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7441. Quality and safety in pediatric hematology/oncology. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
      May 03, 2017 - Review Quality and safety in pediatric hematology/oncology. Citation Text: Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

7442. Briefings, checklists, geese, and surgical safety. | PSNet
      psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
      August 02, 2015 - Commentary Briefings, checklists, geese, and surgical safety. Citation Text: Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

7443. Retained lumbar catheter tip. | PSNet
      psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
      June 07, 2017 - Commentary Retained lumbar catheter tip. Citation Text: DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

7444. High reliability: truly achieving healthcare quality and safety. | PSNet
      psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
      March 18, 2019 - Commentary High reliability: truly achieving healthcare quality and safety. Citation Text: Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

7445. Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. | PSNet
      psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
      May 18, 2022 - Newspaper/Magazine Article Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. Citation Text: Are you well positioned to resolve conflicts with the safety of an order? Learning…

7446. Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. | PSNet
      psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
      October 07, 2020 - Book/Report Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Citation Text: Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  …

7447. Doctors' unconscious bias affects quality of health care services, research shows. | PSNet
      psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
      October 21, 2020 - Audiovisual Doctors' unconscious bias affects quality of health care services, research shows. Citation Text: Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020. Copy Cita…

7448. Patient safety systems for case management. | PSNet
      psnet.ahrq.gov/issue/patient-safety-systems-case-management
      December 22, 2008 - Review Patient safety systems for case management. Citation Text: Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

7449. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet
      psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
      August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…

7450. Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitator-roadmap.pdf
      February 01, 2022 - Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement This implementation roadmap provides an overview of the steps a course facilitator should follow for implementing the TeamSTEPPS® for Diagnosis Improvement Course and the …

7451. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. | PSNet
      psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
      March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…

7452. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. | PSNet
      psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
      September 30, 2009 - Commentary Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Citation Text: Manthous CA. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Am J Med. 2004;116(3):188-93. Copy Citation Format: …

7453. Involuntary automaticity: a work-system induced risk to safe health care. | PSNet
      psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
      June 22, 2009 - Commentary Involuntary automaticity: a work-system induced risk to safe health care. Citation Text: Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6. Copy Citation Format: Google Sc…

7454. A review of educational philosophies as applied to radiation safety training at medical institutions. | PSNet
      psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
      May 31, 2017 - Commentary A review of educational philosophies as applied to radiation safety training at medical institutions. Citation Text: Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…

7455. Tool 5: Portfolio Design
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
      June 02, 2025 - Tool 5: Portfolio Design Tool 5: Portfolio Design Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital. Purpose: To facilitate the formulation of you…

7456. Losing the moment: understanding interruptions to nurses' work. | PSNet
      psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
      September 19, 2012 - Study Losing the moment: understanding interruptions to nurses' work. Citation Text: Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162. Copy Citation Format: DOI …

7457. Internally-developed online adverse drug reaction and medication error reporting systems. | PSNet
      psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
      July 12, 2010 - Commentary Internally-developed online adverse drug reaction and medication error reporting systems. Citation Text: Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.131…

7458. Defining the PCMH | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
      August 01, 2022 - Defining the PCMH The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community, the Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place…

7459. Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. | PSNet
      psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
      May 25, 2010 - Study Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. Citation Text: Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J P…

7460. HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0606.html
      October 01, 2014 - HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers Search All Impact Case Studies April 2006 HealthSouth, one of the nation's largest health care providers, implemented AHRQ's Hospital Survey on Patient Safety Culture in June 2005. Over 11,000 questionnaires were mailed to em…