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7181. Fatigue and safety in paramedicine. | PSNet
      psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
      December 16, 2020 - Study Fatigue and safety in paramedicine. Citation Text: Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765. doi:10.1017/cem.2019.380. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

7182. Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. | PSNet
      psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
      June 28, 2013 - Study Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. Citation Text: Faisy C, Davagnar C, Ladiray D, et al. Nurse workload and inexperienced medica…

7183. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. | PSNet
      psnet.ahrq.gov/issue/nonpayment-harms-resulting-medical-care-catheter-associated-urinary-tract-infections
      December 19, 2017 - Commentary Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. Citation Text: Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.…

7184. Patient, physician, medical assistant, and office visit factors associated with medication list agreement. | PSNet
      psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
      June 28, 2017 - Study Patient, physician, medical assistant, and office visit factors associated with medication list agreement. Citation Text: Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2…

7185. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. | PSNet
      psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results
      October 19, 2022 - Study Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. Citation Text: Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…

7186. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet
      psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
      August 13, 2014 - Study Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. Citation Text: Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…

7187. Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet
      psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
      August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…

7188. Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/improving-patients-intensive-care-admission-through-multidisciplinary-simulation-based-crisis
      August 23, 2023 - Study Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study. Citation Text: Jensen JF, Ramos J, Ørom M‐L, et al. Improving patients' intensive care admission through multidisciplinary simulation‐based crisi…

7189. Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. | PSNet
      psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
      January 12, 2022 - Review Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. Citation Text: O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…

7190. Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical-medication-orders
      August 04, 2021 - Study Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. Citation Text: Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of…

7191. Benefits of reporting and analyzing nursing students' near-miss medication incidents. | PSNet
      psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents
      March 16, 2022 - Study Benefits of reporting and analyzing nursing students' near-miss medication incidents. Citation Text: Dennison S, Freeman M, Giannotti N, et al. Benefits of reporting and analyzing nursing students' near-miss medication incidents. Nurse Educ. 2022;47(4):202-207. doi:10.1097/nne.0000…

7192. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
      October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

7193. Appendix B. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Appendix B. References Previous Page   Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implementati…

7194. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet
      psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
      September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

7195. Opportunities and Challenges Ahead | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship8.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Opportunities and Challenges Ahead Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testi…

7196. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
      March 01, 2023 - Study Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…

7197. NICU Family Information Packet, Appendix B, Feeding Tubes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes Feeding Tubes Types of Devices ■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days. ■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial gastrostomy device. ■ Button/skin-level gastrostomy: …

7198. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
      June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital Association Slides adapted from original source: Barbara Edson, RN, MBA, MHA VP, Clinical Quality, Health Research &…

7199. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. | PSNet
      psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
      August 04, 2021 - Study Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. Citation Text: Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a…

7200. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet
      psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results
      November 23, 2016 - Study Classic The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. Citation Text: Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…