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9101. Does a unit shift report "blackout" period improve patient safety? | PSNet
      psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
      August 04, 2021 - Commentary Does a unit shift report "blackout" period improve patient safety? Citation Text: Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-10. doi:10.1097/01.NUMA.0000553500.85897.51. Copy Citation Format: DOI Googl…

9102. Health Department | Digital Healthcare Research
      digital.ahrq.gov/care-setting/health-department
      January 01, 2023 - Health Department Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE) Description This study aimed to improve data exchange between public health and clinical care information systems, and across public health itself, to enhan…

9103. Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet
      psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
      November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

9104. Inability of providers to predict unplanned readmissions. | PSNet
      psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
      December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…

9105. Information distortion in physicians' diagnostic judgments. | PSNet
      psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
      April 07, 2021 - Study Information distortion in physicians' diagnostic judgments. Citation Text: Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241. Copy Citation Format: DO…

9106. An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet
      psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
      April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

9107. IV push medications survey results—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
      December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …

9108. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. | PSNet
      psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
      July 28, 2021 - Commentary Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Citation Text: Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):179…

9109. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet
      psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
      August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

9110. Redesigning surgical decision making for high-risk patients. | PSNet
      psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
      July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

9111. Medical Problem Solving: An Analysis of Clinical Reasoning. | PSNet
      psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
      July 18, 2018 - Book/Report Classic Medical Problem Solving: An Analysis of Clinical Reasoning. Citation Text: Medical Problem Solving: An Analysis of Clinical Reasoning. Elstein AS, ed. Cambridge, MA: Harvard University Press; 1978. ISBN: 9780674561250. Copy Citation …

9112. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet
      psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
      May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

9113. Quality & safety in the time of coronavirus--design better, learn faster. | PSNet
      psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
      March 29, 2017 - Commentary Quality & safety in the time of coronavirus--design better, learn faster. Citation Text: Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051. Copy Citation Format…

9114. Systematic review: effects of resident work hours on patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
      February 03, 2011 - Review Systematic review: effects of resident work hours on patient safety. Citation Text: Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857. Copy Citation Format: Google Sc…

9115. Finding blunders in thyroid testing: experience in newborns. | PSNet
      psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
      March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

9116. A checklist to improve patient safety in interventional radiology. | PSNet
      psnet.ahrq.gov/issue/checklist-improve-patient-safety-interventional-radiology
      September 20, 2011 - Study A checklist to improve patient safety in interventional radiology. Citation Text: Koetser ICJ, de Vries EN, van Delden OM, et al. A checklist to improve patient safety in interventional radiology. Cardiovasc Intervent Radiol. 2013;36(2):312-9. doi:10.1007/s00270-012-0395-z. Cop…

9117. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
      March 19, 2019 - Study How surgical trainees handle catastrophic errors: a qualitative study. Citation Text: Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. Copy Citation Fo…

9118. Quantifying and characterizing adverse events in dermatologic surgery. | PSNet
      psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
      November 16, 2022 - Study Quantifying and characterizing adverse events in dermatologic surgery. Citation Text: O'Neill JL, Lee YS, Solomon JA, et al. Quantifying and characterizing adverse events in dermatologic surgery. Dermatol Surg. 2013;39(6):872-878. doi:10.1111/dsu.12165. Copy Citation Format…

9119. The objective impact of clinical peer review on hospital quality and safety. | PSNet
      psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospital-quality-and-safety
      April 13, 2017 - Study The objective impact of clinical peer review on hospital quality and safety. Citation Text: Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. Copy Citation Format: …

9120. Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. | PSNet
      psnet.ahrq.gov/issue/safeguarding-patients-complexity-science-high-reliability-organizations-and-implications-team
      March 31, 2021 - Commentary Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. Citation Text: McKeon LM, Oswaks JD, Cunningham PD. Safeguarding patients: complexity science, high reliability organizations, and implications for te…