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2261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

2262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40965/psn-pdf
      December 15, 2011 - Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. December 15, 2011 Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient harm. Am J Geriatr Pharmacother.…

2263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43386/psn-pdf
      January 20, 2016 - The influence of organizational factors on patient safety: examining successful handoffs in health care. January 20, 2016 Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage Rev. 2016;41(1):32-41. doi:10.1…

2264. In Conversation With… Harlan Krumholz, MD, SM | PSNet
      psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
      April 01, 2018 - We never saw them as a tool for communication or as essential to communicating what happened in the hospital

2265. Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet
      psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
      August 20, 2021 - Government Resource Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adv…

2266. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet
      psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
      November 30, 2016 - Study Provider perspectives on partnering with parents of hospitalized children to improve safety. Citation Text: Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …

2267. Family-initiated dialogue about medications during family-centered rounds. | PSNet
      psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
      July 09, 2018 - Study Family-initiated dialogue about medications during family-centered rounds. Citation Text: Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885. Copy Citation …

2268. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. | PSNet
      psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
      August 26, 2011 - Study Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Citation Text: Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…

2269. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
      June 21, 2016 - Study Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. Citation Text: Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…

2270. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
      August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

2271. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet
      psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
      March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…

2272. Intraoperative patient information handover between anesthesia providers. | PSNet
      psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
      November 24, 2021 - Study Intraoperative patient information handover between anesthesia providers. Citation Text: Choromanski D, Frederick J, McKelvey GM, et al. Intraoperative patient information handover between anesthesia providers. J Biomed Res. 2014;28(5):383-387. doi:10.7555/JBR.28.20140001. Copy C…

2273. Understanding complaints made about surgical departments in a UK district general hospital. | PSNet
      psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
      September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

2274. Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. | PSNet
      psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
      July 10, 2008 - Study Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. Citation Text: Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6. Copy Cit…

2275. A systematic review of team training in health care: ten questions. | PSNet
      psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
      September 11, 2016 - Review A systematic review of team training in health care: ten questions. Citation Text: Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. Copy Cita…

2276. Anatomy of an incident disclosure: the importance of dialogue. | PSNet
      psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
      February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. Citation Text: Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. Copy Citation Format: Google Scholar PubMed BibTeX En…

2277. "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. | PSNet
      psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe
      August 17, 2017 - Study "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Citation Text: Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with s…

2278. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet
      psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
      October 29, 2017 - Commentary Abbreviation use decreases effective clinical communication and can compromise patient safety. Citation Text: Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…

2279. The impact of stress on surgical performance: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/impact-stress-surgical-performance-systematic-review-literature
      February 10, 2010 - Review The impact of stress on surgical performance: a systematic review of the literature. Citation Text: Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.sur…

2280. Impact of preoperative briefings on operating room delays. | PSNet
      psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
      July 28, 2010 - Study Impact of preoperative briefings on operating room delays. Citation Text: Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. Copy Citation …