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401. Quality and safety practices among academic obstetrics and gynecology departments. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
     October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

402. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
     October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

403. The effects of harm events on 30-day readmission in surgical patients. | PSNet
     psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
     July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…

404. Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet
     psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
     September 08, 2021 - Study Safety climate associated with adverse events in nursing homes: a national VA study. Citation Text: Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…

405. Documenting the indication for antimicrobial prescribing: a scoping review. | PSNet
     psnet.ahrq.gov/issue/documenting-indication-antimicrobial-prescribing-scoping-review
     August 03, 2022 - Review Documenting the indication for antimicrobial prescribing: a scoping review. Citation Text: Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. Copy Citation …

406. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-287
     April 28, 2021 - April 14, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

407. Saved by ECMO | PSNet
     psnet.ahrq.gov/web-mm/saved-ecmo
     May 05, 2017 - Saved by ECMO Citation Text: Weiss NA. Saved by ECMO . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50787/psn-pdf
     January 08, 2020 - Q3 Health Innovation Partners. January 8, 2020 New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem Association of Pennsylvania. https://psnet.ahrq.gov/issue/q3-health-innovation-partners Local efforts that draw from the experience of its leaders serve an important role …

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42076/psn-pdf
     November 30, 2023 - National and State Healthcare-Associated Infections Progress Report. November 30, 2023 Atlanta, GA: Centers for Disease Control and Prevention; November 2023. https://psnet.ahrq.gov/issue/national-and-state-healthcare-associated-infections-progress-report This annual analysis explores rates of health care-associat…

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39738/psn-pdf
     June 10, 2018 - Preventing catheter/tubing misconnections: much needed help is on the way. June 10, 2018 ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. https://psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way This piece describes reports of tubing misconnections and discu…

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35893/psn-pdf
     May 03, 2006 - Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. May 3, 2006 Veterans Affairs; National Center for Patient Safety https://psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions This alert reports five instances of accidental infu…

412. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-313
     October 27, 2021 - October 13, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

413. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-315
     October 27, 2021 - October 27, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

414. Tackling tube misconnections. | PSNet
     psnet.ahrq.gov/issue/tackling-tube-misconnections
     August 17, 2016 - Newspaper/Magazine Article Tackling tube misconnections. Citation Text: Tackling tube misconnections. Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

415. Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. | PSNet
     psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united
     November 13, 2024 - Study Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Citation Text: Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39793/psn-pdf
     August 25, 2010 - Infection Control in the Intensive Care Unit. August 25, 2010 Crit Care Med. 2010;38:S265-S404.   https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit Articles in this special issue describe strategies to reduce infections in the intensive care unit, including human factors design, guideline use…

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37743/psn-pdf
     June 06, 2008 - Incidence and prevention of iatrogenic urethral injuries. June 6, 2008 Kashefi C, Messer K, Barden R, et al. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008;179(6):2254-7; discussion 2257-8. doi:10.1016/j.juro.2008.01.108. https://psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-ureth…

418. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
     psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
     May 17, 2018 - Study Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. Citation Text: Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…

419. Implementing standardized operating room briefings and debriefings at a large regional medical center. | PSNet
     psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
     January 03, 2017 - Study Implementing standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…

420. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet
     psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
     April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…