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3161. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet
      psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
      August 10, 2022 - Commentary Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. Citation Text: Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…

3162. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. | PSNet
      psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
      July 25, 2011 - Study Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Citation Text: Arriaga AF, Gawande AA, Raemer D, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room t…

3163. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. | PSNet
      psnet.ahrq.gov/issue/unplanned-early-hospital-readmission-among-critical-care-survivors-mixed-methods-study
      September 23, 2020 - Study Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. Citation Text: Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.…

3164. Comparison of medication safety effectiveness among nine critical access hospitals. | PSNet
      psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals
      September 07, 2022 - Study Comparison of medication safety effectiveness among nine critical access hospitals. Citation Text: Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. Co…

3165. Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication. | PSNet
      psnet.ahrq.gov/issue/medicines-reconciliation-emergency-department-important-prescribing-discrepancies-between
      April 21, 2021 - Study Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication. Citation Text: Andersen TS, Gemmer MN, Sejberg HRC, et al. Medicines reconciliation in the emergency department: im…

3166. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet
      psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
      November 03, 2015 - Study Classic Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. Citation Text: Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …

3167. Incidence and method of suicide in hospitals in the United States. | PSNet
      psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
      October 04, 2023 - Study Incidence and method of suicide in hospitals in the United States. Citation Text: Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. Copy C…

3168. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet
      psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
      July 08, 2020 - Study Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Citation Text: Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s…

3169. Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. | PSNet
      psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
      May 17, 2023 - Study Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. Citation Text: Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …

3170. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. | PSNet
      psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
      November 02, 2016 - Study Classic Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Citation Text: Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…

3171. Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/survey-cancer-care-providers-attitude-toward-care-older-adults-cancer-during-covid-19
      December 16, 2020 - Study Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. Citation Text: BrintzenhofeSzoc K. Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. J Geriatr Onco. 2021;…

3172. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet
      psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
      October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…

3173. 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. | PSNet
      psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision
      October 05, 2022 - Study 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. Citation Text: Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…

3174. Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. | PSNet
      psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
      February 16, 2022 - Study Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. Citation Text: Albutt AK, Ramsey L, Fylan B, et al. Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID‐19. Health Expect.…

3175. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet
      psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
      July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

3176. Medication Reconciliation to Improve Quality of Transitional Care - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
      January 01, 2011 - Medication Reconciliation to Improve Quality of Transitional Care - 2011 Project Name Medication Reconciliation to Improve Quality of Transitional Care Principal Investigator Weiner, Michael Organization Indiana University Funding Mechanism PAR: HS08-270: Utilizing …

3177. Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety." | PSNet
      psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
      August 26, 2011 - Commentary Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…

3178. Symptom Monitoring and Reporting System for Chronic Illness Pediatric Populations - FInal Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs019071-lai-final-report-2014.pdf
      January 01, 2014 - Patients/parents completed weekly fatigue assessments over eight weeks via the internet or interactive … parents/patients received cumulative graphic reports of fatigue scores prior to clinic visits at 4 and 8 weeks … Alert when Fatigue Threshold was met Fatigue scores reported by patients on a weekly basis for 8 weeks … Study staff printed out reports and delivered them to physicians and parents at Weeks 4 and 8 during … Patients and parents also completed pedsFACIT-F every week for 8 weeks.

3179. Closing the Feedback Loop to Improve Diagnostic Quality - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
      January 01, 2011 - Main Study: There were three data collection phases: Follow-up data from patients obtained (1) three weeks … In addition, our plans were to compare the problem resolution of patients three weeks after the visit … collection and feedback process was in place during Phase 3 with the baseline data collected three weeks … However, even after three weeks, 23% of those who were not improved or were worse also did not contact … During the full automation phase, patients who were not better were followed up two weeks later (three

3180. Microsoft PowerPoint - Updated Handouts - Read-Only (pdf file)
      cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
      July 18, 2023 - . • A common goal is to lower the dose of opioids by 10%-20% every 1-4 weeks or months.