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421. 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…

422. Measuring preventable harm: helping science keep pace with policy.   | PSNet
     psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
     December 29, 2014 - Commentary Measuring preventable harm: helping science keep pace with policy.   Citation Text: Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA. 2009;301(12):1273-5. doi:10.1001/jama.2009.388. Copy Citation Format: DOI Goo…

423. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. | PSNet
     psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
     August 25, 2015 - Study Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. Citation Text: Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms u…

424. Cardiac surgery errors: results from the UK National Reporting and Learning System. | PSNet
     psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system
     May 24, 2012 - Study Cardiac surgery errors: results from the UK National Reporting and Learning System. Citation Text: Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…

425. Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
     May 24, 2012 - Study Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. Citation Text: Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…

426. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
     July 31, 2013 - Commentary Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Citation Text: Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…

427. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet
     psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
     December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

428. 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…

429. Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet
     psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
     May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and the coordinated response. Citation Text: Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…

430. Simulation in the executive suite: lessons learned for building patient safety leadership. | PSNet
     psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
     July 21, 2017 - Study Simulation in the executive suite: lessons learned for building patient safety leadership. Citation Text: Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. Copy Cita…

431. 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 …

432. U.S. inaction lets look-alike tubes kill patients. | PSNet
     psnet.ahrq.gov/issue/us-inaction-lets-look-alike-tubes-kill-patients
     September 01, 2008 - Newspaper/Magazine Article U.S. inaction lets look-alike tubes kill patients. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 1, 2010 View more articles from the same aut…

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33864/psn-pdf
     January 01, 2019 - How Does Health Care Simulation Affect Patient Care? August 1, 2018 Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care Perspective Introduction Health care simulation programs have spread…

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41367/psn-pdf
     May 09, 2012 - Harm Free Care. May 9, 2012 National Health Service. https://psnet.ahrq.gov/issue/harm-free-care This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter- associated urinary tract infections, and vascular thrombotic events. https://psnet.ahrq.gov/issue/harm-free-care

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33664/psn-pdf
     March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA March 1, 2008 In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba Editor's note: Dr. Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service…

436. 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 …

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845658/psn-pdf
     June 08, 2023 - Simulation Articles of Influence. June 8, 2023 Society for Simulation in Healthcare. 2017-2023. https://psnet.ahrq.gov/issue/simulation-articles-influence Simulation can be used to reveal teamwork coordination gaps and latent factors that contribute to failure. This article collection has been curated by experts i…

438. 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 …

439. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet
     psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
     June 02, 2021 - Study Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? Citation Text: Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control program: are quality and patien…

440. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. | PSNet
     psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
     March 02, 2022 - Study Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. Citation Text: Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…