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5421. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet
      psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
      September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…

5422. Cognitive Load Theory and its Impact on Diagnostic Accuracy. | PSNet
      psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
      August 07, 2024 - Book/Report Cognitive Load Theory and its Impact on Diagnostic Accuracy. Citation Text: Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF. …

5423. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet
      psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
      October 12, 2005 - Study Emerging Classic Disclosure after adverse medical outcomes: a multidimensional challenge. Citation Text: Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. Copy Citation …

5424. Back to basics: preventing surgical site infections. | PSNet
      psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
      March 17, 2021 - Commentary Back to basics: preventing surgical site infections. Citation Text: Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. doi:10.1016/j.aorn.2014.02.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

5425. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet
      psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
      November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

5426. Network of Patient Safety Databases Chartbook. | PSNet
      psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
      October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…

5427. Large-scale Coordination: Health Care. | PSNet
      psnet.ahrq.gov/issue/large-scale-coordination-health-care
      August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…

5428. Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. | PSNet
      psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
      December 16, 2020 - Special or Theme Issue Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Citation Text: Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…

5429. Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). | PSNet
      psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
      January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…

5430. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet
      psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
      July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…

5431. Alarm management: promoting safety and establishing guidelines. | PSNet
      psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
      May 24, 2017 - Commentary Alarm management: promoting safety and establishing guidelines. Citation Text: Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008. Copy Citation Format: DOI Google Scholar PubM…

5432. Perfusion safety: new initiatives and enduring principles. | PSNet
      psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
      July 19, 2023 - Commentary Perfusion safety: new initiatives and enduring principles. Citation Text: Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

5433. Burnout in Primary Care: Assessing and Addressing It in Your Practice. | PSNet
      psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
      August 16, 2023 - Book/Report Burnout in Primary Care: Assessing and Addressing It in Your Practice. Citation Text: Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AH…

5434. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. | PSNet
      psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
      June 03, 2020 - Review The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Citation Text: Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…

5435. Using the AHRQ Quality Indicators to improve health care quality. | PSNet
      psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality
      December 23, 2008 - Commentary Using the AHRQ Quality Indicators to improve health care quality. Citation Text: Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality. Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5. Copy Cit…

5436. Cognitive biases associated with medical decisions: a systematic review. | PSNet
      psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
      March 01, 2023 - Review Cognitive biases associated with medical decisions: a systematic review. Citation Text: Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. Copy Citation Format: …

5437. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet
      psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
      November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

5438. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. | PSNet
      psnet.ahrq.gov/issue/health-information-technology-engaging-patients-diagnostic-decision-making-emergency
      April 22, 2020 - Book/Report Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Citation Text: Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Mangus CW, Singh H, Mahajan P. Rockville, MD:…

5439. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet
      psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
      August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…

5440. To improve health care, focus on fixing systems — not people. | PSNet
      psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
      September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…