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7981. Patient safety in the office-based setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-office-based-setting
      August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

7982. Crisis resource management in emergency medicine. | PSNet
      psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
      October 23, 2024 - Review Crisis resource management in emergency medicine. Citation Text: Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x. Copy Citation Format: DO…

7983. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. | PSNet
      psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
      February 28, 2018 - Review Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Citation Text: Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000…

7984. The cost of poor blood specimen quality and errors in preanalytical processes. | PSNet
      psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
      April 22, 2009 - Review The cost of poor blood specimen quality and errors in preanalytical processes. Citation Text: Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. Copy Citation F…

7985. Job Aid: Starting with a Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-starting-practice.pdf
      June 02, 2025 - Job Aid: Starting with a Practice Primary Care Practice Facilitator Training Series 1 Job Aid: Starting with a Practice Overview How you start with a practice can set the tone for your work with the practice. Do your homework and be well prepared for all of your meetings. Spend time getting to know…

7986. Can electronic clinical documentation help prevent diagnostic errors? | PSNet
      psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
      December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? Citation Text: Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. Copy Citation Format: …

7987. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. | PSNet
      psnet.ahrq.gov/issue/navigating-complex-terrain-patient-safety-challenges-strategies-and-importance-ongoing
      July 01, 2017 - Commentary Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. Citation Text: Macleod H, Greenfield D. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ong…

7988. CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. | PSNet
      psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
      June 15, 2022 - Newspaper/Magazine Article CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. Citation Text: CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…

7989. The patient who falls: "It's always a trade-off." | PSNet
      psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
      February 17, 2011 - Commentary The patient who falls: "It's always a trade-off." Citation Text: Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

7990. Using the ABCs of situational awareness for patient safety. | PSNet
      psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
      November 16, 2022 - Commentary Using the ABCs of situational awareness for patient safety. Citation Text: Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. Copy Citation Format: DOI Google Scholar…

7991. Infection control hazards and near misses reported by nursing students. | PSNet
      psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
      February 11, 2009 - Study Infection control hazards and near misses reported by nursing students. Citation Text: Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001. Copy Cit…

7992. Appendix M. Endoscopy Infographic - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
      May 01, 2017 - Appendix M. Endoscopy Infographic - Implementation Guide Preventing Infections in Endoscopic Procedures More than 20 million gastrointestinal (GI) endoscopic procedures are performed annually in the United States. While rare, patients have acquired infections from these procedures due to: Poor…

7993. The Physician Practice Patient Safety Assessment. | PSNet
      psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
      April 24, 2018 - Measurement Tool/Indicator The Physician Practice Patient Safety Assessment. Citation Text: Pohl JM, Nath R, Zheng K, et al. Use of a comprehensive patient safety tool in primary care practices. Journal of the American Association of Nurse Practitioners. 2013;25(8):415-8. doi:10.1111/174…

7994. Table 2. Studies on the Effect of Screening and Feedback | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/depression/depsumtab2.html
      April 01, 2013 - Table 2. Studies on the Effect of Screening and Feedback Screening for Depression in Adults: Summary of the Evidence The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemopr…

7995. Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
      June 05, 2025 - Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia 1 Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia Description The percentage of children ages 2 through 15 years old with sickle cell anemia (SCA; hemoglobin [Hb] SS or HbSβ0-thalas…

7996. Why Does the Presentation of Health Care Quality Scores Matter? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/presentation.html
      April 01, 2016 - Why Does the Presentation of Health Care Quality Scores Matter? Most people have trouble understanding complex information. Only a small fraction of Americans can easily read complex tables or understand the words typically used in medicine and health. The 2003 National Assessment of Adult Literacy found that…

7997. Implementing a commercial rule base as a medication order safety net. | PSNet
      psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
      January 03, 2017 - Study Implementing a commercial rule base as a medication order safety net. Citation Text: Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9. Copy Citation Format: Google…

7998. NICU Family Information Packet, Appendix B, Short Bowel Syndrome (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal anatomy and physiology. ■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months. ■ May result from: necrotizin…

7999. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. | PSNet
      psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-rewarding-higher
      July 01, 2020 - Commentary John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Citation Text: Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;…

8000. Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
      December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Slide Presentation Slide 1 Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing Slide 2 Learning Objectives Di…