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8761. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022
      May 12, 2021 - Study Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. Citation Text: Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):…

8762. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet
      psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
      November 29, 2023 - Study Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. Citation Text: Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…

8763. Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet
      psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
      November 21, 2021 - Study Classic Association of overlapping surgery with increased risk for complications following hip surgery. Citation Text: Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…

8764. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet
      psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
      August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

8765. Association between Leapfrog safe practices score and hospital mortality in major surgery. | PSNet
      psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality-major-surgery
      September 29, 2017 - Study Association between Leapfrog safe practices score and hospital mortality in major surgery. Citation Text: Qian F, Lustik SJ, Diachun CA, et al. Association between Leapfrog safe practices score and hospital mortality in major surgery. Med Care. 2011;49(12):1082-1088. doi:10.1097/…

8766. Return on investment for a computerized physician order entry system. | PSNet
      psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-system
      January 19, 2014 - Study Classic Return on investment for a computerized physician order entry system. Citation Text: Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6. Copy Citation…

8767. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
      November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

8768. 2021: An AHRQ Year in Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/2021-ahrq-year-in-review.html
      January 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders 2021: An AHRQ Year in Review JAN 11 2022 By David Meyers, M.D. David Meyers, M.D. Turning the calendar to a new year is a time for taking stock—reflecting on our accomplishments and setting our sights on where we want to go…

8769. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
      April 07, 2019 - Study Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. Citation Text: Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative…

8770. Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet
      psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
      August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…

8771. Using human factors and ergonomics principles to prevent inpatient falls. | PSNet
      psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
      November 09, 2022 - Study Using human factors and ergonomics principles to prevent inpatient falls. Citation Text: Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696. Copy Citation Format: …

8772. Prescribing discrepancies likely to cause adverse drug events after patient transfer. | PSNet
      psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
      December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…

8773. Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. | PSNet
      psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
      May 04, 2016 - Study Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. Citation Text: King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.…

8774. Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. | PSNet
      psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
      August 19, 2020 - Study Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system. Citation Text: Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…

8775. Investigation of mental and physical health of nurses associated with errors in clinical practice. | PSNet
      psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
      September 21, 2022 - Study Investigation of mental and physical health of nurses associated with errors in clinical practice. Citation Text: Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated with errors in clinical practice. Healthcare (Basel). 2022;1…

8776. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. | PSNet
      psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
      May 27, 2011 - Commentary Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Citation Text: Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient comput…

8777. Section 2: Explanation of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
      June 01, 2023 - Section 2: Explanation of Mutual Support Key Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS mutual support concepts and tools. If you teach this content or want additional insights into how the material can be mor…

8778. Tool: STEP | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
      June 01, 2023 - Tool: STEP STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…

8779. Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. | PSNet
      psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
      January 25, 2023 - Study Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. Citation Text: Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…

8780. Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet
      psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
      August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …