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9561. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202104.html
      October 01, 2021 - CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System Search All Impact Case Studies October 2021 CommonSpirit Health, one of the Nation's largest health systems, serving 21 States, is expanding its use of AHRQ's  Communication and Optimal Resolution (CANDOR) toolkit  across its entire netw…

9562. Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. | PSNet
      psnet.ahrq.gov/issue/keeping-our-promises-research-practice-and-policy-issues-health-care-reliability
      September 24, 2016 - Special or Theme Issue Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Citation Text: Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Reinertsen JL, Clancy C, Henriksen K, et al. Health Serv Res. 2006;41(…

9563. New perspectives on error in critical care. | PSNet
      psnet.ahrq.gov/issue/new-perspectives-error-critical-care
      March 10, 2011 - Review New perspectives on error in critical care. Citation Text: Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

9564. Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. | PSNet
      psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
      August 16, 2016 - Book/Report Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. Citation Text: Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…

9565. Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. | PSNet
      psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
      May 21, 2014 - Book/Report Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. Citation Text: Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557…

9566. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. | PSNet
      psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
      July 19, 2023 - Study Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. Citation Text: Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…

9567. Start the new year off right by preventing these top 10 medication errors and hazards. | PSNet
      psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
      February 09, 2022 - Newspaper/Magazine Article Start the new year off right by preventing these top 10 medication errors and hazards. Citation Text: Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…

9568. A piece of my mind. Mentorship malpractice. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
      September 16, 2020 - Commentary A piece of my mind. Mentorship malpractice. Citation Text: Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

9569. Overconfidence as a cause of diagnostic error in medicine. | PSNet
      psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
      July 30, 2014 - Review Overconfidence as a cause of diagnostic error in medicine. Citation Text: Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001. Copy Citation Format: DOI Google Scholar…

9570. Death due to pharmacy compounding error reinforces need for safety focus. | PSNet
      psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
      May 31, 2017 - Newspaper/Magazine Article Death due to pharmacy compounding error reinforces need for safety focus. Citation Text: Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. Copy Citation …

9571. Wide heart monitor use tied to missed alarms. | PSNet
      psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
      July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…

9572. Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
      November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

9573. Aviation tools to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
      June 19, 2024 - Commentary Aviation tools to improve patient safety. Citation Text: Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

9574. Pump up the volume: tips for increasing error reporting and decreasing patient harm. | PSNet
      psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
      January 27, 2021 - Newspaper/Magazine Article Pump up the volume: tips for increasing error reporting and decreasing patient harm. Citation Text: Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…

9575. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet
      psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
      March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

9576. NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. | PSNet
      psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
      October 18, 2017 - Book/Report NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. Citation Text: NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…

9577. Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
      February 12, 2020 - Newspaper/Magazine Article Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. Citation Text: Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. July 3…

9578. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
      March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

9579. Community Heath Care Association of New York State Recruitment Outreach Script (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-script-ny.pdf
      June 02, 2025 - Community Heath Care Association of New York State Recruitment Outreach Script Audience: CMO/CEO/QI lead script Hello Mr./Ms./Doctor, My name is and I am calling you on behalf of CHCANYS. Is this a convenient time to speak? IF NO, is there a convenient time we could speak? I would like to share information wi…

9580. The science of improvement. | PSNet
      psnet.ahrq.gov/issue/science-improvement
      August 04, 2021 - Commentary Classic The science of improvement. Citation Text: Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…