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401. Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. | PSNet
     psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136
     January 08, 2016 - Study Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions. Citation Text: Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…

402. The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet
     psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review
     December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

403. Recommendations from a national panel on quality improvement in obstetrics. | PSNet
     psnet.ahrq.gov/issue/recommendations-national-panel-quality-improvement-obstetrics
     July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

404. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet
     psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation
     March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

405. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
     psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
     July 23, 2024 - midline-use-initiative Norris AH, Shrestha NK, Allison GM, et al. 2018 Infectious Diseases Society of America Clinical … Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy.

406. Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. | PSNet
     psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
     August 10, 2022 - Study Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. Citation Text: Maierhofer CN, Ran…

407. Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. | PSNet
     psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
     January 30, 2019 - Review Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge. Citation Text: van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive care unit and general ward professionals at…

408. Advances in perioperative quality and safety. | PSNet
     psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
     April 11, 2018 - Commentary Advances in perioperative quality and safety. Citation Text: Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006. Copy Citation Format: DOI Go…

409. An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. | PSNet
     psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs
     September 07, 2016 - Commentary An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. Citation Text: Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Child…

410. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
     psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
     February 23, 2022 - KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update [published correction appears in Am

411. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet
     psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
     March 14, 2022 - EMERGING INNOVATIONS Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Citation Text: Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23…

412. ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. | PSNet
     psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
     June 07, 2017 - Organizational Policy/Guidelines ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Citation Text: ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Horsham, PA: Institute for Safe Medication Practices; 2020. Copy …

413. The Deadly Duo | PSNet
     psnet.ahrq.gov/web-mm/deadly-duo
     April 28, 2021 - Clinical Practice Guideline Number 5: Depression in Primary Care, Volume 2: Treatment of Major Depression

414. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet
     psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
     January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

415. Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet
     psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
     September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60744/psn-pdf
     July 29, 2020 - The NSTEMI Curbside Consultation July 29, 2020 Villablanca AC, Wong GX. The NSTEMI Curbside Consultation. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/nstemi-curbside-consultation Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical E…

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33707/psn-pdf
     February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course February 1, 2011 Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and Effectiveness Course. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…

418. Surgical complications: disclosing adverse events and medical errors. | PSNet
     psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
     September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

419. Updates in the Role of Health IT in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
     January 31, 2020 - and templates. 3 One systematic review demonstrated that the use of CDS in oncology care increased clinical … practice guideline use and concordance, improved care process measures, and reduced safety events.

420. Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet
     psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
     September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…