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3121. How To Use the Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/how-to-use.html
      December 01, 2017 - How To Use the Toolkit Toolkit To Promote Safe Surgery The toolkit has two complementary guides that should be used together and are a good starting point:  Applying CUSP To Promote Safe Surgery , and Surgical Complication Prevention . These two guides address adaptive and technical work, which are both crit…

3122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42423/psn-pdf
      July 17, 2013 - National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. July 17, 2013 Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843. h…

3123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39082/psn-pdf
      January 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:…

3124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44881/psn-pdf
      August 16, 2017 - A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. August 16, 2017 Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Care Hospital. JAMA Surg. 2016;151(…

3125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46245/psn-pdf
      June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…

3126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47006/psn-pdf
      October 13, 2018 - Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study. October 13, 2018 Stelfox HT, Soo A, Niven DJ, et al. Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Pop…

3127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44715/psn-pdf
      May 19, 2019 - Electronic health record–related events in medical malpractice claims. May 19, 2019 Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. https://psnet.ahrq.gov/issue/electronic-health-record-rel…

3128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48130/psn-pdf
      August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. August 7, 2019 Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:10.1001/jamainternmed.2019.2005. …

3129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44671/psn-pdf
      September 20, 2016 - Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. September 20, 2016 Mazor KM, Roblin DW, Greene SM, et al. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. BMJ Qual Saf. 2016;25(10):787-95. doi:10.113…

3130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47372/psn-pdf
      January 01, 2019 - Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. October 3, 2018 Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That Could Lead to Diagnostic…

3131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38900/psn-pdf
      January 03, 2017 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. January 3, 2017 Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…

3132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38816/psn-pdf
      July 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).…

3133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41866/psn-pdf
      November 28, 2012 - "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. November 28, 2012 Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qual Saf. 2012;21 Suppl 1:i67-75. d…

3134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41535/psn-pdf
      December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…

3135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42454/psn-pdf
      September 09, 2013 - A perinatal care quality and safety initiative: are there financial rewards for improved quality? September 9, 2013 Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient Saf. 2013;39(8):339-48. https://…

3136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46507/psn-pdf
      October 11, 2017 - Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. October 11, 2017 Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs. Health Aff (Millwood). 201…

3137. Handoffs and Handovers | PSNet
      psnet.ahrq.gov/glossary/handoffs-and-handovers
      September 13, 2021 - Handoffs and Handovers September 13, 2021 Anonymous (not verified) See Primer . The process when one health care professional updates another on the status of one or more patients for the purpose of taking over their care. Typical examples involve a physician who has been on call overnight telling an incoming …

3138. Yellowlees, Peter M. | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/yellowlees-peter-m
      February 28, 2023 - Yellowlees, Peter M. A Clinical Trial to Validate an Automated Online Language Interpreting Tool With Hispanic Patients Who Have Limited English Proficiency - Final Report Citation Yellowlees P. A Clinical Trial to Validate an Automated Online Language Interpreting Tool With H…

3139. Histogram | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/histogram
      January 01, 2023 - Histogram Also Known As Frequency Distribution Description A histogram graphically demonstrates the frequency with which various values of a particular variable occur in a set of data. The height of the bar indicates the frequency of occurrence. Uses To quickly and easily demonst…

3140. Section5 4 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5_4.pdf
      January 01, 2008 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2008 64 EXHIBIT 5.4 MH and SA Inpatient Hospital Discharges Against Medical Advice All Other Diagnoses 292,300 79% MH 25,000 7% SA 52,700 14% * Based on principal CCS diagnosis. Source: AHRQ, Center for Delivery, Organiza…