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281. C1 Prioritization Worksheet (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
     June 02, 2025 - C1 Prioritization Worksheet Prioritization Worksheet Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Prioritization Worksheet Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange Own Rate and National Comparat…

282. From mindless to mindful practice—cognitive bias and clinical decision making. | PSNet
     psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
     November 23, 2016 - Commentary From mindless to mindful practice—cognitive bias and clinical decision making. Citation Text: Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712. Copy Citation Form…

283. Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. | PSNet
     psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
     August 01, 2012 - Meeting/Conference Proceedings Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Citation Text: Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Agency for Healthcare Research and Quality. July 25, 2024. Copy Citation Save …

284. The day Joy died. | PSNet
     psnet.ahrq.gov/issue/day-joy-died
     August 20, 2018 - Newspaper/Magazine Article The day Joy died. Citation Text: Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

285. Medical emergency team calls: the need to communicate a resuscitation plan. | PSNet
     psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
     November 26, 2014 - Commentary Medical emergency team calls: the need to communicate a resuscitation plan. Citation Text: MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1. Copy Citation Format: …

286. Attending work hour restrictions: is it time? | PSNet
     psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
     November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

287. Medical devices and patient safety. | PSNet
     psnet.ahrq.gov/issue/medical-devices-and-patient-safety
     February 22, 2012 - Commentary Medical devices and patient safety. Citation Text: Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

288. Disclosing unanticipated outcomes to patients: the art and practice. | PSNet
     psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
     July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …

289. Using simulation training to improve perioperative patient safety. | PSNet
     psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
     August 20, 2018 - Study Using simulation training to improve perioperative patient safety. Citation Text: Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J. 2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001. Copy Citation Format: DOI Google Scholar …

290. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
     May 05, 2008 - From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety Diane Valade, MS; A.B. Orlik; Ruth Mohr, RN, MPH, PhD; Vicky Debold, RN, PhD; …

291. Standardization and visualization of the surgical time-out. | PSNet
     psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
     November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

292. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
     August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…

293. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
     August 01, 2017 - Preventing Pressure Ulcers in Hospitals Section 7. Tools and Resources (continued) Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices…

294. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet
     psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
     February 15, 2023 - Organizational Policy/Guidelines Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…

295. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/surgeons-leadership-style-and-team-behavior-hybrid-operating-room-prospective-cohort-study
     August 31, 2022 - Study Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Citation Text: Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e…

296. Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet
     psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes
     May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

297. Patient safety and workplace bullying: an integrative review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
     March 11, 2020 - Review Patient safety and workplace bullying: an integrative review. Citation Text: Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209. Copy Citation Format: DOI Google S…

298. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet
     psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
     August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

299. Anticoagulation-associated adverse drug events. | PSNet
     psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
     July 26, 2023 - Study Anticoagulation-associated adverse drug events. Citation Text: Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

300. Bedside shift reports: what does the evidence say? | PSNet
     psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
     October 19, 2022 - Review Bedside shift reports: what does the evidence say? Citation Text: Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. Copy Citation Format: DOI Google Scholar PubMed B…