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4581. Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. | PSNet
      psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
      November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …

4582. Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
      January 31, 2024 - Study Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. Citation Text: Bell SK, Amat MJ, Anderson TS, et al. Do patients who read visit notes on the patient portal h…

4583. Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet
      psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
      January 15, 2014 - Study Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. Citation Text: Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…

4584. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet
      psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
      December 02, 2014 - Study Using a network organisational architecture to support the development of Learning Healthcare Systems. Citation Text: Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27…

4585. An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. | PSNet
      psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
      September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …

4586. Early diagnosis of cancer: systems approach to support clinicians in primary care. | PSNet
      psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care
      December 14, 2022 - Commentary Early diagnosis of cancer: systems approach to support clinicians in primary care. Citation Text: Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225…

4587. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. | PSNet
      psnet.ahrq.gov/issue/has-covid-pandemic-strengthened-or-weakened-health-care-teams-field-guide-healthy-workforce
      August 14, 2019 - Commentary Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Citation Text: Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs …

4588. Medication use leading to emergency department visits for adverse drug events in older adults. | PSNet
      psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
      March 05, 2008 - Study Classic Medication use leading to emergency department visits for adverse drug events in older adults. Citation Text: Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for adverse drug events in older adults. A…

4589. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
      June 30, 2021 - Study Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Citation Text: Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …

4590. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet
      psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
      October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

4591. Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. | PSNet
      psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
      September 23, 2020 - Study Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. Citation Text: Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 201…

4592. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet
      psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
      October 21, 2020 - Study Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. Citation Text: Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiativ…

4593. EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet
      psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety
      January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

4594. The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. | PSNet
      psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
      November 10, 2021 - Review The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. Citation Text: Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical c…

4595. An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/integrative-total-worker-health-framework-keeping-workers-safe-and-healthy-during-covid-19
      October 19, 2022 - Commentary Emerging Classic An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic. Citation Text: Dennerlein JT, Burke L, Sabbath EL, et al. An Integrative Total Worker Health Framework for Keeping Workers…

4596. Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting-standards-and
      May 20, 2019 - Review Classic Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. Citation Text: Nagendran M, Chen Y, Lovejoy CA, et al. Artificial intelligence versus clinicians: systematic review o…

4597. How safe is primary care? A systematic review. | PSNet
      psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
      December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…

4598. Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. | PSNet
      psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication
      May 18, 2022 - Study Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. Citation Text: Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility using electronic me…

4599. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
      January 17, 2019 - Study The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. Citation Text: Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…

4600. Outcomes of daytime procedures performed by attending surgeons after night work. | PSNet
      psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
      December 18, 2014 - Study Classic Outcomes of daytime procedures performed by attending surgeons after night work. Citation Text: Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…