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2501. Human factors in patient safety as an innovation. | PSNet
      psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
      June 09, 2021 - January 20, 2021 Information flow during pediatric trauma care transitions: things falling

2502. Beyond patient safety Flatland. | PSNet
      psnet.ahrq.gov/issue/beyond-patient-safety-flatland
      September 04, 2024 - January 9, 2019 View More Related Resources Falling through the

2503. Medical errors: should you apologize? | PSNet
      psnet.ahrq.gov/issue/medical-errors-should-you-apologize
      August 13, 2010 - July 19, 2010 How to avoid falling victim to a hospital mistake.

2504. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. | PSNet
      psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
      August 04, 2021 - Study Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. Citation Text: Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…

2505. CAHPS Home Health Care Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/home/index.html
      November 01, 2023 - CAHPS Home Health Care Survey The CAHPS Home Health Care Survey asks patients who receive home healthcare services about their experiences with home healthcare agencies, providers, and staff. This instrument focuses on patients who receive skilled home healthcare services from Medicare-certified Home Health Age…

2506. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet
      psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
      March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…

2507. Evidence summary and recommendations for improved communication during care transitions. | PSNet
      psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
      October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

2508. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
      September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

2509. Crib of horrors: one hospital's approach to promoting a culture of safety. | PSNet
      psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
      December 22, 2018 - Commentary Crib of horrors: one hospital's approach to promoting a culture of safety. Citation Text: Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. Copy Citation …

2510. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. | PSNet
      psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
      December 21, 2022 - Study Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. Citation Text: Basma S, Lord B, Jacks LM, et al. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. AJR Am J …

2511. U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet
      psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
      September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …

2512. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet
      psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
      October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

2513. Patient risk factors for medical injury: a case–control study. | PSNet
      psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
      April 12, 2011 - Study Patient risk factors for medical injury: a case–control study. Citation Text: Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. Copy Citation Format: …

2514. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. | PSNet
      psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
      March 15, 2023 - Study Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. Citation Text: Domen R, Connelly CD, Spence D. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse …

2515. Exploring how nursing schools handle student errors and near misses. | PSNet
      psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
      May 28, 2014 - Study Exploring how nursing schools handle student errors and near misses. Citation Text: Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31. doi:10.1097/01.NAJ.0000525849.3553…

2516. Quality improvement implementation and hospital performance on patient safety indicators. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
      January 12, 2022 - Study Classic Quality improvement implementation and hospital performance on patient safety indicators. Citation Text: Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …

2517. Errors prevented by and associated with bar-code medication administration systems. | PSNet
      psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
      October 16, 2019 - Study Errors prevented by and associated with bar-code medication administration systems. Citation Text: Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245. Cop…

2518. Brigham and Women's Hospital | Digital Healthcare Research
      digital.ahrq.gov/organization/brigham-and-womens-hospital
      January 01, 2023 - Brigham and Women's Hospital Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgen…

2519. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
      November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. Citation Text: Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…

2520. mHealth and mobile medical apps: a framework to assess risk and promote safer use. | PSNet
      psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
      October 01, 2014 - Commentary mHealth and mobile medical apps: a framework to assess risk and promote safer use. Citation Text: Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote safer use. J Med Internet Res. 2014;16(9):e210. doi:10.2196/jmir.3133. Copy Citation …