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8781. Tool: Handoff | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
      May 01, 2023 - Tool: Handoff A handoff is a standardized method for transferring information, along with authority and responsibility, during transitions in patient care. Handoffs include the transfer of knowledge and information about the degree of uncertainty (uncertainty about diagnoses, etc.), response to treatment, recen…

8782. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. | PSNet
      psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
      August 27, 2009 - Study The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Citation Text: Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…

8783. Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet
      psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
      February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…

8784. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. | PSNet
      psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
      July 02, 2019 - Study Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Citation Text: Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf…

8785. Benefits of reporting and analyzing nursing students' near-miss medication incidents. | PSNet
      psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents
      March 16, 2022 - Study Benefits of reporting and analyzing nursing students' near-miss medication incidents. Citation Text: Dennison S, Freeman M, Giannotti N, et al. Benefits of reporting and analyzing nursing students' near-miss medication incidents. Nurse Educ. 2022;47(4):202-207. doi:10.1097/nne.0000…

8786. Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. | PSNet
      psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
      March 06, 2012 - Study Emerging Classic Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. Citation Text: Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementi…

8787. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201518.html
      July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety Search All Impact Case Studies July 2015 Description New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…

8788. Development of a multicomponent intervention to decrease racial bias among healthcare staff. | PSNet
      psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
      September 23, 2020 - Study Development of a multicomponent intervention to decrease racial bias among healthcare staff. Citation Text: Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…

8789. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
      psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
      June 03, 2020 - Study Emerging Classic About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. Citation Text: Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback:…

8790. Identifying medication errors in neonatal intensive care units: a two-center study | PSNet
      psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
      November 11, 2020 - Study Identifying medication errors in neonatal intensive care units: a two-center study Citation Text: Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-…

8791. State at a Glance: Florida | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/fl.html
      March 01, 2019 - State at a Glance: Florida Learn more about the CHIPRA quality demonstration projects being implemented in Florida. Florida is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonst…

8792. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet
      psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
      February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Citation Text: Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…

8793. Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
      July 27, 2022 - Review Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. Citation Text: Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to improve medication manage…

8794. List of Tables | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tables.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population List of Tables Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for the HCBS Population Outco…

8795. Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? | PSNet
      psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents-attitudes-and
      November 16, 2022 - Study Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? Citation Text: Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? J Patient…

8796. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
      January 01, 2011 - Project Report - Lean Sigma Two More E’s and How to Spread Learning Objectives To think ahead about ways to make your investment of time and improvements in BSI rates last forever To make sure all patients in your institution have access to the same level of safety in their care Implementation Framework Al…

8797. Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. | PSNet
      psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
      July 02, 2019 - Study Classic Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. Citation Text: Thorpe KE, Joski P, Johnston KJ. Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Bill…

8798. How Capable of Using Information Technology is the Average Patient? (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
      June 16, 2021 - How Capable of Using Information Technology is the Average Patient? Amy L. Friedman MD, Stefania Santinon, Richard N. Formica Jr. MD Yale University School of Medicine Why should surgeons care about medication errors? •Impact the health of our patients •Impact the cost of care for our patients •Impact the o…

8799. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. | PSNet
      psnet.ahrq.gov/issue/point-prevalence-surgical-checklist-use-europe-relationship-hospital-mortality
      January 23, 2019 - Study Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Citation Text: Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093…

8800. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
      psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
      December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Citation Text: Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…