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9401. Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. | PSNet
      psnet.ahrq.gov/issue/systematic-video-game-training-surgical-novices-improves-performance-virtual-reality
      January 18, 2011 - Study Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. Citation Text: Schlickum MK, Hedman L, Enochsson L, et al. Systematic video game training in surgical novices improves perfor…

9402. How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet
      psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
      October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

9403. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. | PSNet
      psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
      October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…

9404. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
      August 07, 2024 - Study Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Citation Text: Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…

9405. CHIPRA 235: Section 5, Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-5-table-3.pdf
      June 17, 2014 - CHIPRA 235: Section 5, Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care Table 3. Evidence Supporting the Importance of Access to Outpatient Specialty Care for Children Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citation(s) Clinical Guideline The …

9406. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Table 11 and Figures 1 & 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-table11-figures1-2.pdf
      May 15, 2015 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Table 11 and Figures 1 & 2 Table 11: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Clinica…

9407. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Table 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-table4.pdf
      January 01, 2010 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Table 4 Table 4: Evidence for Follow-up Visits for Children Who Are Overweight Type of Evidence Key Findings Level of Evidence (USPSTF Ranking*) Citations Expert recommendation The complexity of tre…

9408. CHIPRA 230: Technical Specifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
      June 02, 2025 - CHIPRA 230: Technical Specifications 1 The percentage of children, ages 2 through 17 years old, who had documentation of BMI percentile and documentation of weight classification at an outpatient care visit during the measurement year. A higher proportion indicates better performance. This mea…

9409. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. | PSNet
      psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
      November 03, 2015 - Study Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Citation Text: Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi…

9410. The Comprehensive Unit-based Safety Program (CUSP) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
      May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide The Comprehensive Unit-based Safety Program (CUSP) Previous Page Next Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensiv…

9411. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet
      psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
      July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

9412. Low Tidal Volume Ventilation Facts | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
      January 01, 2017 - Low Tidal Volume Ventilation Facts AHRQ Safety Program for Mechanically Ventilated Patients Did You Know? Low tidal volume ventilation (LTVV) is one of the interventions specifically designed to prevent ventilator-associated conditions (VAC).  For patients without acute respiratory distress …

9413. Section 5.A, Table 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
      December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …

9414. Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet
      psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
      June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

9415. Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet
      psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
      May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

9416. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
      November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

9417. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. | PSNet
      psnet.ahrq.gov/issue/multilevel-factors-associated-time-biopsy-after-abnormal-screening-mammography-results-race
      March 24, 2021 - Study Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. Citation Text: Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race…

9418. Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet
      psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
      February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

9419. Adverse event reporting priorities: an integrative review. | PSNet
      psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
      March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

9420. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. | PSNet
      psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
      October 05, 2022 - Commentary Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Citation Text: Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …