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4161. Towards a common framework to support decision-making in high-risk, low-time environments. | PSNet
      psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
      November 16, 2022 - Commentary Towards a common framework to support decision-making in high-risk, low-time environments. Citation Text: Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…

4162. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. | PSNet
      psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
      October 19, 2022 - Commentary Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. Citation Text: Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…

4163. Data consistency in a voluntary medical incident reporting system. | PSNet
      psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
      August 21, 2024 - Study Data consistency in a voluntary medical incident reporting system. Citation Text: Gong Y. Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. doi:10.1007/s10916-009-9398-y. Copy Citation Format: DOI Google Scholar PubMed…

4164. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. | PSNet
      psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit
      May 31, 2023 - Study Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. Citation Text: Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…

4165. Implementation of standardized dosing units for I.V. medications. | PSNet
      psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
      May 11, 2014 - Study Implementation of standardized dosing units for I.V. medications. Citation Text: Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046. Copy Citation Format: …

4166. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet
      psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
      October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …

4167. A comparison of the effects of different typographical methods on the recognizability of printed drug names. | PSNet
      psnet.ahrq.gov/issue/comparison-effects-different-typographical-methods-recognizability-printed-drug-names
      May 31, 2011 - Study A comparison of the effects of different typographical methods on the recognizability of printed drug names. Citation Text: Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:1…

4168. Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. | PSNet
      psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
      October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…

4169. Medication safety systems and the important role of pharmacists. | PSNet
      psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
      July 19, 2023 - Review Medication safety systems and the important role of pharmacists. Citation Text: Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. Copy Citation Format: DOI Google Scholar PubMed …

4170. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. | PSNet
      psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
      September 27, 2023 - Commentary Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. Citation Text: Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…

4171. Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. | PSNet
      psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education
      February 17, 2011 - Commentary Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. Citation Text: Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. …

4172. Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. | PSNet
      psnet.ahrq.gov/issue/internal-medicine-trainees-views-training-adequacy-and-duty-hours-restrictions-2009
      August 20, 2018 - Study Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. Citation Text: Shea JA, Weissman A, McKinney S, et al. Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. Acad Med. 2012;87(7):889-94. doi:10.1097/AC…

4173. Association between surgeon stress and major surgical complications. | PSNet
      psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
      November 29, 2023 - Study Association between surgeon stress and major surgical complications. Citation Text: Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. Copy Citation Format:…

4174. AHRQ Quality Indicators™ Pediatric Quality Indicators (pdf file)
      qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
      April 01, 2022 - AHRQ Quality Indicators™ Pediatric Quality Indicators AHRQ Quality Indicators™ Pediatric Quality Indicators Assess quality of hospital care for children, at the hospital level and across a community Pediatric Qua…

4175. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. | PSNet
      psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
      April 18, 2019 - Commentary Addressing racial and ethnic bias in pulse oximeters—a wicked problem. Citation Text: Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443. Copy Citation For…

4176. Interventions to improve timely cancer diagnosis: an integrative review. | PSNet
      psnet.ahrq.gov/issue/interventions-improve-timely-cancer-diagnosis-integrative-review
      May 25, 2022 - Study Interventions to improve timely cancer diagnosis: an integrative review. Citation Text: Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113. Copy Citation …

4177. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. | PSNet
      psnet.ahrq.gov/issue/how-much-diagnostic-safety-can-we-afford-and-how-should-we-decide-health-economics
      March 24, 2021 - Commentary How much diagnostic safety can we afford, and how should we decide? A health economics perspective. Citation Text: Newman-Toker DE, McDonald KM, Meltzer DO. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. BMJ Qual Saf. 2013…

4178. Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. | PSNet
      psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
      September 25, 2013 - Clinical Guideline Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. Citation Text: Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med.…

4179. The wrong patient. | PSNet
      psnet.ahrq.gov/issue/wrong-patient
      December 23, 2008 - Commentary Classic The wrong patient. Citation Text: Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4180. Annual Conferences on Health IT & Analytics 2021-2023 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/annual-conference-health-it-analytics-2021-2023
      January 01, 2023 - Annual Conferences on Health IT & Analytics 2021-2023 Project Final Report ( PDF , 2.51 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No …