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8261. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. | PSNet
      psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
      June 23, 2021 - Review An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Citation Text: Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…

8262. Cost-to-Charge Ratio for Inpatient Files - Archive
      hcup-us.ahrq.gov/db/ccr/ip-ccr/ip-ccr_archive.jsp
      November 01, 2024 - Cost-to-Charge Ratio for Inpatient Files - Archive An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …

8263. Potentially inappropriate medication use in hospitalized elders. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders
      February 17, 2011 - Study Potentially inappropriate medication use in hospitalized elders. Citation Text: Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. Copy Citation Format: DOI Google …

8264. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. | PSNet
      psnet.ahrq.gov/issue/senior-charge-nurses-leadership-behaviours-relation-hospital-ward-safety-mixed-method-study
      December 06, 2010 - Study Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Citation Text: Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…

8265. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? | PSNet
      psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
      March 23, 2011 - Study What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Citation Text: Aranaz-Andrés JM, Limón R, Mira JJ, et al. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Int J Qu…

8266. Improving Weekend Out Of Hours Surgical Handover (WOOSH). | PSNet
      psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
      May 27, 2011 - Commentary Improving Weekend Out Of Hours Surgical Handover (WOOSH). Citation Text: Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. Copy Citation Format: DOI G…

8267. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet
      psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
      June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

8268. MyGroupHealth Web Portal and Shared Medical Records with Patients (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Ralston_052411comp.pdf
      May 01, 2006 - MyGroupHealth Web Portal and Shared Medical Records with Patients James D Ralston, MD MPH MyGroupHealth Web Portal and Shared Medical Records with Patients James D Ralston, MD MPH Group Health Center for Health Studies Seattle, Washington James D Ralston, MD MPH Patient Web Portals • Walled online gardens –…

8269. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet
      psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
      July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

8270. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet
      psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
      July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

8271. About the Toolkit Development | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
      May 01, 2017 - About the Toolkit Development Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities The toolkit was developed based on the experiences of approximately 500 nursing homes across the country that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI, a 3-year implementation projec…

8272. The effect of blue-enriched lighting on medical error rate in a university hospital ICU. | PSNet
      psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
      March 10, 2021 - Study The effect of blue-enriched lighting on medical error rate in a university hospital ICU. Citation Text: Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…

8273. Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet
      psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
      May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

8274. Multi-professional patterns and methods of communication during patient handoffs. | PSNet
      psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
      January 30, 2019 - Study Multi-professional patterns and methods of communication during patient handoffs. Citation Text: Benham-Hutchins MM, Effken JA. Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010;79(4):252-67. doi:10.1016/j.ijmedinf.2009.12.00…

8275. Track 2: Implementation Issues in Patient Safety and Health IT | Digital Healthcare Research
      digital.ahrq.gov/track-2-implementation-issues-patient-safety-and-health-it
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

8276. When doing wrong feels so right: normalization of deviance. | PSNet
      psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
      September 03, 2011 - Review When doing wrong feels so right: normalization of deviance. Citation Text: Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. Copy Citation Format: DOI Google Scholar Pub…

8277. Health care huddles: managing complexity to achieve high reliability. | PSNet
      psnet.ahrq.gov/issue/health-care-huddles-managing-complexity-achieve-high-reliability
      November 17, 2015 - Study Health care huddles: managing complexity to achieve high reliability. Citation Text: Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. Copy Citat…

8278. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet
      psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
      January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…

8279. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet
      psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
      January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

8280. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet
      psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
      July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…