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9821. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0802.html
      October 01, 2014 - AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments Search All Impact Case Studies June 2008 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors in hospital emergency departments has been put to use in hospitals in a …

9822. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. | PSNet
      psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
      December 09, 2020 - Study Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Citation Text: Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…

9823. The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet
      psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review
      December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

9824. Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals. | PSNet
      psnet.ahrq.gov/issue/investigating-mediating-effect-patient-self-efficacy-relationship-between-patient-safety
      September 08, 2021 - Study Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals. Citation Text: Wang X, Zhao Y. Investigating the mediating effect of patient self-efficacy on the relationship between p…

9825. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/appendix-a3.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

9826. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet
      psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
      March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Citation Text: Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…

9827. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. | PSNet
      psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
      September 23, 2020 - Study Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. Citation Text: Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…

9828. University of Texas Health at San Antonio, University Health System Used AHRQ Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201905.html
      September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools Search All Impact Case Studies July 2019 The University of Texas Health at San Antonio (UT Health SA) used three AHRQ tools as the basis for developing a multimedia decision aid to help patients fully understand and consent …

9829. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
      psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
      March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

9830. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet
      psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
      December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

9831. Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets. | PSNet
      psnet.ahrq.gov/issue/providers-contextualise-care-more-often-when-they-discover-patient-context-asking-meta
      September 20, 2011 - Study Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets. Citation Text: Schwartz A, Weiner SJ, Binns-Calvey A, et al. Providers contextualise care more often when they discover patient context by asking: meta-an…

9832. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
      December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Citation Text: Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…

9833. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. | PSNet
      psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
      December 21, 2014 - Study Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. Citation Text: Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…

9834. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
      November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

9835. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care
      August 02, 2015 - Study Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. Citation Text: Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Pra…

9836. Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet
      psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
      May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

9837. Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain. | PSNet
      psnet.ahrq.gov/issue/nonrandomized-intervention-study-naloxone-coprescription-primary-care-patients-receiving-long
      July 15, 2020 - Study Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain. Citation Text: Coffin PO, Behar E, Rowe C, et al. Nonrandomized Intervention Study of Naloxone Coprescription for Primary Care Patients Receiving Long-…

9838. Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
      June 01, 2016 - Study Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. Citation Text: Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…

9839. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. | PSNet
      psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
      March 03, 2019 - Study The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. Citation Text: Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. Holist Nurs Pract. …

9840. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet
      psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
      June 02, 2021 - Study Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. Citation Text: Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national surv…