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Total Results: 585 records

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301. Hemolysis Holdup | PSNet
     psnet.ahrq.gov/web-mm/hemolysis-holdup
     July 03, 2016 - Hemolysis Holdup Citation Text: Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

302. Spotlight
     psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
     January 01, 2025 - Spotlight Spotlight Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations  1 Source and Credits This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Samantha Brown…

303. Supplement on Deepening our Understanding of Quality in Australia (DUQuA). | PSNet
     psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
     February 04, 2009 - Special or Theme Issue Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Citation Text: Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105. Copy Citation Save Save t…

304. Should patients have a role in patient safety? A safety engineering view. | PSNet
     psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
     June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

305. Missing clinical information during primary care visits. | PSNet
     psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
     March 28, 2011 - Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

306. An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. | PSNet
     psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered
     September 27, 2017 - Study An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. Citation Text: Long J, Yuan MJ, Poonawala R. An Observational Study to Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Power…

307. Learning mechanisms to limit medication administration errors. | PSNet
     psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
     August 30, 2017 - Study Learning mechanisms to limit medication administration errors. Citation Text: Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x. Copy Citation Format: DOI Google Scholar …

308. Responsible e-prescribing needs e-discontinuation. | PSNet
     psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
     July 10, 2017 - Commentary Responsible e-prescribing needs e-discontinuation. Citation Text: Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470. doi:10.1001/jama.2016.19908. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

309. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet
     psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
     May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

310. Interruptions and multi-tasking: moving the research agenda in new directions. | PSNet
     psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
     March 23, 2011 - Commentary Interruptions and multi-tasking: moving the research agenda in new directions. Citation Text: Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. Copy Citation Format…

311. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet
     psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
     June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

312. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet
     psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
     September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

313. Why don't nurses consistently take patient respiratory rates? | PSNet
     psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
     October 10, 2012 - Study Why don't nurses consistently take patient respiratory rates? Citation Text: Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

314. Failure mode and effects analysis: too little for too much? | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
     November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

315. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet
     psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
     July 25, 2018 - Review Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. Citation Text: Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…

316. Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. | PSNet
     psnet.ahrq.gov/issue/incidence-multiple-sclerosis-misdiagnosis-referrals-two-academic-centers
     April 24, 2018 - Study Emerging Classic Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Citation Text: Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Mult Scler Relat Disor…

317. Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet
     psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
     August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

318. Diagnostic accuracy of a large language model in pediatric case studies. | PSNet
     psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies
     May 25, 2016 - Study Diagnostic accuracy of a large language model in pediatric case studies. Citation Text: Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750. Copy Cit…

319. Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
     December 02, 2020 - Review Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. Citation Text: Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated wi…

320. Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/prevalence-contributory-factors-and-severity-medication-errors-associated-direct-acting-oral
     December 22, 2021 - Review Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis. Citation Text: Al Rowily A, Jalal Z, Price MJ, et al. Prevalence, contributory factors and severity of med…