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7981. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
      psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
      July 07, 2021 - Review Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. Citation Text: Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …

7982. Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet
      psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
      May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

7983. Missing diagnoses during the COVID-19 pandemic: a year in review. | PSNet
      psnet.ahrq.gov/issue/missing-diagnoses-during-covid-19-pandemic-year-review
      December 23, 2020 - Commentary Missing diagnoses during the COVID-19 pandemic: a year in review. Citation Text: Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335. …

7984. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
      January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…

7985. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
      June 23, 2021 - Review Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Citation Text: Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …

7986. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
      May 19, 2021 - Study Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. Citation Text: Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…

7987. We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability. | PSNet
      psnet.ahrq.gov/issue/were-all-together-how-covid-19-revealed-co-construction-mindful-organising-and-organisational
      February 16, 2022 - Commentary We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability. Citation Text: Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and or…

7988. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. | PSNet
      psnet.ahrq.gov/issue/smartphone-use-during-inpatient-attending-rounds-prevalence-patterns-and-potential
      June 24, 2010 - Study Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. Citation Text: Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med. 2012;7(8…

7989. Risk reduction strategy to decrease incidence of retained surgical items. | PSNet
      psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
      July 06, 2022 - Study Risk reduction strategy to decrease incidence of retained surgical items. Citation Text: Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. Copy …

7990. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet
      psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
      May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

7991. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
      psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
      May 05, 2021 - Study The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. Citation Text: Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…

7992. Consequences of inadequate sign-out for patient care. | PSNet
      psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
      November 07, 2012 - Study Classic Consequences of inadequate sign-out for patient care. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. Copy Cit…

7993. Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. | PSNet
      psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
      January 24, 2018 - Study Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. Citation Text: Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication …

7994. Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet
      psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
      March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…

7995. Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
      March 02, 2022 - Study Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. Citation Text: Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and th…

7996. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-nurses-decision-question-medication-administration-neonatal-clinical-care
      April 21, 2021 - Study Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. Citation Text: Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nur…

7997. Multifaceted interventions improve adherence to the surgical checklist. | PSNet
      psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist
      November 07, 2012 - Study Multifaceted interventions improve adherence to the surgical checklist. Citation Text: Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. Copy Citation Forma…

7998. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet
      psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
      September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

7999. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. | PSNet
      psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
      August 25, 2015 - Study Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. Citation Text: Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms u…

8000. The association between patient safety culture and adverse events - a scoping review. | PSNet
      psnet.ahrq.gov/issue/association-between-patient-safety-culture-and-adverse-events-scoping-review
      November 03, 2015 - Review The association between patient safety culture and adverse events - a scoping review. Citation Text: Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s1291…