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4901. Laboratory safety monitoring of chronic medications in ambulatory care settings. | PSNet
      psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
      January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings. Citation Text: Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525…

4902. System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet
      psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
      July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…

4903. Implementation of diagnostic pauses in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
      January 31, 2024 - Study Implementation of diagnostic pauses in the ambulatory setting. Citation Text: Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192. Copy Citation Format: D…

4904. Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. | PSNet
      psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
      August 14, 2017 - Commentary Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…

4905. 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…

4906. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
      psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
      March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

4907. A 60-year-old man with delayed care for a renal mass. | PSNet
      psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
      January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

4908. What is driving hospitals' patient-safety efforts? | PSNet
      psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
      February 10, 2015 - Commentary What is driving hospitals' patient-safety efforts? Citation Text: Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

4909. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet
      psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
      January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

4910. Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet
      psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
      June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. Citation Text: Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…

4911. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. | PSNet
      psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use-18-emergency
      June 08, 2016 - Study Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Citation Text: Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med…

4912. Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
      May 19, 2021 - Study Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. Citation Text: Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…

4913. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet
      psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
      March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? Citation Text: van Dulmen SA, Tacken MAJB, Staal B, et al. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory coh…

4914. Intravenous smart pumps at the point of care: a descriptive, observational study. | PSNet
      psnet.ahrq.gov/issue/intravenous-smart-pumps-point-care-descriptive-observational-study
      February 24, 2021 - Study Intravenous smart pumps at the point of care: a descriptive, observational study. Citation Text: Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.000000000…

4915. Appendix A. Team Roster | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/team-roster.html
      March 01, 2017 - Appendix A. Team Roster AHRQ Safety Program for Long-Term Care: HAIs/CAUTI This template provides suggestions about roles, characteristics, and responsibilities for members of your improvement team. Develop your team and document influential and respected leaders, clinicians, frontline staff, and …

4916. Measure 1, Section 2, Attachment 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-5.pdf
      June 02, 2025 - Measure 1, Section 2, Attachment 5 DET Quality Analysis Criteria Lurie_Bobb Lutheran_Gupta Stroger_Garcia FAQ Guidance Document a. All cells should be filled out, even if “N/A” a I would recommend that the site complete all fields in the "Element", "Question", and "Measure" tabs a n/a b. EHR Data source appli…

4917. Section 2, Attachment 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-4.pdf
      June 02, 2025 - Section 2, Attachment 4 DET Quality Analysis Criteria Lurie_Bobb Lutheran_Gupta Stroger_Garcia FAQ Guidance Document a. All cells should be filled out, even if “N/A” a I would recommend that the site complete all fields in the "Element", "Question", and "Measure" tabs a n/a b. EHR Data source application (Doe…

4918. Studying the Accuracy of Symptom-Checker App in Diagnosing Strokes in a Real-World Setting | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/studying-accuracy-symptom-checker-app-diagnosing-strokes-real
      January 01, 2023 - Studying the Accuracy of Symptom-Checker App in Diagnosing Strokes in a Real-World Setting Theme: Engaging and Empowering Patients and Caregivers Subtheme: Technology Solutions to Engage Patients and Their Families in Care Rigorously evaluating a popular, patient-facing symptom-checker app…

4919. Working Together to Tackle Inequities—Centering the Voices of Women | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/voice-of-women.html
      May 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Working Together to Tackle Inequities—Centering the Voices of Women MAY 13 2024 By Kamila B. Mistry, Ph.D., M.P.H., Emily M. Chew, M.P.H., and Kisha I. Coa, Ph.D., M.P.H. Kamila B. Mistry, Ph.D., M.P.H. The theme for this year'…

4920. Payer | Digital Healthcare Research
      digital.ahrq.gov/population/payer
      September 01, 2024 - Payer Clinical Decision Support Innovation Collaborative 2023-2024 (Year 3) Period of Performance Report Citation Dullabh PM, Shah AS, Dhopeshwarkar RV, Desai PJ, Peterson CE, Jiménez F, Gauthreaux N, Leaphart DM, Zott C, Byrne M, Adams L. Clinical Decision Support Innovation …