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4661. Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. | PSNet
      psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
      June 11, 2008 - Study Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. Citation Text: Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and conseq…

4662. Resources (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/resources/resources.doc
      June 02, 2025 - Resources Resources Contents Federal Interagency Forum on Child and Family Statistics Summary Health Statistics for U.S. Children Advancing State Child Indicators Initiatives This section identifies national initiatives that serve as clearinghouses for measures of the quality of children's health, health care, a…

4663. Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
      November 11, 2020 - Study Feasibility of prospective error reporting in home palliative care: a mixed methods study. Citation Text: Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…

4664. Grantees Focusing on African Americans | Agency for Healthcare Research and Quality
      www.ahrq.gov/priority-populations/observances/bhm/grantees.html
      February 01, 2021 - Grantees Focusing on African Americans Brian William Jack, M.D. "Maternal health disparities begin well before a positive pregnancy test. Our work aims to offer Black women useful healthcare tools tailored specifically to their needs. Gabby is one such tool." Implementation and Dissemination of Ga…

4665. Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet
      psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients
      March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

4666. A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet
      psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain
      September 28, 2017 - Study A contemporary medicolegal analysis of outpatient medication management in chronic pain. Citation Text: Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…

4667. Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet
      psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
      October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

4668. Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet
      psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
      December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

4669. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet
      psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
      October 09, 2024 - Study What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? Citation Text: Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…

4670. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet
      psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
      July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

4671. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-patterns-among-medical-providers-united-states-2003-17-retrospective
      May 11, 2016 - Study Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. Citation Text: Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observati…

4672. Visual Management Board Component Kit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
      June 01, 2017 - Visual Management Board Component Kit Contents 1. Why Have a Visual Management Board? 2. Tips for Using a Visual Management Board 3. Plan-Do-Study-Act (PDSA) “Ramp”: Learn To Use a Visual Management Board 4. Visual Management Board Example: Elements You Can Use 5. Connections to Other Components 6. …

4673. Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. | PSNet
      psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital
      July 19, 2023 - Study Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. Citation Text: Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…

4674. Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. | PSNet
      psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
      January 16, 2019 - Study Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing …

4675. The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. | PSNet
      psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
      June 08, 2022 - Study The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records. Citation Text: Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…

4676. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet
      psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
      March 17, 2021 - Study The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…

4677. Clinical data sharing improves quality measurement and patient safety. | PSNet
      psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
      April 21, 2021 - Study Clinical data sharing improves quality measurement and patient safety. Citation Text: D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. Copy Citat…

4678. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet
      psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
      June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

4679. High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. | PSNet
      psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented
      March 09, 2022 - Study High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. Citation Text: Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interactio…

4680. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. | PSNet
      psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
      June 07, 2023 - Study Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Citation Text: Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…