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4561. Family-centered rounds. | PSNet
      psnet.ahrq.gov/issue/family-centered-rounds
      April 24, 2018 - Commentary Family-centered rounds. Citation Text: Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4562. A piece of my mind. Changing the narrative. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
      December 13, 2023 - Commentary A piece of my mind. Changing the narrative. Citation Text: Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

4563. Getting to havarti: moving toward patient safety in obstetrics. | PSNet
      psnet.ahrq.gov/issue/getting-havarti-moving-toward-patient-safety-obstetrics
      October 19, 2022 - Commentary Getting to havarti: moving toward patient safety in obstetrics. Citation Text: Veltman LL. Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol. 2007;110(5):1146-1150. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

4564. High reliability: excellent care every time. | PSNet
      psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
      July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

4565. Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. | PSNet
      psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
      September 12, 2018 - Book/Report Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. Citation Text: Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …

4566. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
      January 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement The Practice Engagement Model Service Cabinets Created for Clinical Areas • Collaborative Data Analysis  Identification areas for improvement & indicators • Target Setting  Specific targets for CY 2013 • Collaborative Action Plannin…

4567. Becoming a high-reliability organization through shared learning of safety events | PSNet
      psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
      February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

4568. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet
      psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
      January 12, 2011 - Commentary TeamSTEPPS: assuring optimal teamwork in clinical settings. Citation Text: Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

4569. Safer Inter-Hospital Transfers by Improving Access to Health Information | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/safer-inter-hospital-transfers-improving-access-health
      January 01, 2023 - Safer Inter-Hospital Transfers by Improving Access to Health Information Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Using Digital Healthcare Tools to Improve Patient Safety An enhanced health information exchange platform that improves workflow, interoperability,…

4570. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
      June 02, 2025 - PowerPoint Presentation Use these PowerPoint slides for any presentations for which they may be useful. These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process. Modify as needed to suit your hospital – you may wish to delete sections of sl…

4571. Preventing vincristine administration errors: does evidence support minibag infusions? | PSNet
      psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
      January 01, 2008 - Commentary Preventing vincristine administration errors: does evidence support minibag infusions? Citation Text: Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …

4572. Concepts for the development of a customizable checklist for use by patients. | PSNet
      psnet.ahrq.gov/issue/concepts-development-customizable-checklist-use-patients
      June 04, 2014 - Commentary Concepts for the development of a customizable checklist for use by patients. Citation Text: Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.00000000000…

4573. Costly issues of an uncommunicative OR. | PSNet
      psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
      July 29, 2020 - Newspaper/Magazine Article Costly issues of an uncommunicative OR. Citation Text: Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

4574. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet
      psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
      August 30, 2017 - Study Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. Citation Text: Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…

4575. Non-technical skills in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/non-technical-skills-intensive-care-unit
      April 18, 2011 - Review Non-technical skills in the intensive care unit. Citation Text: Reader T, Flin R, Lauche K, et al. Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96(5):551-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

4576. Total systems safety supports practitioners in partnering with families to protect patients. | PSNet
      psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
      April 17, 2024 - Newspaper/Magazine Article Total systems safety supports practitioners in partnering with families to protect patients. Citation Text: Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. …

4577. System-related factors contributing to diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors
      January 11, 2023 - Review System-related factors contributing to diagnostic errors. Citation Text: Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004. Copy Citat…

4578. Health plan members' views about disclosure of medical errors. | PSNet
      psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
      November 15, 2011 - Study Classic Health plan members' views about disclosure of medical errors. Citation Text: Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18. Copy Citation Format: …

4579. Disclosing harmful medical errors to patients. | PSNet
      psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
      July 10, 2008 - Review Disclosing harmful medical errors to patients. Citation Text: Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

4580. Speaking up to reduce noise in the OR. | PSNet
      psnet.ahrq.gov/issue/speaking-reduce-noise-or
      July 26, 2023 - Commentary Speaking up to reduce noise in the OR. Citation Text: Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…