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8021. Mitigating the July effect. | PSNet
      psnet.ahrq.gov/issue/mitigating-july-effect
      August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

8022. Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
      March 09, 2022 - Study Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. Citation Text: San José-Saras D, Vicente-Guijarro J, Sousa P, et al. Inappropriate hospital admission as a risk factor for the subsequent development of adve…

8023. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet
      psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
      May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

8024. Systems thinking for managing COVID-19 in health care systems: seven key messages. | PSNet
      psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
      October 21, 2015 - Commentary Systems thinking for managing COVID-19 in health care systems: seven key messages. Citation Text: Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-0…

8025. Parent participation in morbidity and mortality review: parent and physician perspectives. | PSNet
      psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
      May 18, 2022 - Study Parent participation in morbidity and mortality review: parent and physician perspectives. Citation Text: de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…

8026. Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet
      psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons
      July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

8027. Understanding and responding to health literacy as a social determinant of health. | PSNet
      psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
      September 27, 2017 - Commentary Classic Understanding and responding to health literacy as a social determinant of health. Citation Text: Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…

8028. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet
      psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
      February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…

8029. Minimizing electronic health record patient–note mismatches. | PSNet
      psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
      December 27, 2014 - Study Minimizing electronic health record patient–note mismatches. Citation Text: Wilcox AB, Chen Y-H, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511-4. doi:10.1136/amiajnl-2010-000068. Copy Citation Format: …

8030. 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. | PSNet
      psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
      September 06, 2017 - Study 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. Citation Text: Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…

8031. The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet
      psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
      September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

8032. Patient safety in the operating room—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
      October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

8033. A model of disruptive surgeon behavior in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
      February 05, 2020 - Study A model of disruptive surgeon behavior in the perioperative environment. Citation Text: Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. Copy Citation Format…

8034. Impact of senior clinical review on patient disposition from the emergency department. | PSNet
      psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
      August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

8035. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet
      psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
      March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…

8036. Pqi 09 Low Birth Weight Rate (pdf file)
      qualityindicators.ahrq.gov/Downloads/Modules/PQI/V43/TechSpecs/PQI%2009%20Low%20Birth%20Weight%20Rate.pdf
      January 01, 2009 - AHRQ QI, Prevention Quality Indicators #9, Technical Specifications, Low Birth Weight Rate www.qualityindicators.ahrq.gov Page 1 Low Birth Weight Rate Prevention Quality Indicators #9 Technical Specifications Area-Level Indicator AHRQ Quality Indicators, Version 4.3, August 2011 NOTE: This indicator…

8037. Direct oral anticoagulants: a review of common medication errors. | PSNet
      psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
      January 12, 2022 - Review Emerging Classic Direct oral anticoagulants: a review of common medication errors. Citation Text: Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …

8038. MEPS - Nursing Home Resources
      meps.ahrq.gov/mepsweb/data_stats/nh_info.jsp
      MEPS - Nursing Home Resources   Skip to main content An official website of the Department of Health & Human Services More Back Search ahrq.gov …

8039. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. | PSNet
      psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
      March 18, 2020 - Study Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. Citation Text: Seidl E, Seidl O. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.2…

8040. Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. | PSNet
      psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
      May 25, 2016 - Study Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. Citation Text: Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…