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6961. Simulation-based training for patient safety: 10 principles that matter. | PSNet
      psnet.ahrq.gov/issue/simulation-based-training-patient-safety-10-principles-matter
      January 02, 2017 - Review Simulation-based training for patient safety: 10 principles that matter. Citation Text: Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6. Copy Citation Format: DOI Google…

6962. When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet
      psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
      March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

6963. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. | PSNet
      psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-health-equity
      September 12, 2018 - Book/Report The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Citation Text: The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; …

6964. Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet
      psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
      December 24, 2007 - Government Resource Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Citation Text: Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005. Copy Citation …

6965. Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. | PSNet
      psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
      May 06, 2015 - Special or Theme Issue Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Citation Text: Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  Copy Citation …

6966. Airway carts: a systems-based approach to airway safety. | PSNet
      psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
      July 21, 2010 - Study Airway carts: a systems-based approach to airway safety. Citation Text: Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

6967. Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet
      psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
      August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…

6968. Reducing Hospital Length of Stay Supplemental Info (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nom-length-stay-supplement.pdf
      June 27, 2019 - Reducing Hospital Length of Stay Supplemental Info Reducing Hospital Length of Stay: Topic Nomination from the LHS Panel Project June 27, 2019 1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evid…

6969. Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. | PSNet
      psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
      September 16, 2015 - Book/Report Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Citation Text: Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…

6970. Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. | PSNet
      psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
      June 27, 2018 - Book/Report Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Citation Text: Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. Copy Citation …

6971. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet
      psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
      November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

6972. Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). | PSNet
      psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
      January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…

6973. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet
      psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
      December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

6974. Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
      March 19, 2014 - Book/Report Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Citation Text: Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Washington, DC: United States Government Accountability Off…

6975. Management of a patient with a latex allergy. | PSNet
      psnet.ahrq.gov/issue/management-patient-latex-allergy
      June 21, 2017 - Commentary Management of a patient with a latex allergy. Citation Text: Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

6976. Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. | PSNet
      psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health-records-support-medication-reconciliation
      August 08, 2014 - Book/Report Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Citation Text: Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Heal…

6977. Fatality involving vinblastine overdose as a result of a complex medical error. | PSNet
      psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
      January 25, 2023 - Study Fatality involving vinblastine overdose as a result of a complex medical error. Citation Text: Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95. Copy Citation …

6978. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet
      psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
      June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

6979. Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
      August 07, 2013 - Commentary Human factors and systems engineering approach to patient safety for radiotherapy. Citation Text: Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177. Copy Citation …

6980. The frustrating case of incident-reporting systems. | PSNet
      psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
      June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…