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4601. Impact of a national QI programme on reducing electronic health record notifications to clinicians. | PSNet
      psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians
      February 24, 2021 - Study Classic Impact of a national QI programme on reducing electronic health record notifications to clinicians. Citation Text: Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clin…

4602. Preventable adverse drug events: descriptive epidemiology. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
      October 17, 2012 - Study Preventable adverse drug events: descriptive epidemiology. Citation Text: Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139. Copy Citation Format: DOI Google Sc…

4603. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. | PSNet
      psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework
      July 20, 2022 - Study Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Citation Text: Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4…

4604. National surveillance of emergency department visits for outpatient adverse drug events. | PSNet
      psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
      February 27, 2009 - Study Classic National surveillance of emergency department visits for outpatient adverse drug events. Citation Text: Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 200…

4605. Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. | PSNet
      psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency
      May 08, 2017 - Study Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. Citation Text: Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with pharmacists or pharmacy …

4606. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
      psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
      January 15, 2020 - Journal Article Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths Citation Text: Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification…

4607. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. | PSNet
      psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
      April 18, 2011 - Study Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. Citation Text: Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery r…

4608. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. | PSNet
      psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-perspective
      June 02, 2010 - Study What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. Citation Text: Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104.…

4609. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet
      psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
      October 19, 2022 - Study Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. Citation Text: Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…

4610. Investments in Primary Care Research for 2021 and 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/index.html
      July 01, 2025 - Investments in Primary Care Research for 2021 and 2022 Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research About This Report 1. Backgrou…

4611. Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
      August 18, 2021 - Study Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. Citation Text: Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…

4612. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. | PSNet
      psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
      May 11, 2022 - Study Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Citation Text: Bender JA, Kulju S, Soncrant C. Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health care. Jt Comm J Qua…

4613. Potential biases in machine learning algorithms using electronic health record data. | PSNet
      psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
      June 12, 2019 - Commentary Classic Potential biases in machine learning algorithms using electronic health record data. Citation Text: Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …

4614. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet
      psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
      January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

4615. Review of computerized physician handoff tools for improving the quality of patient care. | PSNet
      psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
      September 07, 2011 - Review Review of computerized physician handoff tools for improving the quality of patient care. Citation Text: Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988. C…

4616. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet
      psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
      March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

4617. Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
      February 18, 2011 - Study Classic Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. Citation Text: Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician ord…

4618. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
      psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
      June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. Citation Text: Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspect…

4619. Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/peer-plus-client-centered-digital-intervention-addressing-needs-individuals
      April 01, 2023 - Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder Project Description The use of the Peer PLUS (People Leveraging Urgent Support) platform is expected to enhance the connection between those with substance use …

4620. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet
      psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
      April 15, 2020 - Study Comparison of methods to reduce bias from clinical prediction models of postpartum depression. Citation Text: Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/…