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5581. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? | PSNet
      psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell-us-about-teamwork
      January 23, 2012 - Study Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? Citation Text: Kalisch BJ. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? J Nurs Adm. 2009;39(11):485-93. doi:10.1097/NNA.0b013e318…

5582. Improving Hand-Off Communication. | PSNet
      psnet.ahrq.gov/issue/improving-hand-communication
      April 24, 2007 - Book/Report Classic Improving Hand-Off Communication. Citation Text: Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. Copy Citation Save Save to your library Print …

5583. Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. | PSNet
      psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
      September 01, 2018 - Special or Theme Issue Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Citation Text: Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…

5584. Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. | PSNet
      psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
      October 11, 2016 - Book/Report Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. Citation Text: Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. Copy Citation …

5585. Safety in Medication Use. | PSNet
      psnet.ahrq.gov/issue/safety-medication-use
      January 01, 2019 - Book/Report Safety in Medication Use. Citation Text: Safety in Medication Use. Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000. Copy Citation Save Save to your library Print Download PDF …

5586. Leading Health Care Transformation: A Primer for Clinical Leaders. | PSNet
      psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders
      April 12, 2017 - Book/Report Leading Health Care Transformation: A Primer for Clinical Leaders. Citation Text: Leading Health Care Transformation: A Primer for Clinical Leaders. Joshi M, Erb N, Zhang S, Sikka R. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498700184. Copy Citation Save …

5587. Out of the Crisis. | PSNet
      psnet.ahrq.gov/issue/out-crisis
      March 06, 2005 - Book/Report Classic Out of the Crisis. Citation Text: Out of the Crisis. Deming WE. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. ISBN: 9780911379013. Copy Citation Save Save to your li…

5588. Patient Safety: Investigating and Reporting Serious Clinical Incidents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
      November 10, 2017 - Book/Report Patient Safety: Investigating and Reporting Serious Clinical Incidents. Citation Text: Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169. Copy Citation Save Save to yo…

5589. NHS staff cried in safety interviews, says watchdog. | PSNet
      psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
      August 30, 2023 - Newspaper/Magazine Article NHS staff cried in safety interviews, says watchdog. Citation Text: NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023. Copy Citation Save Save to your library Print Download PDF Share…

5590. The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
      August 01, 2012 - Audiovisual Presentation The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Citation Text: The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…

5591. Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. | PSNet
      psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
      December 21, 2016 - Newspaper/Magazine Article Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Citation Text: Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Carbas…

5592. Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. | PSNet
      psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
      November 16, 2011 - Course Material/Curriculum Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Citation Text: Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.  Copy Citation …

5593. MRI suites: safety outside the bore. | PSNet
      psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
      April 28, 2021 - Commentary MRI suites: safety outside the bore. Citation Text: MRI suites: safety outside the bore. Gilk T. Patient Safety and Quality Healthcare. September/October 2006:1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…

5594. How Can Health Care Organizations Become More Health Literate?: Workshop Summary. | PSNet
      psnet.ahrq.gov/issue/how-can-health-care-organizations-become-more-health-literate-workshop-summary
      October 08, 2014 - Book/Report How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Citation Text: How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Pra…

5595. Harm to Healing - Partnering with Patients Who Have Been Harmed. | PSNet
      psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
      May 08, 2019 - Book/Report Harm to Healing - Partnering with Patients Who Have Been Harmed. Citation Text: Harm to Healing - Partnering with Patients Who Have Been Harmed. Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012. Copy Citation …

5596. National Action Alliance to Advance Patient and Workforce Safety Webinar Series. | PSNet
      psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series
      April 01, 2024 - Webinar National Action Alliance to Advance Patient and Workforce Safety Webinar Series. Citation Text: National Action Alliance to Advance Patient and Workforce Safety Webinar Series. US Department of Health and Human Services. 2023-2025.  Copy Citation Save …

5597. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet
      psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
      October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. Copy Citation Save Save to your library …

5598. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet
      psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
      September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…

5599. Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. | PSNet
      psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
      November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…

5600. Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. | PSNet
      psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
      May 17, 2023 - Book/Report Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Citation Text: Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. …