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241. Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
     July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…

242. AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. | PSNet
     psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
     April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43121/psn-pdf
     April 16, 2014 - Implementing the Safety Thermometer tool in one NHS trust. April 16, 2014 Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. https://psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust This commentary details a National…

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40929/psn-pdf
     March 21, 2012 - Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. March 21, 2012 Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/1062860611414299. https://psnet.ahrq.gov/iss…

245. Communication Error in a Closed ICU | PSNet
     psnet.ahrq.gov/web-mm/communication-error-closed-icu
     July 01, 2016 - Communication Error in a Closed ICU Citation Text: Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

246. Tacit Handover, Overt Mishap | PSNet
     psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
     August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

247. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. | PSNet
     psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
     October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44629/psn-pdf
     December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals. December 9, 2015 Rockville, MD: Agency for Healthcare Research and Quality; October 2015. https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients. This toolkit was …

249. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet
     psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
     June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

250. Infection Control in the Intensive Care Unit. | PSNet
     psnet.ahrq.gov/issue/infection-control-intensive-care-unit
     May 27, 2011 - Special or Theme Issue Infection Control in the Intensive Care Unit. Citation Text: Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.   Copy Citation Save Save to your library Print Download PDF Share …

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42645/psn-pdf
     October 09, 2013 - Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. October 9, 2013 Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13-0071- EF. https://psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative This report pr…

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44518/psn-pdf
     January 22, 2016 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. January 22, 2016 Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retention and Transfer of Central Ven…

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43164/psn-pdf
     May 03, 2016 - Patient safety in the era of healthcare reform. May 3, 2016 Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6. https://psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform The publication of To Err Is Human spurred efforts to imp…

254. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867461
     January 31, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient and Family Engagement in Long Term Care Curated Library Foundations Long-term Care and Patient Safety Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024 A large and growing number of Americans require care in skilled nursin…

255. How safe is my intensive care unit? Methods for monitoring and measurement. | PSNet
     psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
     February 01, 2013 - Review How safe is my intensive care unit? Methods for monitoring and measurement. Citation Text: Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. Copy Citation For…

256. Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet
     psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
     July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation project. Citation Text: Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…

257. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study
     November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

258. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
     October 26, 2022 - Study Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Citation Text: Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…

259. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? | PSNet
     psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
     May 08, 2019 - Study How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? Citation Text: Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…

260. Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet
     psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
     October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. Citation Text: Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…