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2281. An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet
      psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
      August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

2282. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. | PSNet
      psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals
      September 03, 2011 - Study Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Citation Text: Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediat…

2283. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. | PSNet
      psnet.ahrq.gov/issue/beam-me-scotty-impact-personal-wireless-communication-devices-emergency-department
      July 17, 2013 - Study Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Citation Text: Richards JD, Harris T. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Emerg Med J. 2011;28(1):29-32. doi:10.1136/emj…

2284. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. | PSNet
      psnet.ahrq.gov/issue/nurses-perspectives-intersection-safety-and-informed-decision-making-maternity-care
      May 21, 2019 - Study Nurses' perspectives on the intersection of safety and informed decision making in maternity care. Citation Text: Jacobson CH, Zlatnik MG, Kennedy HP, et al. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. J Obstet Gynecol Neonata…

2285. Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. | PSNet
      psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
      March 28, 2018 - Study Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. Citation Text: Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their tr…

2286. Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. | PSNet
      psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill
      August 05, 2020 - Press Release/Announcement Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. Citation Text: Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. MedWatch Safety Alert. S…

2287. Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet
      psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
      December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…

2288. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. | PSNet
      psnet.ahrq.gov/issue/influences-adoption-patient-safety-innovation-primary-care-qualitative-exploration-staff
      April 25, 2018 - Study Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. Citation Text: Litchfield I, Gill P, Avery T, et al. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff…

2289. Impact of a restraint management bundle on restraint use in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
      October 18, 2023 - Commentary Impact of a restraint management bundle on restraint use in an intensive care unit. Citation Text: Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…

2290. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet
      psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
      February 27, 2019 - Study Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Citation Text: Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…

2291. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. | PSNet
      psnet.ahrq.gov/issue/healthcare-utilizing-deliberate-discussion-linking-events-huddle-systematic-review
      November 16, 2022 - Review Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. Citation Text: Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188. Copy Citation …

2292. Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet
      psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
      January 22, 2017 - Study Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Citation Text: Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…

2293. A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
      November 15, 2023 - Review A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. Citation Text: Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(…

2294. Medical error disclosure training: evidence for values-based ethical environments. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
      October 15, 2016 - Study Medical error disclosure training: evidence for values-based ethical environments. Citation Text: Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. Cop…

2295. Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. | PSNet
      psnet.ahrq.gov/issue/workarounds-intended-use-health-information-technology-narrative-review-human-factors
      July 24, 2013 - Review Emerging Classic Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. Citation Text: Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of…

2296. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review-0
      July 31, 2024 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …

2297. Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
      March 05, 2025 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …

2298. An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit
      September 01, 2018 - Study An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. Citation Text: Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…

2299. Challenging authority during an emergency—the effect of a teaching intervention. | PSNet
      psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention
      December 13, 2017 - Study Challenging authority during an emergency—the effect of a teaching intervention. Citation Text: Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…

2300. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet
      psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
      June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…