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241. Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. | PSNet
     psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
     December 16, 2020 - Special or Theme Issue Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Citation Text: Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…

242. Surgical site verification: A through Z. | PSNet
     psnet.ahrq.gov/issue/surgical-site-verification-through-z
     October 26, 2022 - Commentary Surgical site verification: A through Z. Citation Text: Dunn D. Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

243. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. | PSNet
     psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
     November 03, 2021 - Study A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Citation Text: Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5. Copy Citation Format: …

244. Why nurses make medication errors: a simulation study. | PSNet
     psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
     March 02, 2011 - Study Why nurses make medication errors: a simulation study. Citation Text: Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

245. 2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet
     psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
     January 28, 2015 - Press Release/Announcement 2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: 2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. January 27, 2014. Copy Citation Save Save to you…

246. Implementing a rapid response team: a practical guide. | PSNet
     psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
     July 14, 2010 - Commentary Implementing a rapid response team: a practical guide. Citation Text: Implementing a rapid response team: a practical guide. Garretson S; Dip HE; Rauzi MB. Copy Citation Save Save to your library Print Download PDF Share Facebo…

247. The importance of simulation: preventing hand-off mistakes. | PSNet
     psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
     May 20, 2009 - Commentary The importance of simulation: preventing hand-off mistakes. Citation Text: Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

248. Leading a Culture of Safety: a Blueprint for Success. | PSNet
     psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
     August 20, 2018 - Book/Report Leading a Culture of Safety: a Blueprint for Success. Citation Text: Leading a Culture of Safety: a Blueprint for Success. Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. Copy Citation …

249. Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. | PSNet
     psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
     May 06, 2016 - Book/Report Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Citation Text: Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932. Copy…

250. Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. | PSNet
     psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
     March 28, 2018 - Special or Theme Issue Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Citation Text: Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…

251. Rethinking Patient Safety. | PSNet
     psnet.ahrq.gov/issue/rethinking-patient-safety
     April 13, 2018 - Book/Report Rethinking Patient Safety. Citation Text: Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

252. C2 Prioritization Worksheet Example (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
     June 02, 2025 - C2 Prioritization Worksheet Example AHRQ Quality Indicators Toolkit Prepared by RAND and UHC for AHRQ Tool C.1 Volume of Cases at Risk Cost of Single Event Total Cost Cost To Implement Penalties and Incentives Proxies for Cost Strategic Alignment External Mandates Public Perception Executive- Lev…

253. Have you M.E.T. the future of better patient safety? | PSNet
     psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
     November 13, 2024 - Newspaper/Magazine Article Have you M.E.T. the future of better patient safety? Citation Text: Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. Copy Citation Format: Google Scholar PubMed…

254. Reduction in Medication Use after Bariatric Surgery (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/bariatric-surgery_research.pdf
     June 01, 2010 - Reduction in Medication Use after Bariatric Surgery The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ‘s Effective Health Care Program. It is a collaborative network of research centers that support the rapid development of new scientific information and analytic to…

255. Taking up the challenge to improve name and role recognition in the operating room. | PSNet
     psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
     July 12, 2023 - Review Taking up the challenge to improve name and role recognition in the operating room. Citation Text: Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…

256. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet
     psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
     January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

257. Rolling out the rapid response team. | PSNet
     psnet.ahrq.gov/issue/rolling-out-rapid-response-team
     November 11, 2020 - Commentary Rolling out the rapid response team. Citation Text: Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f. Copy Citation Format: DOI Google Scholar BibTe…

258. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. | PSNet
     psnet.ahrq.gov/issue/schwartz-center-rounds-evaluation-interdisciplinary-approach-enhancing-patient-centered
     October 14, 2020 - Study The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. Citation Text: Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-ce…

259. Awareness of human factors in the operating theatres during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
     October 27, 2021 - Study Awareness of human factors in the operating theatres during the COVID-19 pandemic. Citation Text: Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858. …

260. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. | PSNet
     psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
     October 19, 2022 - Study Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. Citation Text: Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. Copy Citation Forma…