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4401. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet
      psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
      January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. Citation Text: Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. Copy Citat…

4402. Development of a preliminary patient safety classification system for generative AI. | PSNet
      psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai
      December 21, 2022 - Study Development of a preliminary patient safety classification system for generative AI. Citation Text: Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…

4403. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/results.html
      March 01, 2017 - Prescribing errors Medication nonadherence Adverse drug events and interactions Overprescribing of opioids

4404. Final Progress Report: Racial and Ethnic Variations in Medical Interactions (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ashton-report.pdf
      January 01, 2024 - opioid analgesic abuse and prevalence of co-use of other illicit substances among abusers of opioid … analgesics, and determine if the prevalence of such use varies by race/ethnicity. … Aim 2- Explore and characterize treatment-seeking patterns among abusers of opioid analgesics. (3) … analgesics (n=56,680). … analgesics) for non-medical purposes within the prior year and to determine predictors of use of

4405. Success Stories | The Academy
      integrationacademy.ahrq.gov/expert-insight/success-stories
      February 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

4406. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
      December 22, 2020 - October 28, 2020 Potentially inappropriate medication combination with opioids among

4407. How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet
      psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
      May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…

4408. The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet
      psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
      January 18, 2013 - Study The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. Citation Text: Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…

4409. Transforming the medication regimen review process using telemedicine to prevent adverse events. | PSNet
      psnet.ahrq.gov/issue/transforming-medication-regimen-review-process-using-telemedicine-prevent-adverse-events
      November 11, 2015 - Study Transforming the medication regimen review process using telemedicine to prevent adverse events. Citation Text: Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…

4410. A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. | PSNet
      psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
      September 01, 2018 - Study A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. Citation Text: Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…

4411. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet
      psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
      September 09, 2015 - Commentary Moving beyond the weekend effect: how can we best target interventions to improve patient care? Citation Text: Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. …

4412. Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
      June 16, 2010 - Study Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. Citation Text: Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a …

4413. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. | PSNet
      psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health
      January 12, 2022 - Study Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Citation Text: Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and…

4414. Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. | PSNet
      psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system
      January 21, 2015 - Study Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. Citation Text: Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(…

4415. Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control. | PSNet
      psnet.ahrq.gov/issue/association-differences-treatment-intensification-missed-visits-and-scheduled-follow-interval
      May 18, 2022 - Study Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control. Citation Text: Fontil V, Pacca L, Bellows BK, et al. Association of differences in treatment intensification, missed…

4416. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet
      psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
      August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

4417. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
      psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
      March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

4418. Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. | PSNet
      psnet.ahrq.gov/issue/just-what-doctor-ordered-missed-ordering-venous-thromboembolism-chemoprophylaxis-associated
      September 07, 2022 - Study Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. Citation Text: Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous t…

4419. U.S. adoption of computerized physician order entry systems. | PSNet
      psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
      April 24, 2018 - Study Classic U.S. adoption of computerized physician order entry systems. Citation Text: Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63. Copy Citation Format: …

4420. Allocation of physician time in ambulatory practice: a time and motion study in four specialties. | PSNet
      psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
      August 26, 2020 - Study Classic Allocation of physician time in ambulatory practice: a time and motion study in four specialties. Citation Text: Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann …