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9821. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=27
      June 12, 2025 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…

9822. Fatal mistakes: why do ten-fold medication errors in children keep happening? | PSNet
      psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
      April 21, 2021 - Newspaper/Magazine Article Fatal mistakes: why do ten-fold medication errors in children keep happening? Citation Text: Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal.  April 22 2021. Copy Citation …

9823. Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet
      psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
      July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…

9824. 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…

9825. Design for reliability: barcoded medication administration. | PSNet
      psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
      July 21, 2021 - Newspaper/Magazine Article Design for reliability: barcoded medication administration. Citation Text: Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ. Copy Citation Save Save to your library Print Download PDF …

9826. Grantees Focusing on Hispanic and Latino Populations | Agency for Healthcare Research and Quality
      www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
      October 01, 2021 - Grantees Focusing on Hispanic and Latino Populations   Peter Yellowlees, M.D. “I have found it fascinating to see the way that almost all patients speak differently, using simpler phrases and less words, when using an interpreter. Their descriptions of clinical symptoms and histories is much ric…

9827. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. | PSNet
      psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
      August 16, 2023 - Study The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. Citation Text: Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …

9828. Toward the modelling of safety violations in healthcare systems. | PSNet
      psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
      May 01, 2024 - Commentary Toward the modelling of safety violations in healthcare systems. Citation Text: Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. Copy Citation Format: DOI Google Scholar…

9829. HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. | PSNet
      psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
      September 12, 2012 - Book/Report HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006. Copy Citation Save Save to your l…

9830. Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. | PSNet
      psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
      January 23, 2019 - Book/Report Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Citation Text: Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Newcast…

9831. The role for leaders of health care organizations in patient safety. | PSNet
      psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
      September 27, 2010 - Commentary The role for leaders of health care organizations in patient safety. Citation Text: Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8. Copy Citation Format: Google Scholar PubM…

9832. Improving patient safety: moving beyond the "hype" of medical errors. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-moving-beyond-hype-medical-errors
      December 22, 2010 - Commentary Improving patient safety: moving beyond the "hype" of medical errors. Citation Text: Forster AJ, Shojania KG, van Walraven C. Improving patient safety: moving beyond the "hype" of medical errors. CMAJ. 2005;173(8):893-4. Copy Citation Format: Google Scholar Pub…

9833. Safe use of opioids in hospitals. | PSNet
      psnet.ahrq.gov/issue/safe-use-opioids-hospitals
      February 28, 2018 - Sentinel Event Alerts Safe use of opioids in hospitals. Citation Text: Sentinel Event Alert. 2012;49:1-5. Copy Citation Format: BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library …

9834. Personal accountability in healthcare: searching for the right balance. | PSNet
      psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
      March 02, 2011 - Commentary Personal accountability in healthcare: searching for the right balance. Citation Text: Wachter R. Personal accountability in healthcare: searching for the right balance. BMJ Qual Saf. 2013;22(2):176-80. doi:10.1136/bmjqs-2012-001227. Copy Citation Format: DOI G…

9835. Guideline implementation: prevention of retained surgical items. | PSNet
      psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
      October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…

9836. Nurses' sleep, work hours, and patient care quality, and safety | PSNet
      psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety
      April 23, 2012 - Study Nurses' sleep, work hours, and patient care quality, and safety Citation Text: Nurses' sleep, work hours, and patient care quality, and safety Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320. Copy Citation Save Save to your library P…

9837. A practical tool to learn from defects in patient care. | PSNet
      psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
      September 28, 2010 - Commentary A practical tool to learn from defects in patient care. Citation Text: Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108. Copy Citation Format: Google Scholar …

9838. The iatrogenic-harm cost equation and new technology. | PSNet
      psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
      January 24, 2024 - Commentary The iatrogenic-harm cost equation and new technology. Citation Text: Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

9839. Physician communication when prescribing new medications. | PSNet
      psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
      December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…

9840. 2009 National Patient Safety Goals. | PSNet
      psnet.ahrq.gov/issue/2009-national-patient-safety-goals
      August 03, 2016 - Commentary 2009 National Patient Safety Goals. Citation Text: Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…