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8481. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet
      psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
      September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

8482. Inpatients notes: sensemaking—fostering a shared understanding in clinical teams. | PSNet
      psnet.ahrq.gov/issue/inpatients-notes-sensemaking-fostering-shared-understanding-clinical-teams
      November 25, 2020 - Commentary Inpatients notes: sensemaking—fostering a shared understanding in clinical teams. Citation Text: Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3…

8483. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. | PSNet
      psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
      March 19, 2019 - Commentary Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Citation Text: Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…

8484. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0068_01-30-2009.pdf
      January 01, 2009 - Effective Health Care Topic Number(s): 0120 Document Completion Date: 6-8-09 1 Results of Topic Selection Process & Next Steps  Antinuclear autoantibody and rheumatoid factor testing in children will move forward to be refined as an effectiveness review via the AHRQ Evidence-based Practice Ce…

8485. National Nursing Home COVID Action Network. | PSNet
      psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
      October 23, 2019 - Multi-use Website National Nursing Home COVID Action Network. Citation Text: National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. Copy Citation Save Save to your library Print Download P…

8486. Case report of a medication error: in the eye of the beholder. | PSNet
      psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
      April 17, 2019 - Commentary Case report of a medication error: in the eye of the beholder. Citation Text: Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186. Copy Citation Format: DOI Google S…

8487. Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet
      psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
      June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

8488. Patient safety in the NICU: a comprehensive review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
      September 12, 2016 - Review Patient safety in the NICU: a comprehensive review. Citation Text: Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2. Copy Citation Format: DOI Google S…

8489. Improving Quality Care for Children with Special Needs - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs/annual-summary/2010
      January 01, 2010 - Improving Quality Care for Children with Special Needs - 2010 Project Name Improving Quality Care for Children with Special Needs Principal Investigator Lozzio, Carmen Organization University of Tennessee, Knoxville Funding Mechanism RFA: HS05-013: Limited Competiti…

8490. Medication Administration Time Study (MATS): nursing staff performance of medication administration. | PSNet
      psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
      February 21, 2018 - Study Medication Administration Time Study (MATS): nursing staff performance of medication administration. Citation Text: Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…

8491. Studying patient safety in health care organizations: accentuate the qualitative. | PSNet
      psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
      January 18, 2011 - Commentary Studying patient safety in health care organizations: accentuate the qualitative. Citation Text: Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. Copy Citation Format: …

8492. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet
      psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
      April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

8493. Reason's accident causation model: application to adverse events in acute care. | PSNet
      psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
      October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

8494. American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. | PSNet
      psnet.ahrq.gov/issue/american-society-clinical-oncologyoncology-nursing-society-chemotherapy-administration-safety
      October 19, 2022 - Commentary American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. Citation Text: Jacobson J, Polovich M, McNiff KK, et al. American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards. …

8495. ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
      December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…

8496. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. | PSNet
      psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
      March 14, 2018 - Slideset Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. Citation Text: Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …

8497. Sir Karl Popper, swans, and the general practitioner. | PSNet
      psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
      March 05, 2025 - Commentary Sir Karl Popper, swans, and the general practitioner. Citation Text: Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469. doi:10.1136/bmj.d5469. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

8498. A necessary sea change for nurse faculty development: spotlight on quality and safety. | PSNet
      psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
      May 25, 2011 - Commentary A necessary sea change for nurse faculty development: spotlight on quality and safety. Citation Text: Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…

8499. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

8500. Overcoming human barriers to safety event reporting in radiology. | PSNet
      psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
      February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …