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9661. Assessing system failures in operating rooms and intensive care units. | PSNet
      psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
      June 15, 2011 - Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google Sch…

9662. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. | PSNet
      psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room
      March 18, 2013 - Study Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. Citation Text: Buzink SN, van Lier L, de Hingh IHJT, et al. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the…

9663. Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet
      psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
      May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

9664. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet
      psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
      October 20, 2021 - Study Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Citation Text: Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…

9665. Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. | PSNet
      psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
      January 06, 2016 - Study Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. Citation Text: Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication E…

9666. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet
      psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
      January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

9667. Opioids and falls risk in older adults: a narrative review. | PSNet
      psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review
      January 12, 2022 - Review Opioids and falls risk in older adults: a narrative review. Citation Text: Virnes R-E, Tiihonen M, Karttunen N, et al. Opioids and falls risk in older adults: a narrative review. Drugs Aging. 2022;39(3):199-207. doi:10.1007/s40266-022-00929-y. Copy Citation Format: D…

9668. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? | PSNet
      psnet.ahrq.gov/issue/how-do-patients-and-care-partners-describe-diagnostic-uncertainty-emergency-department-or
      October 23, 2024 - Study How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Citation Text: DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…

9669. Preventable deaths in patients admitted from emergency department. | PSNet
      psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
      September 27, 2017 - Study Preventable deaths in patients admitted from emergency department. Citation Text: Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

9670. Appendix III. Advisory Group Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/appendix3.html
      June 01, 2014 - Care Coordination Measures Atlas Update Appendix III. Advisory Group Participants Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emergi…

9671. Paediatric dosing errors before and after electronic prescribing. | PSNet
      psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing
      February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

9672. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet
      psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
      November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…

9673. Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
      April 28, 2021 - Study Emerging Classic Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. Citation Text: Gurwitz JH, Kapoor A, Garber L, et al. Effect of …

9674. Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
      October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

9675. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. | PSNet
      psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
      October 20, 2021 - Study National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations. Citation Text: Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits a…

9676. Experiences of physicians investigated for professionalism concerns: a narrative review. | PSNet
      psnet.ahrq.gov/issue/experiences-physicians-investigated-professionalism-concerns-narrative-review
      August 04, 2021 - Review Experiences of physicians investigated for professionalism concerns: a narrative review. Citation Text: Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-0…

9677. STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet
      psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
      June 26, 2019 - Study STAMP: a 5-year project to reduce paediatric prescribing errors. Citation Text: Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. Copy Citation …

9678. The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet
      psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
      February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

9679. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet
      psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
      September 01, 2021 - Study Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. Citation Text: Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis…

9680. Dispensing error rate in a highly automated mail-service pharmacy practice. | PSNet
      psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
      November 16, 2022 - Study Dispensing error rate in a highly automated mail-service pharmacy practice. Citation Text: Teagarden R, Nagle B, Aubert RE, et al. Dispensing error rate in a highly automated mail-service pharmacy practice. Pharmacotherapy. 2005;25(11):1629-35. Copy Citation Format: …