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4621. Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet
      psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
      September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. Citation Text: Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strat…

4622. More than words: patients' views on apology and disclosure when things go wrong in cancer care. | PSNet
      psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
      May 29, 2012 - Study More than words: patients' views on apology and disclosure when things go wrong in cancer care. Citation Text: Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341…

4623. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. | PSNet
      psnet.ahrq.gov/issue/work-conditions-mental-workload-and-patient-care-quality-multisource-study-emergency
      March 06, 2013 - Study Work conditions, mental workload and patient care quality: a multisource study in the emergency department. Citation Text: Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. …

4624. Impact of automated alerts on discharge opioid overprescribing after general surgery. | PSNet
      psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
      September 29, 2017 - Study Impact of automated alerts on discharge opioid overprescribing after general surgery. Citation Text: Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajh…

4625. Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. | PSNet
      psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
      June 14, 2023 - Study Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. Citation Text: Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…

4626. Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. | PSNet
      psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
      June 27, 2018 - Study Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. Citation Text: Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…

4627. Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. | PSNet
      psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
      October 22, 2014 - Study Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective study in 20 UK hospitals. Citation Text: Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Pro…

4628. Relationship between operating room teamwork, contextual factors, and safety checklist performance. | PSNet
      psnet.ahrq.gov/issue/relationship-between-operating-room-teamwork-contextual-factors-and-safety-checklist
      September 24, 2017 - Study Relationship between operating room teamwork, contextual factors, and safety checklist performance. Citation Text: Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-5…

4629. Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. | PSNet
      psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
      October 20, 2021 - Study Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. Citation Text: Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…

4630. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. | PSNet
      psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
      May 12, 2021 - Commentary The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Citation Text: Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…

4631. Multisource evaluation of surgeon behavior is associated with malpractice claims. | PSNet
      psnet.ahrq.gov/issue/multisource-evaluation-surgeon-behavior-associated-malpractice-claims
      May 13, 2020 - Study Multisource evaluation of surgeon behavior is associated with malpractice claims. Citation Text: Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742. Co…

4632. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=9
      June 01, 2016 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 91 - 100 of 191 Publications displayed Find Publications by Keyword or Top…

4633. Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. | PSNet
      psnet.ahrq.gov/issue/dying-weekend-retrospective-cohort-study-association-between-day-hospital-presentation-and
      April 18, 2012 - Study Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. Citation Text: Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association betwee…

4634. Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. | PSNet
      psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
      February 21, 2018 - Study Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. Citation Text: Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance i…

4635. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. | PSNet
      psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
      September 19, 2012 - Study Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Citation Text: Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…

4636. Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. | PSNet
      psnet.ahrq.gov/issue/simulation-based-training-improves-physicians-performance-patient-care-high-stakes-clinical
      October 07, 2020 - Study Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. Citation Text: Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance in patient care in high-stakes clini…

4637. Relationship between call light use and response time and inpatient falls in acute care settings. | PSNet
      psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
      March 13, 2008 - Study Relationship between call light use and response time and inpatient falls in acute care settings. Citation Text: Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1…

4638. How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet
      psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice
      February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

4639. Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet
      psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
      May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

4640. Improving medication safety with accurate preadmission medication lists and postdischarge education. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
      June 26, 2019 - Study Improving medication safety with accurate preadmission medication lists and postdischarge education. Citation Text: Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …