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241. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
     psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
     May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …

242. 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…

243. Causes of near misses: perceptions of perioperative nurses. | PSNet
     psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
     October 07, 2020 - Study Causes of near misses: perceptions of perioperative nurses. Citation Text: Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

244. When should a leader apologize—and when not? | PSNet
     psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
     October 07, 2020 - Commentary When should a leader apologize—and when not? Citation Text: Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

245. Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter? | PSNet
     psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
     September 19, 2012 - Study Classic Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter? Citation Text: Smith SN, Reichert HA, Ameling JM, et al. Dissecting Leapfrog: How Well Do Leapfrog S…

246. The MacArthur Fellows Program: Peter Pronovost. | PSNet
     psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
     June 11, 2013 - Press Release/Announcement The MacArthur Fellows Program: Peter Pronovost. Citation Text: The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation. Copy Citation Save Save to your library Print Download PDF …

247. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet
     psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
     May 07, 2018 - Newspaper/Magazine Article Preventing catheter/tubing misconnections: much needed help is on the way. Citation Text: Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. Copy Citation …

248. Toolkit To Improve Safety for Mechanically Ventilated Patients. | PSNet
     psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
     October 01, 2024 - Toolkit Toolkit To Improve Safety for Mechanically Ventilated Patients. Citation Text: Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…

249. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. | PSNet
     psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
     January 09, 2024 - Toolkit Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. Citation Text: Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021. Copy Citation Format: Google Scholar BibTeX EndNote X…

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49657/psn-pdf
     July 01, 2012 - Not-So-Therapeutic Tap July 1, 2012 Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap Case Objectives Describe current issues with training clinicians to perform procedures. Understand how simulation can be used to ensure trainees are competent in proc…

251. Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-critical-care-big-challenge-exciting-opportunitylamelioration-de-la
     December 22, 2018 - Commentary Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. Citation Text: Dodek P. Improving patient safety in critical care: big challenge,…

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36528/psn-pdf
     January 20, 2010 - Creating high reliability in health care organizations. January 20, 2010 Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations High-reliabil…

253. 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 …

254. 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.…

255. 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 …

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49402/psn-pdf
     June 01, 2003 - Inappropriate Antibiotic Use June 1, 2003 Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use The Case A 41-year-old woman presented to the hospital with acute renal failure, which came to be diagnosed as a first presentation of s…

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43115/psn-pdf
     December 18, 2014 - Multistate point-prevalence survey of health care- associated infections. December 18, 2014 Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. https://psnet.ahrq.gov/issue/multistate-point…

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45080/psn-pdf
     February 15, 2017 - Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. February 15, 2017 Network WG for the CHECKLIST-ICUI and the BR in IC, Cavalcanti AB, Bozza FA, et al. Effect of a Quality Improvement Intervention With Daily Roun…

259. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. | PSNet
     psnet.ahrq.gov/issue/closing-gap-infection-prevention-staffing-recommendations-results-beta-version-apic-staffing
     December 20, 2023 - Study Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. Citation Text: Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC …

260. CVC Removal: A Procedure Like Any Other | PSNet
     psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
     October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…