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5761. Improvement Methods Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
      June 02, 2025 - Improvement Methods Overview Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.1 Slide 1 • Use these PowerPoint slides for any presentations for which they may be useful. • These slides may be useful earlier on in the process than during implementation; feel free t…

5762. 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…

5763. Antibiotic prescribing in ambulatory pediatrics in the United States. | PSNet
      psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
      May 25, 2016 - Study Antibiotic prescribing in ambulatory pediatrics in the United States. Citation Text: Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337. Copy Citation Format:…

5764. Inpatient fall prevention: use of in-room Webcams. | PSNet
      psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
      July 19, 2023 - Study Inpatient fall prevention: use of in-room Webcams. Citation Text: Hardin SR, Dienemann J, Rudisill P, et al. Inpatient fall prevention: use of in-room Webcams. J Patient Saf. 2013;9(1):29-35. doi:10.1097/PTS.0b013e3182753e4f. Copy Citation Format: DOI Google Scholar…

5765. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet
      psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
      August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

5766. Junior doctors' reflections on patient safety. | PSNet
      psnet.ahrq.gov/issue/junior-doctors-reflections-patient-safety
      July 15, 2015 - Study Junior doctors' reflections on patient safety. Citation Text: Ahmed M, Arora S, Carley S, et al. Junior doctors' reflections on patient safety. Postgrad Med J. 2012;88(1037):125-9. doi:10.1136/postgradmedj-2011-130301. Copy Citation Format: DOI Google Scholar PubMed…

5767. Impact of electronic health record systems on information integrity: quality and safety implications. | PSNet
      psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications
      April 03, 2024 - Review Impact of electronic health record systems on information integrity: quality and safety implications. Citation Text: Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. Copy Cita…

5768. Surgeon's vigilance in the operating room. | PSNet
      psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
      November 12, 2014 - Study Surgeon's vigilance in the operating room. Citation Text: Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

5769. ASHP guidelines on remote medication order processing. | PSNet
      psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
      April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

5770. Responsible e-prescribing needs e-discontinuation. | PSNet
      psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation
      July 10, 2017 - Commentary Responsible e-prescribing needs e-discontinuation. Citation Text: Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470. doi:10.1001/jama.2016.19908. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

5771. Pharmacists' perceptions of computerized prescriber-order-entry systems. | PSNet
      psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
      June 29, 2011 - Study Pharmacists' perceptions of computerized prescriber-order-entry systems. Citation Text: Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber-order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. Copy Citation For…

5772. Use of a public health law framework to improve medication safety by anesthesia providers. | PSNet
      psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
      December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia providers. Citation Text: Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…

5773. Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet
      psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
      December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

5774. Fatal errors in nitrous oxide delivery. | PSNet
      psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
      March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

5775. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. | PSNet
      psnet.ahrq.gov/issue/adverse-events-anaesthetic-practice-qualitative-study-definition-discussion-and-reporting
      April 18, 2011 - Study Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Citation Text: Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…

5776. Effectiveness of surgical safety checklists in improving patient safety. | PSNet
      psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
      May 29, 2019 - Commentary Effectiveness of surgical safety checklists in improving patient safety. Citation Text: Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. Copy…

5777. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
      October 08, 2014 - Study Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. Citation Text: Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…

5778. Functional health literacy and understanding of medications at discharge. | PSNet
      psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
      April 24, 2018 - Study Functional health literacy and understanding of medications at discharge. Citation Text: Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. Copy Citation Format: …

5779. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. | PSNet
      psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
      July 19, 2023 - Commentary Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Citation Text: Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…

5780. Adverse events and preventable adverse events in children. | PSNet
      psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children
      March 24, 2011 - Study Classic Adverse events and preventable adverse events in children. Citation Text: Woods D, Thomas EJ, Holl JL, et al. Adverse events and preventable adverse events in children. Pediatrics. 2005;115(1):155-60. Copy Citation Format: Google Sc…