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9921. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. | PSNet
      psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
      August 28, 2024 - Study Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Citation Text: Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. G…

9922. Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet
      psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
      May 23, 2018 - Review Reducing diagnostic errors worldwide through diagnostic management teams. Citation Text: Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. Copy Citation …

9923. Patient experience must move beyond bad apples. | PSNet
      psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
      September 02, 2009 - Commentary Patient experience must move beyond bad apples. Citation Text: Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. Copy Citation Format: DOI Google Scholar PubMed Bib…

9924. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet
      psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
      March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. Citation Text: Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/j…

9925. Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
      December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Slide Presentation Slide 1 Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing Slide 2 Learning Objectives Di…

9926. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
      June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…

9927. FAQs (Staff): Wound Cleaning (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
      March 01, 2022 - FAQs (Staff): Wound Cleaning Decolonization of Non-ICU Patients With Devices Section 14-5 – Addressing Questions Asked by Staff: Wound Cleaning There are some new nurses and nursing assistants on our unit. How can I ease any concerns related to wound cleaning? Some nurses and nursing assistants feel comfortable us…

9928. Information behavior in the context of improving patient safety. | PSNet
      psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
      March 24, 2019 - Commentary Information behavior in the context of improving patient safety. Citation Text: MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…

9929. To what extent do pediatricians accept computer-based dosing suggestions? | PSNet
      psnet.ahrq.gov/issue/what-extent-do-pediatricians-accept-computer-based-dosing-suggestions
      May 27, 2011 - Study To what extent do pediatricians accept computer-based dosing suggestions? Citation Text: Killelea BK, Kaushal R, Cooper M, et al. To what extent do pediatricians accept computer-based dosing suggestions? Pediatrics. 2007;119(1):e69-75. Copy Citation Format: Google S…

9930. Frequency, types, and potential clinical significance of medication-dispensing errors. | PSNet
      psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
      February 03, 2011 - Study Frequency, types, and potential clinical significance of medication-dispensing errors. Citation Text: Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6. Copy Citation …

9931. The relationship between nurse education level and patient safety: an integrative review. | PSNet
      psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
      April 10, 2024 - Review The relationship between nurse education level and patient safety: an integrative review. Citation Text: Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. Copy Citation Format: Goo…

9932. Beyond medication reconciliation: the correct medication list. | PSNet
      psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
      February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

9933. Addressing postdischarge adverse events: a neglected area. | PSNet
      psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
      November 13, 2024 - Review Addressing postdischarge adverse events: a neglected area. Citation Text: Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

9934. The gaps in specialists' diagnoses. | PSNet
      psnet.ahrq.gov/issue/gaps-specialists-diagnoses
      July 28, 2021 - Commentary The gaps in specialists' diagnoses. Citation Text: Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

9935. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet
      psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
      September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

9936. Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. | PSNet
      psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
      August 09, 2017 - Commentary Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. Citation Text: Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…

9937. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. | PSNet
      psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
      February 26, 2009 - Study A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Citation Text: Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Anesthesiology. 2007;106(6):1096-1104. Copy Citation Format: Google S…

9938. Driving surgical quality using operative video. | PSNet
      psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video
      July 29, 2020 - Commentary Driving surgical quality using operative video. Citation Text: O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. Copy Citation Format: DOI Google Scholar PubMed Bib…

9939. Simulation to enhance patient safety: why aren't we there yet? | PSNet
      psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
      June 17, 2015 - Commentary Simulation to enhance patient safety: why aren't we there yet? Citation Text: Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. Copy Citation Format: DOI Google Scholar Pub…

9940. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet
      psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
      November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…