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321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33751/psn-pdf
     January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…

322. Enteral feeding misconnections: an update. | PSNet
     psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
     January 06, 2017 - Review Enteral feeding misconnections: an update. Citation Text: Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44846/psn-pdf
     August 31, 2016 - Making health care safer: protect patients from antibiotic resistance. August 31, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance Health care–associated infections (HAI) are a worldwide patient safety problem. This a…

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33700/psn-pdf
     October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD October 1, 2010 In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0 Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He…

325. Tubing misconnections: normalization of deviance. | PSNet
     psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
     December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

326. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital. | PSNet
     psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
     March 02, 2011 - Study Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital. Citation Text: Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training i…

327. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet
     psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
     September 15, 2021 - Commentary Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Citation Text: Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…

328. Sources of nurse-sensitive inpatient safety improvement. | PSNet
     psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
     July 07, 2021 - Study Sources of nurse-sensitive inpatient safety improvement. Citation Text: Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. Copy Citation Format: DOI Google Scholar BibTeX EndN…

329. The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet
     psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient
     March 20, 2024 - Study The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. Citation Text: Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…

330. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. | PSNet
     psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
     December 12, 2018 - Commentary Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. Citation Text: Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. Copy Citation …

331. ALERT: reports of severe harm after intravenous administration of breast milk to infants. | PSNet
     psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
     May 02, 2018 - Newspaper/Magazine Article ALERT: reports of severe harm after intravenous administration of breast milk to infants. Citation Text: ALERT: reports of severe harm after intravenous administration of breast milk to infants. ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.   …

332. Preventing infections: how Portland hospitals compare. | PSNet
     psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare
     June 08, 2011 - Newspaper/Magazine Article Preventing infections: how Portland hospitals compare. Citation Text: Preventing infections: how Portland hospitals compare. Rojas-Burke J. The Oregonian. May 8, 2010. Copy Citation Save Save to your library Print Download P…

333. Patient and Family Engagement in Long Term Care | PSNet
     psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
     April 10, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient and Family Engagement in Long Term Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, C…

334. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. | PSNet
     psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
     March 23, 2022 - Study Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Citation Text: Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…

335. Hidden Heparins: HIT Happens | PSNet
     psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
     March 27, 2024 - SPOTLIGHT CASE Hidden Heparins: HIT Happens Citation Text: Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3…

336. Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. | PSNet
     psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm
     October 19, 2016 - Toolkit Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Citation Text: Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016. Copy Citation Save Save …

337. Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. | PSNet
     psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
     May 28, 2014 - Book/Report Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. Citation Text: Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…

338. Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections. | PSNet
     psnet.ahrq.gov/issue/stay-connected-faqs-about-small-bore-connectors-and-tubing-misconnections
     March 12, 2016 - Book/Report Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections. Citation Text: Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections. Arlington, VA: Association for the Advancement of Medical Instrumentation; October 2013. Copy Citatio…

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44355/psn-pdf
     September 02, 2015 - Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. September 2, 2015 Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420. https://psnet.ahrq.gov/…

340. Ebola: Are We Ready? | PSNet
     psnet.ahrq.gov/web-mm/ebola-are-we-ready
     July 01, 2012 - Ebola: Are We Ready? Citation Text: Barsuk JH, Barnard C. Ebola: Are We Ready?. 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 EndNote 7 XML Endnote tagge…