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Total Results: over 10,000 records

Showing results for "addressed".

9701. Performing the wrong procedure. | PSNet
      psnet.ahrq.gov/issue/performing-wrong-procedure
      April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

9702. Using a market model to track advances in patient safety. | PSNet
      psnet.ahrq.gov/issue/using-market-model-track-advances-patient-safety
      September 28, 2010 - Commentary Using a market model to track advances in patient safety. Citation Text: Shulkin DJ. Using a market model to track advances in patient safety. Jt Comm J Qual Saf. 2003;29(3):146-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

9703. Normalization of deviance is contrary to the principles of high reliability. | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
      June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

9704. Philosophy of science and the diagnostic process. | PSNet
      psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
      April 24, 2018 - Commentary Philosophy of science and the diagnostic process. Citation Text: Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

9705. 026-Assessing-Evc-Essential-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
      October 01, 2024 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…

9706. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. | PSNet
      psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
      June 21, 2016 - Commentary The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. Citation Text: Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…

9707. Patient misidentification in oncology care. | PSNet
      psnet.ahrq.gov/issue/patient-misidentification-oncology-care
      March 22, 2006 - Commentary Patient misidentification in oncology care. Citation Text: Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498. Copy Citation Save Save to your library Print Download PDF Share Faceb…

9708. 116-Cusp-Premortem-Project-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
      January 01, 2007 - AHRQ Safety Program for MRSA Prevention Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment ICU & Non-ICU Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a project can help the team mitigate the…

9709. Establishing a simulation center for surgical skills: what to do and how to do it. | PSNet
      psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
      January 18, 2012 - Meeting/Conference Proceedings Establishing a simulation center for surgical skills: what to do and how to do it. Citation Text: Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it. Copy Citation Format: …

9710. Anatomy of a medical device recall: how defective products can slip through an outdated system. | PSNet
      psnet.ahrq.gov/issue/anatomy-medical-device-recall-how-defective-products-can-slip-through-outdated-system
      December 03, 2014 - Newspaper/Magazine Article Anatomy of a medical device recall: how defective products can slip through an outdated system. Citation Text: Anatomy of a medical device recall: how defective products can slip through an outdated system. Zipp R. Medical Tech Dive. October 18, 2021. Copy …

9711. Tool 5: Portfolio Design
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
      June 02, 2025 - Tool 5: Portfolio Design Tool 5: Portfolio Design Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital. Purpose: To facilitate the formulation of you…

9712. A Randomized Field Study of a Leadership WalkRounds-Based Intervention. | PSNet
      psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
      May 24, 2016 - Book/Report A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Citation Text: A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. Cop…

9713. Event reporting: the value of a nonpunitive approach. | PSNet
      psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
      June 16, 2011 - Commentary Event reporting: the value of a nonpunitive approach. Citation Text: Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05. Copy Citation Format: DOI Google Scholar PubMed Bi…

9714. New enteral connectors: raising awareness. | PSNet
      psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
      August 28, 2024 - Commentary New enteral connectors: raising awareness. Citation Text: Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

9715. A next act for patient safety. | PSNet
      psnet.ahrq.gov/issue/next-act-patient-safety
      September 03, 2011 - Commentary A next act for patient safety. Citation Text: Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9716. Many COVID-19 survivors will be left traumatized by their ICU experience. | PSNet
      psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience
      February 21, 2024 - Newspaper/Magazine Article Many COVID-19 survivors will be left traumatized by their ICU experience. Citation Text: Many COVID-19 survivors will be left traumatized by their ICU experience. Jee C. MIT Technology Review. April 22, 2020. Copy Citation Save Save to…

9717. On the trail of quality and safety in health care. | PSNet
      psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
      December 17, 2009 - Commentary On the trail of quality and safety in health care. Citation Text: Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74-6. doi:10.1136/bmj.39413.486944.AD. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

9718. Urinary Incontinence Patient Recruitment and Education Flyer (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/pt-recruitment-flyer.pdf
      June 02, 2025 - Urinary Incontinence Patient Recruitment and Education Flyer ``` Urinary Incontinence Patient Recruitment & Education Example EMPOWER Team – University Hospitals of Cleveland This project was funded under grant number 1U18HS028742-01 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Departme…

9719. Gossypiboma: tales of lost sponges and lessons learned. | PSNet
      psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
      March 24, 2021 - Study Gossypiboma: tales of lost sponges and lessons learned. Citation Text: McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9720. Reduction in pediatric identification band errors: a quality collaborative. | PSNet
      psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
      March 14, 2022 - Study Reduction in pediatric identification band errors: a quality collaborative. Citation Text: Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. Copy Cit…