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461. Patient reports of preventable problems and harms in primary health care. | PSNet
     psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
     February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…

462. Time motion study in a pediatric emergency department before and after computer physician order entry. | PSNet
     psnet.ahrq.gov/issue/time-motion-study-pediatric-emergency-department-and-after-computer-physician-order-entry
     October 19, 2022 - Study Time motion study in a pediatric emergency department before and after computer physician order entry. Citation Text: Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4)…

463. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
     October 01, 2013 - PowerPoint Presentation Spotlight Case It's Sarah, not Stephen! 1 This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco Editor, AHRQ WebM&…

464. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet
     psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
     March 27, 2024 - SPOTLIGHT CASE Do Not Miss Sepsis Needles in Viral Haystacks! Citation Text: Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…

465. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet
     psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
     March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

466. Factors influencing providers' willingness to deprescribe medications. | PSNet
     psnet.ahrq.gov/issue/factors-influencing-providers-willingness-deprescribe-medications
     November 17, 2021 - Study Factors influencing providers' willingness to deprescribe medications. Citation Text: Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537. Copy Citation Format…

467. Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. | PSNet
     psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus
     August 15, 2018 - Review Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. Citation Text: Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic,…

468. Diagnostic errors in primary care pediatrics: Project RedDE. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-redde
     April 08, 2018 - Study Diagnostic errors in primary care pediatrics: Project RedDE. Citation Text: Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. Copy Citation Format: DOI Google Sc…

469. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. | PSNet
     psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
     April 11, 2011 - Study Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Citation Text: Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-13…

470. Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet
     psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
     April 24, 2018 - Study Diagnostic inaccuracy of smartphone applications for melanoma detection. Citation Text: Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. Copy Citat…

471. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. | PSNet
     psnet.ahrq.gov/issue/quality-initiative-decrease-pathology-specimen-labeling-errors-using-radiofrequency
     August 28, 2017 - Study A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. Citation Text: Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…

472. Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet
     psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
     May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61078/psn-pdf
     October 28, 2020 - Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump October 28, 2020 Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/inpatient-stroke-management…

474. Using a potentially aggressive/violent patient huddle to improve health care safety. | PSNet
     psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
     November 16, 2022 - Commentary Using a potentially aggressive/violent patient huddle to improve health care safety. Citation Text: Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…

475. Predictors of serious opioid-related adverse drug events in hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients
     March 10, 2021 - Study Predictors of serious opioid-related adverse drug events in hospitalized patients. Citation Text: Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000…

476. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
     February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

477. Wide variation and overprescription of opioids after elective surgery. | PSNet
     psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
     April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…

478. Volume Too Low: In and Out | PSNet
     psnet.ahrq.gov/web-mm/volume-too-low-and-out
     July 01, 2017 - SPOTLIGHT CASE Volume Too Low: In and Out Citation Text: Miller MR. Volume Too Low: In and Out . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

479. Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet
     psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
     May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

480. A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. | PSNet
     psnet.ahrq.gov/issue/7-year-analysis-attributable-costs-healthcare-associated-infections-network-community
     April 24, 2018 - Study A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. Citation Text: Zhang HL, Crane L, Cromer AL, et al. A 7-year analysis of attributable costs of healthcare-associated infections in a ne…