology | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology
      January 01, 2023 - Enabling Health Care Decisionmaking through the Use of Health Information Technology Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-07-10066-5 Funding Mechanism(s) Evidence-…

9196. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet
      psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
      April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

9197. Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. | PSNet
      psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
      November 03, 2021 - Study Classic Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. Citation Text: Gupta A, Allen LA, Bhatt DL, et al. Association of the Hospital Readmissions Reduction Program Implem…

9198. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
      June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Long Description Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS23553 Project Period: 09/30/14–03/29/19 Description: The goal of the Johns Hopkins Armstrong Institute L…

9199. Can decision support combat incompleteness and bias in routine primary care data? | PSNet
      psnet.ahrq.gov/issue/can-decision-support-combat-incompleteness-and-bias-routine-primary-care-data
      July 29, 2020 - Study Can decision support combat incompleteness and bias in routine primary care data? Citation Text: Kostopoulou O, Tracey C, Delaney BC. Can decision support combat incompleteness and bias in routine primary care data? J Am Med Inform Assoc. 2021;28(7):1461-1467. doi:10.1093/jamia/oca…

9200. 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 …