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2641. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-obstetric-morbidity-and-mortality-methods-and-challenges-seeking-diagnostic
      May 18, 2022 - Commentary Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Citation Text: Krenitsky NM, Perez-Urbano I, Goffman D. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic…

2642. Survival from in-hospital cardiac arrest during nights and weekends. | PSNet
      psnet.ahrq.gov/issue/survival-hospital-cardiac-arrest-during-nights-and-weekends
      February 18, 2011 - Study Survival from in-hospital cardiac arrest during nights and weekends. Citation Text: Peberdy MA, Ornato JP, Larkin L, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299(7):785-92. doi:10.1001/jama.299.7.785. Copy Citation Format: …

2643. Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. | PSNet
      psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers-descriptive-survey
      November 02, 2016 - Study Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. Citation Text: Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:1…

2644. The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. | PSNet
      psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
      May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…

2645. Predicting patient complaints in hospital settings. | PSNet
      psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
      February 27, 2008 - Study Predicting patient complaints in hospital settings. Citation Text: Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. Copy Citation Format: DOI Google Scholar Pu…

2646. Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet
      psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
      July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

2647. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
      August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…

2648. FAQs (Staff): Targeted Decolonization (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.docx
      March 01, 2022 - FAQs (Staff): Targeted Decolonization Decolonization of Non-ICU Patients With Devices Section 14-4 – Addressing Questions Asked by Staff: Targeted Decolonization What is targeted decolonization? Participating non-ICU units at your hospital will be decolonizing adult patients with medical devices using chlorhexidine …

2649. Do first opinions affect second opinions? | PSNet
      psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
      October 07, 2020 - Study Do first opinions affect second opinions? Citation Text: Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

2650. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet
      psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
      January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

2651. Medical improv: a novel approach to teaching communication and professionalism skills. | PSNet
      psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
      November 25, 2020 - Commentary Medical improv: a novel approach to teaching communication and professionalism skills. Citation Text: Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239. Copy Citati…

2652. Using Medical Emergency Teams to detect preventable adverse events. | PSNet
      psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
      December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

2653. Potentially avoidable hospitalizations among historically marginalized nursing home residents. | PSNet
      psnet.ahrq.gov/issue/potentially-avoidable-hospitalizations-among-historically-marginalized-nursing-home-residents
      September 09, 2011 - Study Potentially avoidable hospitalizations among historically marginalized nursing home residents. Citation Text: Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312.…

2654. Clinical pharmacy interventions in paediatric electronic prescriptions. | PSNet
      psnet.ahrq.gov/issue/clinical-pharmacy-interventions-paediatric-electronic-prescriptions
      April 14, 2010 - Study Clinical pharmacy interventions in paediatric electronic prescriptions. Citation Text: Maat B, San Au Y, Bollen CW, et al. Clinical pharmacy interventions in paediatric electronic prescriptions. Arch Dis Child. 2013;98(3):222-7. doi:10.1136/archdischild-2012-302817. Copy Citatio…

2655. Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
      October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…

2656. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. | PSNet
      psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
      December 21, 2014 - Study Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. Citation Text: Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…

2657. Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. | PSNet
      psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison
      November 23, 2016 - Study Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. Citation Text: Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a compari…

2658. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet
      psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
      April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

2659. Guideline for opioid therapy and chronic noncancer pain. | PSNet
      psnet.ahrq.gov/issue/guideline-opioid-therapy-and-chronic-noncancer-pain
      June 17, 2014 - Review Guideline for opioid therapy and chronic noncancer pain. Citation Text: Busse JW, Craigie S, Juurlink DN, et al. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659-E666. doi:10.1503/cmaj.170363. Copy Citation Format: DOI Google Scholar P…

2660. Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet
      psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
      June 30, 2021 - Study Variation in the reporting of elective surgeries and its influence on patient safety indicators. Citation Text: Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…