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5001. Findings of the first consensus conference on medical emergency teams. | PSNet
      psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
      August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

5002. Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet
      psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
      May 04, 2017 - Study Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. Citation Text: Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…

5003. 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…

5004. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. | PSNet
      psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
      April 18, 2011 - Study Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. Citation Text: Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery r…

5005. Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. | PSNet
      psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
      April 22, 2015 - Study Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. Citation Text: Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…

5006. Resident and family engagement in medication management in aged care facilities: a systematic review. | PSNet
      psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
      August 11, 2021 - Review Resident and family engagement in medication management in aged care facilities: a systematic review. Citation Text: Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug S…

5007. Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. | PSNet
      psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
      July 27, 2022 - Study Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. Citation Text: Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national health ca…

5008. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet
      psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
      November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

5009. Clinical Decision Making | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/clinical-decision-making
      January 01, 2023 - Clinical Decision Making Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…

5010. The impact of computerized provider order entry on medication errors in a multispecialty group practice. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
      August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…

5011. Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional) | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/using-innovative-digital-healthcare-solutions-improve-quality-point-care-r21r33
      January 01, 2023 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional) Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeleta…

5012. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. | PSNet
      psnet.ahrq.gov/issue/complications-daytime-elective-laparoscopic-cholecystectomies-performed-surgeons-who-operated
      April 12, 2019 - Study Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. Citation Text: Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…

5013. Rates of serious surgical errors in California and plans to prevent recurrence. | PSNet
      psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
      March 09, 2022 - Study Rates of serious surgical errors in California and plans to prevent recurrence. Citation Text: Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. …

5014. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet
      psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity
      December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

5015. Utilizing Health Information Technology (IT) to Improve Health Care Quality (R18) | Digital Healthcare Research
      digital.ahrq.gov/funding-mechanism/utilizing-health-information-technology-it-improve-health-care-quality-r18
      January 01, 2023 - Utilizing Health Information Technology (IT) to Improve Health Care Quality (R18) The implementation of a perinatal continuum of care information system: lessons learned. Citation Levick D, Sheinberg M. The implementation of a perinatal continuum of care information system: l…

5016. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. | PSNet
      psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
      June 28, 2023 - Study Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Citation Text: Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…

5017. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
      October 07, 2020 - Review Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. Citation Text: Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and pat…

5018. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey | PSNet
      psnet.ahrq.gov/issue/second-victim-experiences-nurses-obstetrics-and-gynaecology-second-victim-experience-and
      May 19, 2021 - Study Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey Citation Text: Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support …

5019. Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-5-ef.pdf
      May 01, 2013 - Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) Measure: Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) Measure Developer: Pediatric Measurement Center of Excellence (PMCoE) Numerator Denominator Exclusions Data Source(s) Patients who had a cesarean delivery. All null…

5020. Coming Up Short | PSNet
      psnet.ahrq.gov/web-mm/coming-short
      May 20, 2020 - Coming Up Short Citation Text: Hochberg Z'ev. Coming Up Short. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …