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5261. 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 …

5262. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
      November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …

5263. Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
      October 01, 2014 - Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture Search All Impact Case Studies May 2007 The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety Culture as an anonymous, Web-based initiative to assess staff attitudes and beliefs about patient…

5264. Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
      March 05, 2010 - Study Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. Citation Text: Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-sectional analysi…

5265. Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
      January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…

5266. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet
      psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality
      August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

5267. Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
      August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Project Description Improving patient engagement in physical therapy (PT) through remote therapeutic monit…

5268. Pictograms, units and dosing tools, and parent medication errors: a randomized study. | PSNet
      psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
      December 14, 2016 - Study Pictograms, units and dosing tools, and parent medication errors: a randomized study. Citation Text: Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3…

5269. Patient-mediated interventions to improve professional practice. | PSNet
      psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
      April 25, 2016 - Review Emerging Classic Patient-mediated interventions to improve professional practice. Citation Text: Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…

5270. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. | PSNet
      psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
      September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…

5271. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. | PSNet
      psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
      March 10, 2019 - Study Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Citation Text: Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …

5272. Quality of handoffs in community pharmacies. | PSNet
      psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
      May 11, 2016 - Study Quality of handoffs in community pharmacies. Citation Text: Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

5273. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
      January 31, 2024 - Study Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Citation Text: Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…

5274. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
      psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
      May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

5275. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet
      psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
      October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

5276. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impmaterials.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Implementation Materials: Self-Assessment Worksheet for Pressure Ulcer Prevention Three implementation documents are used to help the nursing home change team integrate the pressure ulcer prevention reports they choose to use into day-…

5277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866691/psn-pdf
      September 11, 2024 - Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. September 11, 2024 Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records with large language models (LLM): e…

5278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61110/psn-pdf
      November 11, 2020 - Association between parent comfort with English and adverse events among hospitalized children. November 11, 2020 Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.1001/jamapediatrics.2020.3215.…

5279. E-collection: Safety and Error Prevention in Health. | PSNet
      psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
      June 24, 2020 - Journal Article E-collection: Safety and Error Prevention in Health. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 3, 2017 The increasing implementation of health informati…

5280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866353/psn-pdf
      July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan…