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5721. 038-What-Mrsa-Info-Sheet (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/038-what-mrsa-info-sheet.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Patient Handout: What Is MRSA? ICU & Non-ICU What Is Methicillin-Resistant Staphylococcus aureus (MRSA)? Staphylococcus aureus is a germ that lives on skin that can sometimes cause infections. Most strains of Staphylococcus aureus bacteria are easily treated using regular antibi…

5722. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. | PSNet
      psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information
      November 18, 2016 - Study Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. Citation Text: Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013…

5723. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet
      psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
      June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

5724. More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes. | PSNet
      psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors
      November 02, 2010 - Study More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes. Citation Text: Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to reduce drug preparation er…

5725. 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…

5726. Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? | PSNet
      psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
      September 09, 2015 - Study Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? Citation Text: Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…

5727. Nursing Home Learning Module Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/learning-modules/nh-learning-module-guide.pdf
      November 01, 2021 - Nursing Home Learning Module Guide Nursing Home Learning Module Guide • The Agency for Healthcare Research and Quality developed short learning modules for nursing home staff who provide direct care to or interact with residents and their families. These brief modules address issues many nursing homes are facing …

5728. The impact of health information management professionals on patient safety: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-health-information-management-professionals-patient-safety-systematic-review
      August 25, 2021 - Review The impact of health information management professionals on patient safety: a systematic review. Citation Text: Kemp T, Butler‐Henderson K, Allen P, et al. The impact of health information management professionals on patient safety: a systematic review. Health Info Libr J. 2021;3…

5729. Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet
      psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
      August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

5730. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. | PSNet
      psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
      September 21, 2008 - Study Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Citation Text: Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95.…

5731. Preoperative site marking: are we adhering to good surgical practice? | PSNet
      psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
      August 02, 2017 - Study Preoperative site marking: are we adhering to good surgical practice? Citation Text: Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. Copy Citation Format: DOI Google Scholar BibT…

5732. Accuracy of laboratory data communication on ICU daily rounds using an electronic health record. | PSNet
      psnet.ahrq.gov/issue/accuracy-laboratory-data-communication-icu-daily-rounds-using-electronic-health-record
      July 27, 2016 - Study Accuracy of laboratory data communication on ICU daily rounds using an electronic health record. Citation Text: Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:…

5733. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication3.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Methods Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…

5734. NICU Family Information Packet, Appendix B, Neurodevelopment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Neurodevelopment Neurodevelopment Risk Factors for Poor Neurodevelopmental Outcome ■ Developmental progress may be variable for motor and language skills. ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. ■ Peri- or intra…

5735. Using the rapid response system to provide better oversight of patient care processes. | PSNet
      psnet.ahrq.gov/issue/using-rapid-response-system-provide-better-oversight-patient-care-processes
      January 07, 2015 - Commentary Using the rapid response system to provide better oversight of patient care processes. Citation Text: Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645. …

5736. Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. | PSNet
      psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
      September 27, 2023 - Commentary Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. Citation Text: Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…

5737. Patient and Family Engagement in the Emergency Department | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-slides.html
      December 01, 2017 - Patient and Family Engagement in the Emergency Department Slide Presentation Slide 1 Patient and Family Engagement in the ED Sue Collier, RN, MSN, FABC Clinical Content Development Lead Health Research & Education Trust American Hospital Association Image: Photo of Sue Collier, RN. Slide 2 Le…

5738. Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. | PSNet
      psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
      November 16, 2022 - Study Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. Citation Text: Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American Pathologists Q-Probes Study of 41 333 …

5739. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. | PSNet
      psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew
      May 04, 2012 - Study An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Citation Text: France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices a…

5740. Dynamic pocket card for implementing ISBAR in shift handover communication. | PSNet
      psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
      July 10, 2024 - Study Dynamic pocket card for implementing ISBAR in shift handover communication. Citation Text: Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. …