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9321. The effect of automated alerts on provider ordering behavior in an outpatient setting.   | PSNet
      psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
      November 23, 2016 - Study The effect of automated alerts on provider ordering behavior in an outpatient setting.   Citation Text: Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…

9322. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
      June 02, 2025 - Prologue: Culture and Redesign for Improved Patient Safety Prologue Culture and Redesign for Improved Patient Safety James B. Battles, PhD The articles in this volume explore issues of culture and the redesign of organizations and clinical practices to improve patient safety. Within this broad theme are f…

9323. Teamwork in the time of COVID-19. | PSNet
      psnet.ahrq.gov/issue/teamwork-time-covid-19
      November 16, 2022 - Commentary Teamwork in the time of COVID-19. Citation Text: Takizawa PA, Honan L, Brissette D, et al. Teamwork in the time of COVID‐19. FASEB Bioadv. 2020;3(3):175-181. doi:10.1096/fba.2020-00093. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

9324. Simulation-based medical error disclosure training for pediatric healthcare professionals. | PSNet
      psnet.ahrq.gov/issue/simulation-based-medical-error-disclosure-training-pediatric-healthcare-professionals
      April 11, 2011 - Study Simulation-based medical error disclosure training for pediatric healthcare professionals. Citation Text: Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. Copy Cit…

9325. Using simulation-based training to improve patient safety: what does it take? | PSNet
      psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take
      August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

9326. Reflection on adverse event disclosure in the postsurgical hospital context. | PSNet
      psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
      August 20, 2018 - Commentary Reflection on adverse event disclosure in the postsurgical hospital context. Citation Text: Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. …

9327. When doing wrong feels so right: normalization of deviance. | PSNet
      psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
      September 03, 2011 - Review When doing wrong feels so right: normalization of deviance. Citation Text: Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. Copy Citation Format: DOI Google Scholar Pub…

9328. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet
      psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
      April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

9329. Care Coordination | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
      June 01, 2018 - Chartbook on Care Coordination Care Coordination Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoidable Hospitalizati…

9330. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cp30506.html
      October 01, 2014 - AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas Search All Impact Case Studies August 2005 A rural managed care program development project funded by AHRQ has helped create a thriving statewide collaborative telemedicine network. Maine Telehealth Network, in operation since 1998, h…

9331. The limits of psychological safety: nonlinear relationships with performance. | PSNet
      psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
      April 24, 2018 - Study The limits of psychological safety: nonlinear relationships with performance. Citation Text: Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …

9332. From patients to politicians: a cognitive engineering view of patient safety. | PSNet
      psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
      January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

9333. Medical malpractice claims by members of the uniformed services. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
      November 14, 2011 - Regulation Medical malpractice claims by members of the uniformed services. Citation Text: Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. Copy Cit…

9334. Hospital readmissions: physician awareness and communication practices. | PSNet
      psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
      December 19, 2009 - Study Classic Hospital readmissions: physician awareness and communication practices. Citation Text: Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…

9335. Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet
      psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
      August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

9336. Patient safety and job-related stress: a focus group study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
      December 05, 2012 - Study Patient safety and job-related stress: a focus group study. Citation Text: Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001. Copy Citation Format: …

9337. Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet
      psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
      April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. Citation Text: Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…

9338. TeamSTEPPS Research/Evidence Base: Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/hospital.html
      June 01, 2023 - TeamSTEPPS Research/Evidence Base: Hospital Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Med Care Res Rev. 2021;78(2):146-56. Epub 2019/05/17. doi: 10.1177/10775587…

9339. Copying and pasting of examinations within the electronic medical record. | PSNet
      psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
      June 12, 2013 - Study Copying and pasting of examinations within the electronic medical record. Citation Text: Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. Copy Citation Format: Google …

9340. Algorithmic prediction of failure modes in healthcare. | PSNet
      psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
      September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…