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2761. Saved by ECMO | PSNet
      psnet.ahrq.gov/web-mm/saved-ecmo
      May 05, 2017 - The clinical team suspected inadvertent dural puncture with the epidural catheter, leading to total spinal … June 5, 2024 Improving adherence to long-term opioid therapy guidelines to reduce opioid … December 31, 2014 A clinical pharmacist-led transitions of care program for veterans … July 24, 2024 Assessing the clinical, economic, and health resource utilization impacts … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice

2762. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
      April 01, 2009 - continually improving quality and safety goals ( 7 ), but board leadership works best by recruiting clinical … mortality, as had been hoped, primarily because of the difficulty of definitive diagnosis in actual clinical … do a better job of meaningfully involving the actual clinicians who will be affected by new rules, guidelines … Clinical Alarms Task Force. … Impact of clinical alarms on patient safety: a report from the American College of Clinical Engineering

2763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49562/psn-pdf
      May 01, 2008 - references surgery or procedure regardless of where it is being performed.(2) Despite the spirit of these guidelines … reason, New York State now requires that the time out take place immediately prior to the incision, a practice … behavior and apologized to the nurse, but was also told that the nursing staff would be establishing new guidelines … critical points prior to incision, such as just prior to placement of a spinal anesthetic, and this is a practice

2764. 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 - patients with cancer identified several challenges to safe care provision, including lack of access to guidelines … December 23, 2020 I-PASS illness diversity identifies patients at risk for overnight clinical

2765. Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
      August 29, 2018 - Opioid prescribing in the emergency department more often comported with CDC guidelines and was less

2766. Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
      June 14, 2023 - December 11, 2024 Implementation of the I-PASS handoff program in diverse clinical environments … Related Resources Handoffs and transitions of care: a systematic review, meta-analysis, and practice

2767. Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. | PSNet
      psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
      July 01, 2020 - disclosure is increasingly viewed as an essential skill for physicians just as training curriculums and guidelines … 5, 2019 Empowering patients and reducing inequities: is there potential in sharing clinical

2768. Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19
      January 12, 2022 - October 13, 2010 Clinical practice guideline: safe medication use in the ICU.

2769. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
      July 19, 2023 - Physician and nurse well-being and preferred interventions to address burnout in hospital practice … Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines

2770. Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. | PSNet
      psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic
      September 02, 2020 - September 2, 2020 Guidelines for opioid prescribing in children and adolescents after

2771. Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet
      psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
      May 25, 2016 - The recommendations in this report serve as a blueprint for future practice and policy efforts to augment … Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines

2772. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet
      psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
      March 03, 2021 - preventable  healthcare-acquired infections, and attributed these decreases to national programs and guidelines … March 3, 2021 Impact of unacceptable behaviour between healthcare workers on clinical

2773. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
      June 18, 2008 - June 10, 2009 The 80-hour work guidelines and resident survey perceptions of quality. … May 4, 2012 Simulation-based education to train learners to "speak up" in the clinical

2774. Out-of-hospital medication errors among young children in the United States, 2002–2012. | PSNet
      psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012
      June 14, 2017 - American Academy of Pediatrics guidelines on standardized units of measure may address some of these … Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical

2775. Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. | PSNet
      psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
      November 11, 2020 - training January 13, 2021 Implementation of the I-PASS handoff program in diverse clinical … March 19, 2019 Surviving Sepsis Campaign: international guidelines for management of

2776. Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. | PSNet
      psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
      October 30, 2010 - concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical

2777. Early diagnosis of cancer: systems approach to support clinicians in primary care. | PSNet
      psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care
      December 14, 2022 - January 18, 2023 Concordance with urgent referral guidelines in patients presenting with

2778. Adverse drug events in U.S. adult ambulatory medical care. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
      June 21, 2010 - Study Classic Adverse drug events in U.S. adult ambulatory medical care. Citation Text: Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…

2779. Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
      January 23, 2019 - January 23, 2019 Improving adherence to long-term opioid therapy guidelines to reduce … May 17, 2017 Impact of a drug shortage on medication errors and clinical outcomes in

2780. Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. | PSNet
      psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
      September 23, 2020 - Evaluation of a preoperative team briefing: a new communication routine results in improved clinical … practice.