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9181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34671/psn-pdf
      June 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go…

9182. Exhibit 3.11. Lean Project Activities | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-11.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.11. Lean Project Activities Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospi…

9183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859342/psn-pdf
      December 20, 2023 - Influence of comorbid depression and diagnostic workup on diagnosis of physical illness: a randomized experiment. December 20, 2023 Isbell LM, Graber ML, Rovenpor DR, et al. Influence of comorbid depression and diagnostic workup on diagnosis of physical illness: a randomized experiment. Diagnosis. 2023;10(3):257-2…

9184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46001/psn-pdf
      July 19, 2017 - Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. July 19, 2017 Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…

9185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46794/psn-pdf
      May 17, 2018 - Implementation of diagnostic pauses in the ambulatory setting. May 17, 2018 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. https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…

9186. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860714/psn-pdf
      January 17, 2024 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care. January 17, 2024 Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern Med. 2024:184(2):164-173. https://psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-tr…

9187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45500/psn-pdf
      September 28, 2016 - PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. September 28, 2016 Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary…

9188. New Ideas Lead to Big Changes in Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/cascades-east.html
      March 01, 2021 - New Ideas Lead to Big Changes in Care Like many small- and medium-sized practices, the team at Cascades East Family Medicine is always searching for ways to improve care. For Cascades East, this meant enrolling in EvidenceNOW, which connected them with a practice facilitator, Mr. Steven Brantley. In their wor…

9189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50836/psn-pdf
      January 29, 2020 - Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. January 29, 2020 Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment? related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…

9190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44127/psn-pdf
      September 28, 2017 - Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? September 28, 2017 Gawande A. The New Yorker. May 2015 https://psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and- financially-what The overuse…

9191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47022/psn-pdf
      July 19, 2018 - Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. July 19, 2018 Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…

9192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37425/psn-pdf
      March 28, 2012 - Frequency and outcome of cervical cancer prevention failures in the United States. March 28, 2012 Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in the United States. Am J Clin Pathol. 2007;128(5):817-24. https://psnet.ahrq.gov/issue/frequency-and-outcome-cervi…

9193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853959/psn-pdf
      September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. September 27, 2023 Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitator…

9194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844550/psn-pdf
      September 01, 2012 - The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessionin…

9195. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45651/psn-pdf
      November 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…

9196. Clinical Summary: Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Z94AUT4YyDptxRC_ScTseN
      Clinical Summary: Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults Clinical Summary: Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults Population Adults, including pregnant women Adolescents …

9197. Drexel University | Digital Healthcare Research
      digital.ahrq.gov/organization/drexel-university
      January 01, 2023 - Drexel University Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE) Description This research will develop, evaluate, and test the efficacy of Empower NICU – A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE), a mobile he…

9198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73288/psn-pdf
      May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. May 19, 2021 Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Pa…

9199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73435/psn-pdf
      June 30, 2021 - Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. June 30, 2021 Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in…

9200. State University of New York at Buffalo | Digital Healthcare Research
      digital.ahrq.gov/organization/state-university-new-york-buffalo
      January 01, 2023 - State University of New York at Buffalo Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients Description This research will integrate c…