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8881. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. | PSNet
      psnet.ahrq.gov/issue/evidence-based-red-cell-transfusion-critically-ill-quality-improvement-using-computerized
      February 15, 2017 - Study Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Citation Text: Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician …

8882. Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. | PSNet
      psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
      November 12, 2014 - Organizational Policy/Guidelines Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. Citation Text: Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…

8883. Year in review: medication mishaps in the elderly. | PSNet
      psnet.ahrq.gov/issue/year-review-medication-mishaps-elderly
      August 15, 2012 - Review Year in review: medication mishaps in the elderly. Citation Text: Peron EP, Marcum ZA, Boyce R, et al. Year in review: medication mishaps in the elderly. Am J Geriatr Pharmacother. 2011;9(1):1-10. doi:10.1016/j.amjopharm.2011.01.003. Copy Citation Format: DOI Googl…

8884. A review of current and emerging approaches to address failure-to-rescue. | PSNet
      psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
      March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

8885. Quality and safety in surgery: challenges and opportunities. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
      September 02, 2020 - Commentary Quality and safety in surgery: challenges and opportunities. Citation Text: Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003. Copy Citation Format:…

8886. Opportunities to improve informed consent with AHRQ training modules. | PSNet
      psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
      December 31, 2014 - Study Opportunities to improve informed consent with AHRQ training modules. Citation Text: Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. Copy…

8887. Usability study of two common defibrillators reveals hazards. | PSNet
      psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards
      June 16, 2009 - Study Usability study of two common defibrillators reveals hazards. Citation Text: Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029. Copy Citation Form…

8888. Injectable Opioid Shortages: Suggestions for Management and Conservation. | PSNet
      psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
      May 20, 2020 - Fact Sheet/FAQs Injectable Opioid Shortages: Suggestions for Management and Conservation. Citation Text: Injectable Opioid Shortages: Suggestions for Management and Conservation. University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. Copy Cita…

8889. Huddles and debriefings: improving communication on labor and delivery. | PSNet
      psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
      February 13, 2013 - Review Huddles and debriefings: improving communication on labor and delivery. Citation Text: McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006. Copy Citation …

8890. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
      October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

8891. 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…

8892. 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…

8893. The role of racism as a core patient safety issue. | PSNet
      psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
      March 18, 2020 - Newspaper/Magazine Article The role of racism as a core patient safety issue. Citation Text: Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-61. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

8894. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet
      psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
      May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

8895. Medication reconciliation at hospital discharge: evaluating discrepancies. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
      July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …

8896. Emerging trends in perinatal quality and risk with recommendations for patient safety. | PSNet
      psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety
      October 19, 2022 - Commentary Emerging trends in perinatal quality and risk with recommendations for patient safety. Citation Text: Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294. Cop…

8897. Opioid prescribing patterns and complications in the dermatology Medicare population. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-patterns-and-complications-dermatology-medicare-population
      May 25, 2022 - Study Opioid prescribing patterns and complications in the dermatology Medicare population. Citation Text: Cao S, Karmouta R, Li DG, et al. Opioid Prescribing Patterns and Complications in the Dermatology Medicare Population. JAMA Dermatol. 2018;154(3):317-322. doi:10.1001/jamadermatol.2…

8898. Differences in day and night shift clinical performance in anesthesiology. | PSNet
      psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
      September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

8899. A system-wide initiative to prevent retained vaginal sponges. | PSNet
      psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
      November 07, 2012 - Commentary A system-wide initiative to prevent retained vaginal sponges. Citation Text: Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204. Copy Citatio…

8900. Learning from defects to enhance morbidity and mortality conferences. | PSNet
      psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
      May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. Citation Text: Berenholtz SM, Hartsell TL, Pronovost P. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009;24(3):192-5. doi:10.1177/1062860609332370. Copy Citation …