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5241. Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. | PSNet
      psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
      November 15, 2023 - Study Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. Citation Text: Arbaje AI, Hughes A, Werner N, et al. Information management goa…

5242. Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. | PSNet
      psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
      October 19, 2022 - Review Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Citation Text: Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. Circulation. 20…

5243. Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet
      psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
      November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

5244. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. | PSNet
      psnet.ahrq.gov/issue/measurable-outcomes-quality-improvement-trauma-intensive-care-unit-impact-daily-quality
      February 24, 2010 - Study Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. Citation Text: DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a dail…

5245. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html
      June 01, 2025 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 191 Publications displayed Find Publications by Keyword or Topic…

5246. Quality management and perceptions of teamwork and safety climate in European hospitals. | PSNet
      psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals
      May 26, 2014 - Study Quality management and perceptions of teamwork and safety climate in European hospitals. Citation Text: Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi…

5247. Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
      June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …

5248. Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/explaining-negative-effects-patient-participation-patient-safety-exploratory-qualitative
      November 04, 2020 - Study Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. Citation Text: Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in…

5249. Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. | PSNet
      psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
      June 20, 2018 - Press Release/Announcement Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. Citation Text: Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…

5250. Kick-off Visit Check List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
      June 02, 2025 - Kick-off Visit Check List KICK-OFF VISIT CHECK LIST PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER Four weeks before visit Contact AD and introduce yourself Determine ABCS assignment Print Baseline Reports & send to AD Four weeks before visit   Negotiate with Nicole Travis date/time   Record ABCS …

5251. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. | PSNet
      psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
      June 02, 2010 - Study Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Citation Text: Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.…

5252. How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. | PSNet
      psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and
      August 04, 2021 - Review How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. Citation Text: Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative β…

5253. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. | PSNet
      psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching
      September 25, 2019 - Study A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. Citation Text: Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk …

5254. Current Regulations on the Collection of Patient Race, Ethnicity, and Language (pdf file)
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca7.pdf
      July 01, 2012 - Current Regulations on the Collection of Patient Race, Ethnicity, and Language WHY SHOULD HOSPITALS COLLECT PATIENT RACE, ETHNICITY, AND LANGUAGE? 1 Target Audience: Hospital Executives and Upper and Middle Managers Purpose: This document outlines the purposes and legal justification for collecting pat…

5255. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. | PSNet
      psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis
      August 07, 2019 - Study Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. Citation Text: Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):84…

5256. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet
      psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised
      May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

5257. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
      June 02, 2021 - Study Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic. Citation Text: Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…

5258. High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet
      psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
      May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

5259. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet
      psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
      November 20, 2013 - Study Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. Citation Text: Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-20…

5260. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. | PSNet
      psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-2009-consensus-development
      November 16, 2022 - Commentary The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Citation Text: Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hos…