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9381. Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet
      psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
      October 05, 2022 - Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections

9382. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet
      psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
      May 04, 2022 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections

9383. Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet
      psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
      June 24, 2020 - August 25, 2021 View More Related Resources Healthcare-associated infections

9384. Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients. | PSNet
      psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
      August 11, 2021 - Older adults are at increased risk of hospitalization due to COVID-19 infections.

9385. | Agency for Healthcare Research and Quality
      www.ahrq.gov/tools/index.html
      December 01, 2015 - Facilities Toolkit This toolkit helps dialysis center clinicians prevent healthcare-associated infections

9386. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. | PSNet
      psnet.ahrq.gov/issue/implicit-racialethnic-bias-among-health-care-professionals-and-its-influence-health-care
      August 04, 2021 - against people of color can affect quality of care including diagnostic delay , hospital-acquired infections

9387. Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
      August 03, 2022 - June 1, 2011 An intervention to decrease catheter-related bloodstream infections in the

9388. Working conditions in primary care: physician reactions and care quality. | PSNet
      psnet.ahrq.gov/issue/working-conditions-primary-care-physician-reactions-and-care-quality
      July 13, 2010 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections

9389. How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
      August 26, 2020 - December 21, 2017 The impact of COVID-19 response on central line associated bloodstream infections

9390. Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. | PSNet
      psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
      January 18, 2023 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections

9391. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. | PSNet
      psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
      September 23, 2020 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections

9392. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
      psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
      January 15, 2020 - coroner's findings, clinical process and procedures, medication/IV fluids, and healthcare-association infections

9393. Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. | PSNet
      psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
      June 25, 2014 - including the landmark Keystone ICU program that nearly eliminated catheter–associated bloodstream infections

9394. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. | PSNet
      psnet.ahrq.gov/issue/checklists-reduce-diagnostic-error-systematic-review-literature-using-human-factors-framework
      February 22, 2023 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections

9395. Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. | PSNet
      psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
      January 07, 2015 - Does health care role and experience influence perception of safety culture related to preventing infections

9396. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet
      psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
      July 17, 2013 - Does health care role and experience influence perception of safety culture related to preventing infections

9397. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
      September 07, 2022 - September 2, 2020 Worldwide incidence of surgical site infections in general surgical

9398. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. | PSNet
      psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home
      March 20, 2019 - November 30, 2022 Healthcare-related infections within nursing homes (NHS): a qualitative

9399. Assessing patient work system factors for medication management during transition of care among older adults: an observational study. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-work-system-factors-medication-management-during-transition-care-among
      July 20, 2022 - August 21, 2024 Reducing three infections across cardiac surgery programs: a multisite

9400. Resident and family engagement in medication management in aged care facilities: a systematic review. | PSNet
      psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
      August 11, 2021 - March 3, 2019 The preventable proportion of healthcare-associated infections 2005-2016