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8901. Types of unintended consequences related to computerized provider order entry. | PSNet
      psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
      February 18, 2011 - Study Classic Types of unintended consequences related to computerized provider order entry. Citation Text: Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):…

8902. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. | PSNet
      psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
      June 13, 2018 - Review Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. Citation Text: Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inf…

8903. Topic 0484 Treatments for Fecal Incontinence NSD FINAL SJ (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0572-140408.pdf
      January 09, 2014 - Topic 0484 Treatments for Fecal Incontinence NSD FINAL SJ § Comparative effectiveness of treatments of fecal incontinence in women- Nomination Summary Document …

8904. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet
      psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
      February 17, 2021 - Review Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Citation Text: Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scopin…

8905. Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
      October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

8906. E-Prescribing Pilot Projects (2006-2007) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/past-initiatives/e-prescribing-pilot-projects
      January 01, 2023 - E-Prescribing Pilot Projects (2006-2007) The inability for multiple systems to share information with a standard format and vocabulary has been a hurdle to effective implementation of e-prescribing. To address this problem, the Medicare Modernization Act of 2003 (MMA) directed the Secretary …

8907. Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet
      psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
      August 26, 2020 - Study Classic Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. Citation Text: Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …

8908. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet
      psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
      March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

8909. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. | PSNet
      psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
      March 17, 2021 - Study Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. Citation Text: Boussat B, Quan H, Labarere J, et al. Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates. I…

8910. Tennessee | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/tennessee
      January 01, 2023 - Tennessee Project Overview | Data and Functionality | Technical Design and Architecture   Project Overview MidSouth eHealth Alliance (MSeHA) is a non-profit organization that seeks to improve the health care system of Tennessee by focusing on health care quality, safety, and effici…

8911. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
      August 21, 2018 - Study Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. Citation Text: Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use…

8912. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet
      psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
      December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

8913. Alignment | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
      April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Alignment Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowledg…

8914. Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
      February 16, 2022 - Study Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey. Citation Text: Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and behavioural impact…

8915. Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tufano-jt-et-al-2008
      January 01, 2008 - Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study." Reference Tufano JT, Ralston JD, Martin DP. Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitati…

8916. Effect on patient safety of a resident physician schedule without 24-hour shifts. | PSNet
      psnet.ahrq.gov/issue/effect-patient-safety-resident-physician-schedule-without-24-hour-shifts
      March 10, 2021 - Study Emerging Classic Effect on patient safety of a resident physician schedule without 24-hour shifts. Citation Text: Landrigan CP, Rahman SA, Sullivan JP, et al. Effect on patient safety of a resident physician schedule without 24-hour shifts. N Engl J Med. 2…

8917. Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet
      psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
      March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

8918. Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet
      psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid
      December 15, 2021 - Study Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. Citation Text: Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency depar…

8919. Clinical Decision Making | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/clinical-decision-making
      January 01, 2023 - Clinical Decision Making Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…

8920. U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-draft-rec-bulletin.pdf
      September 25, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment www.uspreventiveservicestaskforce.org 1 U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatmen…