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9901. Perceptions of preventable medical errors in Alberta, Canada. | PSNet
      psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
      January 21, 2019 - Study Perceptions of preventable medical errors in Alberta, Canada. Citation Text: Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067. Copy Citation F…

9902. Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet
      psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
      June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

9903. Patient safety in the context of neonatal intensive care: research and educational opportunities. | PSNet
      psnet.ahrq.gov/issue/patient-safety-context-neonatal-intensive-care-research-and-educational-opportunities
      April 11, 2011 - Commentary Patient safety in the context of neonatal intensive care: research and educational opportunities. Citation Text: Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. do…

9904. Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
      June 05, 2025 - Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia 1 Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia Description The percentage of children ages 2 through 15 years old with sickle cell anemia (SCA; hemoglobin [Hb] SS or HbSβ0-thalas…

9905. Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
      January 08, 2025 - Commentary Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. Citation Text: Harris DM, Wu C-C. Medical malpractice in the People's Republic of China: the 2002 Regulation on the Handling of Medical Accidents. J Law Med Ethics…

9906. Shifting the learning curve. | PSNet
      psnet.ahrq.gov/issue/shifting-learning-curve
      March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9907. Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet
      psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
      May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …

9908. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. | PSNet
      psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
      January 10, 2011 - Commentary Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Citation Text: Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix. Copy Citation Format…

9909. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. | PSNet
      psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
      July 14, 2009 - Review Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. Citation Text: Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…

9910. Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet
      psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
      August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

9911. Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
      December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Slide Presentation Slide 1 Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing Slide 2 Learning Objectives Di…

9912. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
      June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…

9913. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. | PSNet
      psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
      November 25, 2020 - Commentary The perianesthesia nurse's role in the prevention of opioid-related sentinel events. Citation Text: Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. Copy Citat…

9914. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. | PSNet
      psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
      November 09, 2015 - Study Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …

9915. ASPEN parenteral nutrition safety consensus recommendations. | PSNet
      psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
      June 12, 2018 - Commentary ASPEN parenteral nutrition safety consensus recommendations. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. Copy Citation …

9916. Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. | PSNet
      psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
      March 28, 2012 - Study Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. Citation Text: Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…

9917. Communication errors in dispatch of air medical transport. | PSNet
      psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
      July 03, 2014 - Study Communication errors in dispatch of air medical transport. Citation Text: Vilensky D, MacDonald RD. Communication errors in dispatch of air medical transport. Prehosp Emerg Care. 2011;15(1):39-43. doi:10.3109/10903127.2011.519817. Copy Citation Format: DOI Google Sc…

9918. Differences in the reporting of care-related patient injuries to existing reporting systems. | PSNet
      psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems
      December 12, 2018 - Commentary Differences in the reporting of care-related patient injuries to existing reporting systems. Citation Text: Williams K, Pladevall M, Fendrick M, et al. Differences in the reporting of care-related patient injuries to existing reporting systems. Jt Comm J Qual Patient Saf. 20…

9919. Infusing fun into quality and safety initiatives. | PSNet
      psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
      October 19, 2022 - Commentary Infusing fun into quality and safety initiatives. Citation Text: Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux). 2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9. Copy Citation Format: DOI Goo…

9920. Project Background | Digital Healthcare Research
      digital.ahrq.gov/project-background
      January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…