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3421. The tangible handoff: a team approach for advancing structured communication in labor and delivery. | PSNet
      psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
      June 12, 2013 - Commentary The tangible handoff: a team approach for advancing structured communication in labor and delivery. Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…

3422. Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. | PSNet
      psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
      April 24, 2018 - Study Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. Citation Text: McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit C…

3423. Injection practices among clinicians in United States health care settings. | PSNet
      psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
      January 06, 2017 - Study Injection practices among clinicians in United States health care settings. Citation Text: Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…

3424. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
      January 22, 2016 - Review The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Citation Text: Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…

3425. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet
      psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
      August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

3426. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet
      psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
      June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

3427. In the wake of hospital inquiries: impact on staff and safety. | PSNet
      psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
      January 12, 2022 - Commentary In the wake of hospital inquiries: impact on staff and safety. Citation Text: Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. Copy Citation Format: Google Scholar PubMed BibTeX…

3428. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. | PSNet
      psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
      June 03, 2020 - Commentary Creating a safety culture at the Children's and Women's Health Centre of British Columbia. Citation Text: Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6. …

3429. Handovers from the OR to the ICU. | PSNet
      psnet.ahrq.gov/issue/handovers-or-icu
      January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

3430. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. | PSNet
      psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
      October 02, 2024 - Special or Theme Issue Life of the Mother. How Abortion Bans Lead to Preventable Deaths. Citation Text: Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. Copy Citation Format: …

3431. Evaluation of parenteral nutrition errors in an era of drug shortages. | PSNet
      psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
      October 02, 2013 - Study Evaluation of parenteral nutrition errors in an era of drug shortages. Citation Text: Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820. Copy Citation For…

3432. Job Aid: Introduction to Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
      June 02, 2025 - Job Aid: Introduction to Quality Improvement Primary Care Practice Facilitator Training Series 1 Job Aid: Introduction to Quality Improvement Quality Improvement (QI) Basics The QI Process You will be helping practices to:  Identify areas for improvement.  Set goals.  Develop a plan that…

3433. Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet
      psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
      January 12, 2022 - Study Adverse event protocol for interventional pain medicine: the importance of an organized response. Citation Text: Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…

3434. Motivational influences on anaesthetists' use of practice guidelines. | PSNet
      psnet.ahrq.gov/issue/motivational-influences-anaesthetists-use-practice-guidelines
      April 18, 2011 - Study Motivational influences on anaesthetists' use of practice guidelines. Citation Text: Phipps DL, Beatty PCW, Parker D, et al. Motivational influences on anaesthetists' use of practice guidelines. Br J Anaesth. 2009;102(6):768-74. doi:10.1093/bja/aep082. Copy Citation Format:…

3435. Prevention of fatal opioid overdose. | PSNet
      psnet.ahrq.gov/issue/prevention-fatal-opioid-overdose
      October 03, 2018 - Commentary Prevention of fatal opioid overdose. Citation Text: Beletsky L, Rich JD, Walley AY. Prevention of fatal opioid overdose. JAMA. 2012;308(18):1863-4. doi:10.1001/jama.2012.14205. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

3436. Teamwork and Teamwork Training in Healthcare. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-teamwork-training-healthcare
      March 02, 2022 - Special or Theme Issue Teamwork and Teamwork Training in Healthcare. Citation Text: Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/105960111877466…

3437. Pushing the profession: how the news media turned patient safety into a priority. | PSNet
      psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safety-priority
      September 02, 2018 - Review Classic Pushing the profession: how the news media turned patient safety into a priority. Citation Text: Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf Health Care. 2002;11(1):57-63. Copy Citat…

3438. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. | PSNet
      psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
      June 16, 2011 - Study Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. Citation Text: Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…

3439. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. | PSNet
      psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
      March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. Citation Text: Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…

3440. Clinical nurse specialists as leaders in rapid response. | PSNet
      psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
      July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…