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7341. In Conversation With… Richard C. Boothman, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
      March 01, 2012 - In Conversation With… Richard C. Boothman, JD March 1, 2012  Also Read an Essay Citation Text: In Conversation With… Richard C. Boothman, JD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

7342. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please Teryl K. Nuckols, MD, MSHS | September 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Nuckols TK. Incident Reporting: More Attention to the …

7343. Application of lean thinking to health care: issues and observations. | PSNet
      psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
      May 28, 2015 - Commentary Application of lean thinking to health care: issues and observations. Citation Text: Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…

7344. Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. | PSNet
      psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
      October 04, 2006 - Study Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Citation Text: Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…

7345. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet
      psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
      May 03, 2018 - Commentary CMS changes in reimbursement for HAIs: setting a research agenda. Citation Text: Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. Copy Citation Format: …

7346. Driving improvement in patient care: lessons from Toyota. | PSNet
      psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
      September 24, 2016 - Study Classic Driving improvement in patient care: lessons from Toyota. Citation Text: Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. Copy Citation Format: Google Scholar …

7347. The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet
      psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
      September 14, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…

7348. The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
      November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…

7349. Rx for medication errors. | PSNet
      psnet.ahrq.gov/issue/rx-medication-errors
      July 19, 2023 - Newspaper/Magazine Article Rx for medication errors. Citation Text: Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8. Copy …

7350. FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
      July 01, 2020 - Newspaper/Magazine Article FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. Citation Text: FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. ISMP Medication Safety Alert! Acute care edition.&…

7351. Can your nurses stop a surgeon? | PSNet
      psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
      September 02, 2020 - Newspaper/Magazine Article Can your nurses stop a surgeon? Citation Text: Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7352. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. | PSNet
      psnet.ahrq.gov/issue/time-trends-pulmonary-embolism-united-states-evidence-overdiagnosis
      February 18, 2011 - Study Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Citation Text: Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Arch Intern Med. 2011;171(9):831-7. doi:10.1001/archinternmed.20…

7353. Surgeon-reported conflict with intensivists about postoperative goals of care. | PSNet
      psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
      September 26, 2012 - Study Surgeon-reported conflict with intensivists about postoperative goals of care. Citation Text: Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403. Co…

7354. Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. | PSNet
      psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
      January 15, 2014 - Study Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. Citation Text: Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…

7355. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
      July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

7356. A statewide voluntary patient safety initiative: the Georgia experience. | PSNet
      psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
      October 04, 2011 - Commentary A statewide voluntary patient safety initiative: the Georgia experience. Citation Text: Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72. Copy Citation Format: …

7357. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet
      psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
      September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

7358. Older adults' perceptions of feeling safe in urban and rural acute care. | PSNet
      psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urban-and-rural-acute-care
      October 17, 2018 - Study Older adults' perceptions of feeling safe in urban and rural acute care. Citation Text: Lasiter S, Duffy J. Older adults' perceptions of feeling safe in urban and rural acute care. J Nurs Adm. 2013;43(1):30-6. doi:10.1097/NNA.0b013e3182786013. Copy Citation Format: D…

7359. Applying trigger tools to detect adverse events associated with outpatient surgery. | PSNet
      psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
      November 10, 2015 - Study Applying trigger tools to detect adverse events associated with outpatient surgery. Citation Text: Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e3182…

7360. Analgesic prescribing errors and associated medication characteristics. | PSNet
      psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
      November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…