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9641. A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. | PSNet
      psnet.ahrq.gov/issue/bottom-approach-addressing-patient-care-and-differential-diagnosis-amidst-covid-19-response
      May 05, 2021 - hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality

9642. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet
      psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
      February 10, 2021 - May 11, 2022 Mortality review as a tool to assess the contribution of healthcare-associated

9643. Inappropriate prescribing of opioids for patients undergoing surgery. | PSNet
      psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery
      June 30, 2021 - August 10, 2022 Association between handover of anesthesiology care and 1-year mortality

9644. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. | PSNet
      psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
      October 12, 2022 - Results indicate that length of tapering period increased, and mortality risk decreased following OSI

9645. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. | PSNet
      psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
      February 03, 2011 - quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality

9646. Effect of reducing interns' weekly work hours on sleep and attentional failures. | PSNet
      psnet.ahrq.gov/issue/effect-reducing-interns-weekly-work-hours-sleep-and-attentional-failures
      January 10, 2017 - February 2, 2011 Effect of work-hours regulations on intensive care unit mortality in

9647. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport. | PSNet
      psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence-during-pediatric
      December 09, 2020 - September 4, 2016 Reduction in hospital mortality over time in a hospital without a pediatric

9648. Digital health intervention on patient safety for children and parents: a scoping review. | PSNet
      psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
      January 23, 2017 - March 25, 2020 Sepsis alert systems, mortality, and adherence in emergency departments

9649. Abdominal pain in the emergency department: missed diagnoses. | PSNet
      psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses
      September 16, 2020 - December 18, 2024 Sepsis alert systems, mortality, and adherence in emergency departments

9650. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
      July 14, 2010 - Related Resources Association between handover of anesthesiology care and 1-year mortality

9651. What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-curriculum
      October 23, 2019 - July 12, 2017 The role of morbidity and mortality rounds in medical education: a scoping

9652. Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/rate-undesirable-events-beginning-academic-year-retrospective-cohort-study
      June 08, 2010 - Knowledge retention after simulated crisis: importance of independent practice and simulated mortality

9653. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. | PSNet
      psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
      October 24, 2018 - Association between implementation of a medical team training program and surgical mortality

9654. Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet
      psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
      August 12, 2020 - Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality

9655. Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians
      July 18, 2018 - Related Resources From the Same Author(s) The burden of opioid-related mortality

9656. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. | PSNet
      psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
      March 11, 2013 - January 15, 2014 A structured judgement method to enhance mortality case note review:

9657. Patterns of error in interpretive pathology. | PSNet
      psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
      April 07, 2021 - April 24, 2019 Mortality and morbidity rounds (MMR) in pathology: relative contribution

9658. Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS). | PSNet
      psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
      December 03, 2008 - Increasing reporting of adverse events to improve the educational value of the morbidity and mortality

9659. Clinical oversight: conceptualizing the relationship between supervision and safety. | PSNet
      psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
      June 23, 2010 - June 17, 2014 Influence of house-staff experience on teaching-hospital mortality: the

9660. Implementing online medication reconciliation at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
      January 23, 2019 - May 21, 2016 Increased mortality and costs associated with adverse events in intensive