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9101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47135/psn-pdf
      July 25, 2018 - Structured patient handoff on an internal medicine ward: a cluster randomized control trial. July 25, 2018 Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journal.pone.0195216. https://psnet.ahrq…

9102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35176/psn-pdf
      June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…

9103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39838/psn-pdf
      September 15, 2010 - A multicenter trial of aviation-style training for surgical teams. September 15, 2010 Catchpole K, Dale TJ, Hirst G, et al. A multicenter trial of aviation-style training for surgical teams. J Patient Saf. 2010;6(3):180-6. doi:10.1097/PTS.0b013e3181f100ea. https://psnet.ahrq.gov/issue/multicenter-trial-aviation-st…

9104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39407/psn-pdf
      March 31, 2010 - What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. March 31, 2010 Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. Am J Surg. 2010;199(3):…

9105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74850/psn-pdf
      February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five stars. February 16, 2022 Rau J. Kaiser Health News. February 8, 2022.  https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars Rating systems face challenges to accurately represent the safety and quality of patient ca…

9106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866823/psn-pdf
      September 25, 2024 - Understanding human factors in patient safety when prescribing. September 25, 2024 Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). https://psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing Prescripti…

9107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854634/psn-pdf
      January 01, 2024 - Elopement: evidence-based mitigation and management. October 18, 2023 Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence?based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. https://psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management …

9108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37548/psn-pdf
      February 20, 2008 - Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. February 20, 2008 Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign- out (in-hospital handover of care): a prospective survey. Qual Saf Health Care. 20…

9109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43249/psn-pdf
      June 18, 2014 - Automated and electronically assisted hand hygiene monitoring systems: a systematic review. June 18, 2014 Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. doi:10.1016/j.ajic.2014.01.002. ht…

9110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46837/psn-pdf
      March 21, 2018 - Drug shortages: effect on parenteral nutrition therapy. March 21, 2018 Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. https://psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy Shortages of me…

9111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48001/psn-pdf
      May 22, 2019 - Medicines safety in anaesthetic practice. May 22, 2019 Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. https://psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice Human factors affect medication delivery in the operating …

9112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74014/psn-pdf
      October 27, 2021 - Adopting system models for multiple incident analysis: utility and usability. October 27, 2021 Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. https://psnet.ahrq.gov/issue/adopting-system-model…

9113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41205/psn-pdf
      June 15, 2012 - Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. June 15, 2012 Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. Pharmacoepidemiol Drug Saf. 2012;…

9114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44058/psn-pdf
      July 03, 2016 - Metric units and the preferred dosing of orally administered liquid medications. July 3, 2016 Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015- 0072. https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications Accident…

9115. Final Progress Report: Cardio-HIT Phase II (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
      January 01, 2024 - exception reporting in the context of national health policy debates, we have chosen to place priority on evaluating

9116. Cervical Degenerative Disease Treatment (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/cervical-degenerative-protocol.pdf
      January 12, 2022 - overall grade of high, moderate, low, or insufficient according to a four-level scale (Table 4) by evaluating

9117. Strategies for Integrating Behavioral Health and Primary Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/strategies-integrating-behavioral-health-protocol.pdf
      August 04, 2022 - assigned an overall grade of high, moderate, low, or insufficient according to a four-level scale by evaluating

9118. Treatments for Acute Pain: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-protocol-acute-pain-treatments.pdf
      August 08, 2019 - assigned an overall grade of high, moderate, low, or insufficient according to a four-level scale by evaluating

9119. Follow-Up Referral After Positive Developmental Screen (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
      January 01, 2014 - Follow-Up Referral After Positive Developmental Screen Follow-Up Referral After Positive Developmental Screen Section 1. Basic Measure Information 1.A. Measure Name Follow-up Referral after Positive Developmental Screen 1.B. Measure Number 0204 1.C. Measure Description Please provide a non-technical descri…

9120. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiib.html
      June 01, 2010 - clinical evaluation of people during the period following the acquired brain injury and to assist in evaluating