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461. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. | PSNet
     psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
     June 10, 2020 - Review Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. Citation Text: Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072…

462. Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. | PSNet
     psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
     May 18, 2022 - Study Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. Citation Text: Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…

463. Learning from errors and resilience. | PSNet
     psnet.ahrq.gov/issue/learning-errors-and-resilience
     December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

464. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet
     psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
     August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

465. Many well-known hospitals fail to score high in Medicare rankings. | PSNet
     psnet.ahrq.gov/issue/many-well-known-hospitals-fail-score-high-medicare-rankings
     June 01, 2016 - Newspaper/Magazine Article Many well-known hospitals fail to score high in Medicare rankings. Citation Text: Many well-known hospitals fail to score high in Medicare rankings. Rau J. National Public Radio. July 27, 2016. Copy Citation Save Save to your library …

466. The most crucial half-hour at a hospital: the shift change. | PSNet
     psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
     August 17, 2016 - Newspaper/Magazine Article The most crucial half-hour at a hospital: the shift change. Citation Text: The most crucial half-hour at a hospital: the shift change. Landro L. Copy Citation Save Save to your library Print Download PDF Share Faceb…

467. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
     January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx Spotlight Challenging Case of Multiple Suicide Attempts in a Complex Patient with Psychiatric Comorbidities Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://…

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45137/psn-pdf
     May 18, 2016 - Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. May 18, 2016 Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1). …

469. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. | PSNet
     psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
     October 26, 2022 - Commentary Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Citation Text: Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…

470. The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. | PSNet
     psnet.ahrq.gov/issue/limits-knowledge-management-uk-public-services-modernization-case-patient-safety-and-service
     January 29, 2014 - Study The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. Citation Text: Currie G, Waring J, Finn R. THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES MODERNIZATION: THE CASE OF PATIENT SAFETY AND SERVICE QUAL…

471. Liposuction Gone Awry | PSNet
     psnet.ahrq.gov/web-mm/liposuction-gone-awry
     July 01, 2003 - Liposuction Gone Awry Citation Text: Yates JA. Liposuction Gone Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

472. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
     psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
     June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

473. Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. | PSNet
     psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
     April 20, 2016 - Study Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. Citation Text: Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…

474. The hard talk: dealing with the disruptive physician. | PSNet
     psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
     April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

475. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. | PSNet
     psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
     September 22, 2021 - Study Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. Citation Text: Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…

476. Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. | PSNet
     psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
     November 16, 2022 - Study Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. Citation Text: Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49578/psn-pdf
     January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction January 1, 2009 Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction The Case A 40-year-old wo…

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49523/psn-pdf
     November 01, 2006 - Urinary Retention Dilemma November 1, 2006 Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma The Case Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy (BPH) and urinary hesitancy returned to th…

479. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
     July 01, 2011 - Spotlight Case July 2008 Spotlight Case Watch the Warfarin! 1 2 Source and Credits This presentation is based on the July 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72586/psn-pdf
     December 23, 2020 - Code Status vs. Care Status December 23, 2020 Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/code-status-vs-care-status Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical Education (AC…