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  1. psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
    April 19, 2023 - Commentary Ward round template: enhancing patient safety on ward rounds. Citation Text: Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds. BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
    July 28, 2021 - Study Reducing surgical specimen errors through multidisciplinary quality improvement. Citation Text: Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. …
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
    April 01, 2022 - CAUTI Learning From Defects Tool Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) This worksheet is designed to be used near the bedside and is the shortened version of the CAUTI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happened,…
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
    April 01, 2022 - CLABSI Learning From Defects Tool Learn From Defects Tool Worksheet: Central Line-Associated Bloodstream Infection (CLABSI) This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…
  5. psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
    May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…
  6. psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
    April 24, 2018 - Commentary Transfer of accountability: transforming shift handover to enhance patient safety. Citation Text: Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. Copy Citation …
  7. psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
    February 13, 2019 - Study Reconcilable differences: correcting medication errors at hospital admission and discharge. Citation Text: Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. Copy C…
  8. psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
    February 09, 2022 - Commentary Health technology, quality and safety in a learning health system. Citation Text: Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383. Copy Citation Format: …
  9. psnet.ahrq.gov/issue/artificial-intelligence-and-healthcare-journey-through-history-present-innovations-and-future
    August 04, 2021 - Review Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. Citation Text: Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present innovations, and future possibilities. L…
  10. psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …
  11. psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
    June 08, 2022 - Review Diagnostic error in pediatrics: a narrative review. Citation Text: Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics. 2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d. Copy Citation Format: DOI Google…
  12. psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
    March 15, 2023 - Organizational Policy/Guidelines Optimizing Pediatric Patient Safety in the Emergency Care Setting. Citation Text: Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. …
  13. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
    April 21, 2021 - Commentary Emerging Classic Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. Citation Text: McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical pri…
  14. digital.ahrq.gov/principal-investigator/lacson-ronilda
    January 01, 2025 - Lacson, Ronilda Impact of a clinical decision support system on CT pulmonary angiography yield and utilization in hospitalized patients. Citation Sharma A, Isabelle M, Hunsaker A, Dutta S, Lucier D, Rosovsky RP, Saini S, Landman A, Raja AS, Khorasani R, Lacson R. Impact of a c…
  15. digital.ahrq.gov/care-setting/hospital-intensive-care-unit
    January 01, 2023 - Intensive Care Unit ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Description The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutili…
  16. psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
    July 01, 2020 - Commentary Classic Guilty, afraid, and alone — struggling with medical error. Citation Text: Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. Copy Citation Format: Google Scholar PubM…
  17. psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
    April 08, 2011 - Study Classic Surgical team behaviors and patient outcomes. Citation Text: Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
    May 11, 2019 - Commentary Improving safety and quality of care with enhanced teamwork through operating room briefings. Citation Text: Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
  19. psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
    March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
  20. psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
    August 12, 2020 - Study A professional development course improves unprofessional physician behavior. Citation Text: Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.…