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9201. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
      January 01, 2010 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010 Project Name Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Principal Investigator Smith, Kenneth J. Organization University of Pittsburgh Funding Mechanism PAR…

9202. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
      January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…

9203. Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
      October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

9204. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet
      psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
      October 26, 2022 - Review Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. Citation Text: Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…

9205. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
      psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
      November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

9206. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. | PSNet
      psnet.ahrq.gov/issue/impact-full-personal-protective-equipment-alertness-healthcare-workers-prospective-study
      August 24, 2022 - Study Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. Citation Text: Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…

9207. Wheeled Mobility (Wheelchair) Service Delivery (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
      January 01, 2012 - Certification and licensure provide quantifiable and objective standards by which professional can be measured

9208. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …

9209. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - Presentation: Engaging Senior Executives Engaging Senior Executives AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 SAY: In this module we will discuss the importance of senior engagement on your safety program team. 1 Why Do We Need an Executive? We discussed our PSSA data …

9210. Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
      September 01, 2016 - Biosketches Jason Adelman, MD, MS Chief Patient Safety Officer and Associate Chief Quality Officer Columbia University Medical Center/New York-Presbyterian Hospital Dr. Adelman is the Chief Patient Safety Officer and Associate Chief Quality Officer at Columbia University Medical Center/NewYork-Presbyter…

9211. The visit-data warehouse: enabling novel secondary use of health information exchange data. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/advancing-quality-measurement-and-care-improvement-health-information-exchange/citation/warehouse
      January 01, 2023 - The visit-data warehouse: enabling novel secondary use of health information exchange data. Citation Fleischman W, Lowry T, Shapiro J. The visit-data warehouse: enabling novel secondary use of health information exchange data. EGEMS 2014;2(1):1099. PMID: 25848595. Link https://www.ncbi.nlm.nih…

9212. Hospital crossover increases utilization for people with epilepsy: a retrospective cohort study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/advancing-quality-measurement-and-care-improvement-health-information-exchange/citation/hospital
      January 01, 2023 - Hospital crossover increases utilization for people with epilepsy: a retrospective cohort study. Citation Grinspan ZM, Shapiro JS, Abramson EL, et al. Hospital crossover increases utilization for people with epilepsy: a retrospective cohort study. Epilepsia 2015;56(1):147–57. PMID: 25571986. Lin…

9213. Health information exchange improves identification of frequent emergency department users. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/advancing-quality-measurement-and-care-improvement-health-information-exchange/citation/hie-identification-frequent-ed-users
      January 01, 2023 - Health information exchange improves identification of frequent emergency department users. Citation Shapiro JS, Johnson SA, Angiollilo J, et al. Health information exchange improves identification of frequent emergency department users. Health Aff (Millwood) 2013 Dec;32(12):2193-8. Link http:…

9214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38202/psn-pdf
      November 12, 2008 - The tipping point: the relationship between volume and patient harm. November 12, 2008 Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628. https://psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-…

9215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36972/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206- 498. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14 This monthly selection of medication error reports includes an error averted because …

9216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38516/psn-pdf
      April 08, 2009 - Current status of the monitoring of medication practice. April 8, 2009 Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605. https://psnet.ahrq.gov/issue/current-status-monitoring-medication-practice Reporting on proceedings f…

9217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39242/psn-pdf
      January 20, 2010 - Spoons systematically bias dosing of liquid medicine. January 20, 2010 Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024. https://psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine This …

9218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37633/psn-pdf
      June 29, 2011 - Development of a patient safety climate scale in Japan. June 29, 2011 Matsubara S, Hagihara A, Nobutomo K. Development of a patient safety climate scale in Japan. Int J Qual Health Care. 2008;20(3):211-20. doi:10.1093/intqhc/mzn003. https://psnet.ahrq.gov/issue/development-patient-safety-climate-scale-japan This a…

9219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40761/psn-pdf
      September 12, 2016 - Failure to rescue in neonatal care. September 12, 2016 Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. https://psnet.ahrq.gov/issue/failure-rescue-neonatal-care This commentary suggests numerous strategies to redu…

9220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40659/psn-pdf
      August 03, 2011 - Surgeon's vigilance in the operating room. August 3, 2011 Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673- 7. doi:10.1016/j.amjsurg.2011.01.016. https://psnet.ahrq.gov/issue/surgeons-vigilance-operating-room This study demonstrated the potential utility of e…