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4161. Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet
      psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
      January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…

4162. Medication reconciliation improvement utilizing process redesign and clinical decision support. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
      November 16, 2022 - Study Medication reconciliation improvement utilizing process redesign and clinical decision support. Citation Text: Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. …

4163. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. | PSNet
      psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation
      February 12, 2020 - Study Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. Citation Text: Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…

4164. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
      November 16, 2022 - Study Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Citation Text: Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…

4165. AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/input-strategic-framework-pcortf.html
      March 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AHRQ Seeks Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments MAR 3 2022 By Karin Rhodes, M.D., M.S., and David Meyers, M.D. Karin Rhodes, M.D., M.S. AHRQ’s updated request for inform…

4166. What happens to the medication regimens of older adults during and after an acute hospitalization? | PSNet
      psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
      May 19, 2021 - Study What happens to the medication regimens of older adults during and after an acute hospitalization? Citation Text: Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during and after an acute hospitalization? J Patient Saf. 2013;9(3):15…

4167. Best practices: an electronic drug alert program to improve safety in an accountable care environment. | PSNet
      psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment
      May 29, 2019 - Study Best practices: an electronic drug alert program to improve safety in an accountable care environment. Citation Text: Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…

4168. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. | PSNet
      psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
      October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…

4169. Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet
      psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
      July 16, 2013 - Commentary Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Citation Text: D'Angelo R, Mejabi O. Getting It Right for Patient Safety:  Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol.…

4170. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet
      psnet.ahrq.gov/issue/effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients
      August 04, 2021 - Study Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. Citation Text: Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…

4171. Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet
      psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
      April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

4172. An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet
      psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
      February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

4173. Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. | PSNet
      psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015
      July 19, 2023 - Study Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. Citation Text: Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…

4174. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. | PSNet
      psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care
      July 20, 2022 - Commentary Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Citation Text: Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…

4175. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet
      psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
      June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

4176. Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. | PSNet
      psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health
      December 20, 2023 - Study Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. Citation Text: Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…

4177. Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet
      psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
      August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…

4178. Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. | PSNet
      psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006
      December 15, 2010 - Study Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. Citation Text: Sonawane KB, Cheng N, Hansen RA. Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006-2014 Data…

4179. Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-factors-associated-patient-nondisclosure-medically-relevant-information
      May 31, 2017 - Study Emerging Classic Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. Citation Text: Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure …

4180. Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet
      psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
      April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Citation Text: Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…