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8521. Adult Non-ICUs | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4a.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Adult Non-ICUs Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adult Non-ICUs Ped…

8522. Learning from samples of one or fewer. | PSNet
      psnet.ahrq.gov/issue/learning-samples-one-or-fewer
      December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

8523. Improving communication in the emergency department. | PSNet
      psnet.ahrq.gov/issue/improving-communication-emergency-department
      September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

8524. Clinical alarms: improving efficiency and effectiveness. | PSNet
      psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
      February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

8525. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet
      psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
      January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

8526. Creating the web-based intensive care unit safety reporting system.  | PSNet
      psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
      October 13, 2018 - Commentary Creating the web-based intensive care unit safety reporting system.  Citation Text: Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. Copy Citati…

8527. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet
      psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
      April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

8528. Creating a just culture: the Ottawa Hospital's experience. | PSNet
      psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
      July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

8529. AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
      October 01, 2014 - AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital Search All Impact Case Studies May 2006 In December 2004, Northwestern Memorial Hospital in Chicago administered AHRQ's Hospital Survey on Patient Safety Culture to establish a baseline for assessment of cultur…

8530. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet
      psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
      June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

8531. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences. | PSNet
      psnet.ahrq.gov/issue/communicating-pathology-and-laboratory-errors-anatomic-pathologists-and-laboratory-medical
      May 18, 2022 - Study Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences. Citation Text: Dintzis SM, Stetsenko GY, Sitlani CM, et al. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medi…

8532. FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. | PSNet
      psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
      June 02, 2021 - Government Resource FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. Citation Text: FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…

8533. Some unintended effects of teamwork in healthcare. | PSNet
      psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare
      July 02, 2008 - Study Some unintended effects of teamwork in healthcare. Citation Text: Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med. 2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025. Copy Citation Format: DOI Google Scholar PubMed B…

8534. A systematic review of patient tracking systems for use in the pediatric emergency department. | PSNet
      psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
      August 03, 2022 - Review A systematic review of patient tracking systems for use in the pediatric emergency department. Citation Text: Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…

8535. Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? | PSNet
      psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
      May 18, 2022 - Review Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? Citation Text: Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…

8536. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet
      psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
      June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

8537. Timing and interventions of emergency teams during the MERIT study. | PSNet
      psnet.ahrq.gov/issue/timing-and-interventions-emergency-teams-during-merit-study
      June 02, 2010 - Study Timing and interventions of emergency teams during the MERIT study. Citation Text: Flabouris A, Chen J, Hillman K, et al. Timing and interventions of emergency teams during the MERIT study. Resuscitation. 2010;81(1):25-30. doi:10.1016/j.resuscitation.2009.09.025. Copy Citation …

8538. Why Does the Presentation of Health Care Quality Scores Matter? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/presentation.html
      April 01, 2016 - Why Does the Presentation of Health Care Quality Scores Matter? Most people have trouble understanding complex information. Only a small fraction of Americans can easily read complex tables or understand the words typically used in medicine and health. The 2003 National Assessment of Adult Literacy found that…

8539. Nature, causes and consequences of unintended events in surgical units. | PSNet
      psnet.ahrq.gov/issue/nature-causes-and-consequences-unintended-events-surgical-units
      September 07, 2016 - Study Nature, causes and consequences of unintended events in surgical units. Citation Text: van Wagtendonk I, Smits M, Merten H, et al. Nature, causes and consequences of unintended events in surgical units. Br J Surg. 2010;97(11):1730-40. doi:10.1002/bjs.7201. Copy Citation Form…

8540. Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet
      psnet.ahrq.gov/issue/diagnostic-delays-and-errors-head-and-neck-cancer-patients-opportunities-improvement
      March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…