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  1. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5a.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide HSOPS Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Preface Methods Participation Outcomes Adult Non-ICUs Pediatric Un…
  2. www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-24.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships A-24. Measure 21: The effectiveness of communication between practice and community resource (GP-LI) Previous Page Next Page Table of Contents Potential Measures for Clinical-Community Relationships Acknowledgements Executive Summary Intr…
  3. psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
    February 10, 2021 - Press Release/Announcement FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. Citation Text: FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
  4. psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
    December 19, 2014 - Commentary There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Citation Text: Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…
  5. psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…
  6. psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
    July 28, 2021 - Newspaper/Magazine Article Heparin: improving treatment and reducing risk of harm. Citation Text: Heparin: improving treatment and reducing risk of harm. Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25. Copy Citation …
  7. psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
    July 30, 2014 - Commentary Creating a culture of safety by using checklists. Citation Text: Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  8. psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
    May 14, 2018 - Sentinel Event Alerts Safely implementing health information and converging technologies. Citation Text: Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  9. psnet.ahrq.gov/issue/relion-insulin-syringes-use-u-100-insulin-tyco-healthcare-covidien
    September 30, 2015 - Press Release/Announcement ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). Citation Text: ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 6, 2…
  10. psnet.ahrq.gov/issue/achieving-quality-improvement-nursing-home-influence-nursing-leadership-communication-and
    September 04, 2010 - Study Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork. Citation Text: Vogelsmeier A, Scott-Cawiezell J. Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork. J N…
  11. psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
    October 19, 2022 - Commentary Creating complex health improvement programs as mindful organizations: from theory to action. Citation Text: Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. Copy C…
  12. psnet.ahrq.gov/issue/improving-operating-room-safety
    May 17, 2023 - Study Improving operating room safety. Citation Text: Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-9493-3-25. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  13. digital.ahrq.gov/goal/knowledge-creation
    January 01, 2023 - Knowledge Creation Improving Healthcare Quality with User-Centric Patient Portals Description This project studied patient portals, their use in primary care, and the impact of use on chronic conditions, and identified opportunities to improve adoption of patient portals. …
  14. digital.ahrq.gov/ahrq-funded-projects/using-short-message-system-sms-improve-health-care-quality-and-outcomes-among/annual-summary/2010
    January 01, 2010 - Using Short Message System (SMS) to Improve Health Care Quality and Outcomes Among HIV-Positive Men - 2010 Project Name Using Short Message System (SMS) to Improve Health Care Quality and Outcomes Among HIV-Positive Men Principal Investigator Uhrig, Jennifer Organization RTI …
  15. psnet.ahrq.gov/issue/harms-promoting-zero-harm
    February 12, 2020 - Commentary Emerging Classic The harms of promoting 'Zero Harm'. Citation Text: Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-009703. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…
  16. psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
    September 24, 2017 - Commentary Managing the risks of concurrent surgeries. Citation Text: Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  17. psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
    October 19, 2022 - Study Standardizing hospital discharge planning at the Mayo Clinic. Citation Text: Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  18. psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
    June 15, 2011 - Commentary Cultural diversity: what role does it play in patient safety? Citation Text: Ardoin KB, Wilson KB. Cultural diversity: what role does it play in patient safety? Nurs Womens Health. 2010;14(4):322-6. doi:10.1111/j.1751-486X.2010.01563.x. Copy Citation Format: DO…
  19. psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
    August 21, 2024 - Review The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists? Citation Text: Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3…
  20. psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
    December 04, 2016 - Commentary Are you listening...Are you really listening? Citation Text: Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52. Copy Citation Format: DOI Google Scholar BibTeX En…