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8241. Determinants of adverse events in vascular surgery. | PSNet
      psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
      March 21, 2012 - Study Determinants of adverse events in vascular surgery. Citation Text: Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045. Copy Citation Format: …

8242. The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet
      psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
      November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

8243. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
      October 01, 2014 - Module 3: Falls Prevention and Management Conclusion Previous Page Next Page Table of Contents Module 3: Falls Prevention and Management Learning and Performance Objectives Session 1 Session 2 Conclusion Appendix. Additional Tools and Resources In Summary Falls prevention…

8244. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
      October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…

8245. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet
      psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
      October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. Citation Text: de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…

8246. 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet
      psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
      May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

8247. Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
      August 29, 2018 - Study Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. Citation Text: Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments …

8248. Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care
      March 09, 2022 - Study Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. Citation Text: Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’ percept…

8249. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet
      psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
      November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…

8250. Potentially inappropriate medications and their effect on falls during hospital admission. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission
      January 12, 2022 - Study Potentially inappropriate medications and their effect on falls during hospital admission. Citation Text: Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.…

8251. 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…

8252. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet
      psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
      June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

8253. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet
      psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
      August 10, 2022 - Commentary Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. Citation Text: Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…

8254. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/association-between-exposure-nonactionable-physiologic-monitor-alarms-and-response-time
      August 20, 2014 - Study Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. Citation Text: Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospit…

8255. Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
      September 22, 2017 - Study Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. Citation Text: Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…

8256. Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet
      psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
      August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

8257. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet
      psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
      February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

8258. Using statistical text classification to identify health information technology incidents. | PSNet
      psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
      February 14, 2024 - Study Using statistical text classification to identify health information technology incidents. Citation Text: Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…

8259. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet
      psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
      December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…

8260. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
      March 18, 2020 - Review Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. Citation Text: Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliatio…