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  1. psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
    September 29, 2010 - Study Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. Citation Text: Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…
  2. psnet.ahrq.gov/issue/transition-traditional-code-team-medical-emergency-team-and-categorization-cardiopulmonary
    January 06, 2017 - Study Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. Citation Text: Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency team and categorization of …
  3. psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
    January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…
  4. psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
    September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…
  5. psnet.ahrq.gov/issue/utilization-pharmacy-technicians-increase-accuracy-patient-medication-histories-obtained
    October 08, 2014 - Study Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. Citation Text: Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtaine…
  6. psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
    January 12, 2022 - Study Using simulation to identify sources of medical diagnostic error in child physical abuse. Citation Text: Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…
  7. psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
    October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…
  8. psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information
    June 23, 2009 - Study Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. Citation Text: Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure throug…
  9. psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
    September 23, 2020 - Review Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. Citation Text: Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12. Copy Citation Format: Google Sc…
  10. psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
    December 20, 2017 - Study Management of anesthesia equipment failure: a simulation-based resident skill assessment. Citation Text: Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…
  11. psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems-systematic-review
    July 30, 2014 - Review Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Citation Text: Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. …
  12. psnet.ahrq.gov/issue/popi-pediatrics-omission-prescriptions-and-inappropriate-prescriptions-development-tool
    June 30, 2011 - Study POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. Citation Text: Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): deve…
  13. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/index.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relationships Measures Atlas Developed? 2. What Is a Clinical-Community Relationship? 3. Wh…
  14. psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
    January 16, 2010 - Study Patient safety culture transformation in a children's hospital: an interprofessional approach. Citation Text: Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…
  15. psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
    June 13, 2015 - Study Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. Citation Text: Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient…
  16. psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
    November 21, 2014 - Study Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. Citation Text: Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…
  17. psnet.ahrq.gov/issue/computerized-clinical-decision-support-medication-prescribing-and-utilization-pediatrics
    July 16, 2015 - Study Computerized clinical decision support for medication prescribing and utilization in pediatrics. Citation Text: Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…
  18. psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
    March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…
  19. psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
    February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …
  20. psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital
    April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …