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9961. A 38-year-old woman with fetal loss and hysterectomy. | PSNet
      psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
      January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

9962. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet
      psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient
      September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

9963. Human factors and ergonomics as a patient safety practice. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
      March 25, 2015 - Review Human factors and ergonomics as a patient safety practice. Citation Text: Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. Copy Citation Format: DOI Google Schol…

9964. Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet
      psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during
      September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

9965. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet
      psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
      October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

9966. Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/coe1304.html
      April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications Search All Impact Case Studies April 2013 The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…

9967. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet
      psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
      March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

9968. ACGME duty-hour recommendations—a national survey of residency program directors. | PSNet
      psnet.ahrq.gov/issue/acgme-duty-hour-recommendations-national-survey-residency-program-directors
      December 21, 2014 - Study ACGME duty-hour recommendations—a national survey of residency program directors. Citation Text: Antiel RM, Thompson SM, Reed DA, et al. ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med. 2010;363(8):e12. doi:10.1056/NEJMp1008305. …

9969. Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
      January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

9970. The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. | PSNet
      psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and
      January 20, 2015 - Study The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. Citation Text: Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explain…

9971. Residency training at a crossroads: duty-hour standards 2010. | PSNet
      psnet.ahrq.gov/issue/residency-training-crossroads-duty-hour-standards-2010
      April 17, 2013 - Commentary Residency training at a crossroads: duty-hour standards 2010. Citation Text: Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010. Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287. Copy Citatio…

9972. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? | PSNet
      psnet.ahrq.gov/issue/does-compliance-patient-safety-tasks-improve-and-sustain-when-radiotherapy-treatment
      December 05, 2018 - Study Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Citation Text: Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardize…

9973. Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. | PSNet
      psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool
      April 23, 2014 - Study Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. Citation Text: Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…

9974. Coworker abuse in healthcare: voices of mistreated workers. | PSNet
      psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
      March 22, 2023 - Study Coworker abuse in healthcare: voices of mistreated workers. Citation Text: Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131. Copy Citation Format: …

9975. Correlates of diagnostic accuracy in patients with nonspecific complaints. | PSNet
      psnet.ahrq.gov/issue/correlates-diagnostic-accuracy-patients-nonspecific-complaints
      August 18, 2021 - Study Correlates of diagnostic accuracy in patients with nonspecific complaints. Citation Text: Hertwig R, Meier N, Nickel C, et al. Correlates of diagnostic accuracy in patients with nonspecific complaints. Med Decis Making. 2013;33(4):533-43. doi:10.1177/0272989X12470975. Copy Cita…

9976. Making the transition to nursing bedside shift reports. | PSNet
      psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
      September 29, 2017 - Study Making the transition to nursing bedside shift reports. Citation Text: Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. Copy Citation Format: Google Scholar PubMed BibTeX End…

9977. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
      psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
      May 17, 2018 - Study Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. Citation Text: Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…

9978. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet
      psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
      August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

9979. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. | PSNet
      psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
      November 17, 2016 - Study "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Citation Text: Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…

9980. A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. | PSNet
      psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
      June 18, 2008 - Study A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…