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5381. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean
      October 19, 2022 - Study Classic Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Citation Text: Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…

5382. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet
      psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
      June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

5383. Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. | PSNet
      psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
      July 20, 2022 - Study Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. Citation Text: Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…

5384. Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. | PSNet
      psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
      June 20, 2018 - Press Release/Announcement Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. Citation Text: Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…

5385. Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet
      psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing
      May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

5386. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
      psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
      August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

5387. How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. | PSNet
      psnet.ahrq.gov/issue/how-gender-shapes-interprofessional-teamwork-operating-room-qualitative-secondary-analysis
      March 10, 2021 - Study How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. Citation Text: Etherington C, Kitto S, Burns JK, et al. How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. BMC Health Serv Res. 2…

5388. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. | PSNet
      psnet.ahrq.gov/issue/strengthening-open-disclosure-maternity-services-english-nhs-discern-realist-evaluation-study
      April 12, 2023 - Study Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Citation Text: Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Health Soc …

5389. When bad things happen: training medical students to anticipate the aftermath of medical errors. | PSNet
      psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors
      July 29, 2020 - Study When bad things happen: training medical students to anticipate the aftermath of medical errors. Citation Text: Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591…

5390. Patients' perceptions of safety in emergency medical services: an interview study. | PSNet
      psnet.ahrq.gov/issue/patients-perceptions-safety-emergency-medical-services-interview-study
      July 29, 2020 - Study Patients' perceptions of safety in emergency medical services: an interview study. Citation Text: Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488…

5391. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. | PSNet
      psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability
      June 15, 2022 - Review Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. Citation Text: Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with i…

5392. Improving timely recognition and treatment of sepsis in the pediatric ICU. | PSNet
      psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
      December 09, 2020 - Study Improving timely recognition and treatment of sepsis in the pediatric ICU. Citation Text: Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …

5393. Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet
      psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and-near-misses
      December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

5394. Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet
      psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
      August 02, 2015 - Commentary Emerging Classic Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. Citation Text: Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…

5395. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. | PSNet
      psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
      November 11, 2020 - Study Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Citation Text: Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…

5396. Perioperative safety determinants in ethnic patient groups. | PSNet
      psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
      February 09, 2022 - Study Perioperative safety determinants in ethnic patient groups. Citation Text: Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545. Copy Citation Format: …

5397. How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. | PSNet
      psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
      June 16, 2021 - Review Emerging Classic How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Citation Text: Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect an…

5398. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA | PSNet
      psnet.ahrq.gov/issue/association-between-measured-teamwork-and-medical-errors-observational-study-prehospital-care
      May 18, 2022 - Study Association between measured teamwork and medical errors: an observational study of prehospital care in the USA Citation Text: Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA.…

5399. An ethnographic study of health information technology use in three intensive care units. | PSNet
      psnet.ahrq.gov/issue/ethnographic-study-health-information-technology-use-three-intensive-care-units
      January 14, 2014 - Study An ethnographic study of health information technology use in three intensive care units. Citation Text: Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1…

5400. Developing and Evaluating Online Education to Improve Older Adults Health Information - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/annual-summary/2011
      January 01, 2011 - Developing and Evaluating Online Education to Improve Older Adults Health Information - 2011 Project Name Developing and Evaluating Online Education to Improve Older Adults Health Information Principal Investigator Fink, Arlene Organization Langley Research Institute …