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  1. 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…
  2. psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
    October 09, 2013 - Press Release/Announcement Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. Citation Text: Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …
  3. 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…
  4. 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…
  5. psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
    October 28, 2020 - Press Release/Announcement Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. Citation Text: Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…
  6. psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
    June 02, 2025 - No More CAUTI – preventing catheter associated urinary tact infections No More CAUTI – preventing catheter associated urinary tract infections Elizabeth Mizerek, MSN, RN, CEN, CPEN, FN-CSA Assistant Professor of Nursing Mercer County Community College 1 1 Learning Objectives Define the impact of CAUTI Des…
  8. psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
    July 31, 2019 - Study Potential medical adverse events associated with death: a forensic pathology perspective. Citation Text: Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…
  9. psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
    April 10, 2024 - Review The relationship between nurse education level and patient safety: an integrative review. Citation Text: Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. Copy Citation Format: Goo…
  10. psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes
    September 15, 2009 - Review A daily dose of communication to improve quality and safety outcomes. Citation Text: Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. Copy Citation Format: DOI Google Scholar B…
  11. psnet.ahrq.gov/issue/new-paradigm-surgical-procedural-training
    December 21, 2014 - Commentary A new paradigm for surgical procedural training. Citation Text: Sachdeva AK, Buyske J, Dunnington GL, et al. A new paradigm for surgical procedural training. Curr Probl Surg. 2011;48(12):854-968. doi:10.1067/j.cpsurg.2011.08.003. Copy Citation Format: DOI Googl…
  12. www.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools Search All Impact Case Studies May 2015 St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ: The Hospital Consumer Asses…
  13. psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
    April 24, 2018 - Study Hospital admission medication reconciliation in medically complex children: an observational study. Citation Text: Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
  14. psnet.ahrq.gov/issue/hand-hygiene-deficiency-citations-nursing-homes
    June 02, 2010 - Study Hand hygiene deficiency citations in nursing homes. Citation Text: Castle NG, Wagner LM, Ferguson J, et al. Hand Hygiene Deficiency Citations in Nursing Homes. Journal of Applied Gerontology. 2012;33(1). doi:10.1177/0733464812449903. Copy Citation Format: DOI Google…
  15. psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
    January 08, 2016 - Study Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Citation Text: Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. Copy Citation Forma…
  16. psnet.ahrq.gov/issue/drill-down-root-cause-analysis
    June 15, 2016 - Commentary Drill down with root cause analysis. Citation Text: McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  17. psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital
    November 16, 2022 - Commentary Implementing computerized physician order management at a community hospital. Citation Text: Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84. Copy Citation For…
  18. psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
    January 06, 2018 - Review Lost in translation: impact of language barriers on children's healthcare. Citation Text: Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
    June 10, 2020 - Study Health-care professionals' views about safety in maternity services: a qualitative study. Citation Text: Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11…
  20. psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics
    May 18, 2016 - Review Team training: implications for emergency and critical care pediatrics. Citation Text: Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3. Copy Citation …