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2781. Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/visualizations/ed-visits-injury.html
      June 01, 2021 - Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017 Injuries are common and can have many causes, such as falls, cuts, motor vehicle accidents, bites, poisoning, and contact with hot objects. In 2018, unintentional injuries were the leading cause of death among people ages 1 to…

2782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42717/psn-pdf
      November 06, 2013 - Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. November 6, 2013 Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. …

2783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40729/psn-pdf
      October 04, 2011 - Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. October 4, 2011 Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning Syste…

2784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46046/psn-pdf
      April 19, 2017 - Teaching students to administer medications safely. April 19, 2017 Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62- 66. doi:10.1097/01.NAJ.0000511573.73435.72. https://psnet.ahrq.gov/issue/teaching-students-administer-medications-safely Students are likely to m…

2785. Monitoring and Modifying the Plan: Huddle | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/tools/huddle.html
      May 01, 2023 - Monitoring and Modifying the Plan: Huddle The Huddle is a tool for communicating adjustments to a care plan that is already in place. When a plan is or has to be altered due to changes in the patient’s condition or team membership, or the current plan is not working, either the designated leader or a situatio…

2786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42893/psn-pdf
      March 13, 2014 - Effect of patient safety strategies on the incidence of adverse events. March 13, 2014 Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105. https://psnet.ahrq.gov/issue/effect-patient…

2787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837709/psn-pdf
      July 20, 2022 - Improving Diagnosis in Medicine Act of 2022. July 20, 2022 117th Cong, 2d Sess (2022) https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2022 Strengthening diagnostic error research and training can lead to sustained diagnostic improvement. Expanding upon legislation introduced in 2020, the “Improving D…

2788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43517/psn-pdf
      October 08, 2014 - The cost of opioid–related adverse drug events. October 8, 2014 Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. https://psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events …

2789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44227/psn-pdf
      November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…

2790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46524/psn-pdf
      October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…

2791. Community Health Care Association of New York State Recruitment Outreach Script | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/urinary/resources/outreach-script-healthy-hearts.html
      March 01, 2021 - Back to MUI Resources Community Health Care Association of New York State Recruitment Outreach Script Resource Document available on the AHRQ website (PDF, 169 KB). Summary This resource is an example of a recruitment phone call script for conversations with a CMO, CEO or QI …

2792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72511/psn-pdf
      November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …

2793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43740/psn-pdf
      December 10, 2014 - Participation in EHR based simulation improves recognition of patient safety issues. December 10, 2014 Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-224. https://psnet.ahrq.gov/issu…

2794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38498/psn-pdf
      September 27, 2016 - Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. September 27, 2016 Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J Am Geriatr Soc. 2009;57(2):266…

2795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72761/psn-pdf
      February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic-- letter to health care providers. February 17, 2021 Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…

2796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44070/psn-pdf
      September 09, 2015 - Communication of vital signs at emergency department handoff: opportunities for improvement. September 9, 2015 Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff: Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30. doi:10.1016/j.annemergmed.2015.02.025…

2797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855002/psn-pdf
      November 01, 2023 - Temporarily holding medication orders safely in order to prevent patient harm. November 1, 2023 ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administr…

2798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837641/psn-pdf
      July 06, 2022 - Ambulatory medication safety in primary care: a systematic review. July 6, 2022 Young RA, Fulda KG, Espinoza A, et al. Ambulatory medication safety in primary care: a systematic review. J Am Board Fam Med. 2022;35(3):610-628. doi:10.3122/jabfm.2022.03.210334. https://psnet.ahrq.gov/issue/ambulatory-medication-safe…

2799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60750/psn-pdf
      August 06, 2020 - Missed breast cancer: effects of subconscious bias and lesion characteristics. August 6, 2020 Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.2020190090. https://psnet.ahrq.gov/issue/missed…

2800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47669/psn-pdf
      July 17, 2019 - Evaluating a handheld decision support device in pediatric intensive care settings. July 17, 2019 Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. https://psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings This pre–post mixed-methods implementat…