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8781. Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet
      psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
      March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

8782. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet
      psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power
      October 07, 2020 - Study Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. Citation Text: Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/p…

8783. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. | PSNet
      psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
      November 28, 2018 - Study Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Citation Text: Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…

8784. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. | PSNet
      psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
      March 11, 2013 - Study Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. Citation Text: Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. 2012;30(…

8785. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. | PSNet
      psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
      December 27, 2014 - Study Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. Citation Text: Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…

8786. Get Ready | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Get Ready Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportunities for I…

8787. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. | PSNet
      psnet.ahrq.gov/issue/comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
      February 06, 2013 - Review Emerging Classic Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Citation Text: Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…

8788. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
      October 07, 2020 - Review Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. Citation Text: Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …

8789. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
      May 18, 2022 - Study Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial. Citation Text: Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…

8790. What is known: examining the empirical literature in resident work hours using 30 influential articles. | PSNet
      psnet.ahrq.gov/issue/what-known-examining-empirical-literature-resident-work-hours-using-30-influential-articles
      September 29, 2017 - Review What is known: examining the empirical literature in resident work hours using 30 influential articles. Citation Text: Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.43…

8791. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0334_08-04-2010.pdf
      January 01, 2010 - Effective Health Care Topic Number: 0285 Document Completion Date: 3-22-11 1 Results of Topic Selection Process & Next Steps  Pharmacogenetic testing for CYP2C19 variants for guiding antiplatelet treatment will go forward for refinement as a systematic review. The scope of this topic, including p…

8792. Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet
      psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
      January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

8793. Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. | PSNet
      psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
      May 27, 2020 - Study Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. Citation Text: DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…

8794. One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. | PSNet
      psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
      May 16, 2018 - Study One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. Citation Text: Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…

8795. Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet
      psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins
      September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

8796. Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2012
      January 01, 2012 - Project ECHO: Hepatitis C Ambulatory Care Quality Improvement in New Mexico Through Health Information Technology - 2012 Project Name Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology Principal Investigator Arora, Sanjeev …

8797. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet
      psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
      July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. Citation Text: Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. …

8798. Medication errors in overweight and obese pediatric patients: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-overweight-and-obese-pediatric-patients-systematic-review
      December 09, 2020 - Review Medication errors in overweight and obese pediatric patients: a systematic review. Citation Text: Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j…

8799. Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet
      psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
      August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

8800. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. | PSNet
      psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
      July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…