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6221. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. | PSNet
      psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology
      August 11, 2021 - Study Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. Citation Text: Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…

6222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73874/psn-pdf
      September 29, 2021 - The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis September 29, 2021 Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…

6223. Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. | PSNet
      psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
      April 07, 2021 - Study Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. Citation Text: Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…

6224. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
      January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

6225. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet
      psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
      June 01, 2022 - Study Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. Citation Text: De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…

6226. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
      May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…

6227. Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet
      psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
      April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

6228. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. | PSNet
      psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
      October 27, 2021 - Commentary Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Citation Text: Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…

6229. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
      September 01, 2015 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Previous Page Next Page Table of Contents Preventing CAUTI in the ICU Setting: Facilitator’s Guide Introduction Module 1: Overview Module 2: Urinary Catheter Maintenance Module 3: Conversations Around Device Necessity Mo…

6230. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
      June 01, 2021 - PowerPoint Presentation Tracking and Measuring Antibiotic Use Data Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Tracking and Measuring 1 Objectives Learn how to collect and track antibiotic use in the long-term care setting Become familiar with forms for mon…

6231. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. | PSNet
      psnet.ahrq.gov/issue/empowering-frontline-nurses-structured-intervention-enables-nurses-improve-medication
      March 13, 2012 - Study Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Citation Text: Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accur…

6232. Building a program of expanded peer support for the entire health care team: no one left behind. | PSNet
      psnet.ahrq.gov/issue/building-program-expanded-peer-support-entire-health-care-team-no-one-left-behind
      May 26, 2021 - Study Building a program of expanded peer support for the entire health care team: no one left behind. Citation Text: Klatt TE, Sachs JF, Huang C-C, et al. Building a program of expanded peer support for the entire health care team: no one left behind. Jt Comm J Qual Patient Saf. 2021;4…

6233. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
      May 15, 2024 - Study Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Citation Text: Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…

6234. Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet
      psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
      October 31, 2023 - Commentary Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. Citation Text: Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…

6235. Using Lean to improve medication administration safety: in search of the "perfect dose." | PSNet
      psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
      September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

6236. Real World PC CDS: Patient-Centered CDS for Postpartum Hypertension Monitoring | CDSiC
      cdsic.ahrq.gov/cdsic/patient-centered-cds-postpartum-hypertension-monitor
      September 28, 2022 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

6237. Strategy 3: Nurse Bedside Shift Report (Tool 1) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
      June 02, 2025 - Strategy 3: Nurse Bedside Shift Report (Tool 1) (Brochure Back) You are invited You are invited to take part in nurse bedside shift report. You can also invite a family member or friend to take part with you. Nurse bedside shift report happens every day between [7 and 7:30 a.m.] and [7 and 7:30 p.m.]. Let us know if y…

6238. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet
      psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
      May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

6239. Warm Handoffs: A Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-guide-for-clinicians.pdf
      June 02, 2025 - Warm Handoffs: A Guide for Clinicians Why is it important? Communication breakdowns can result in medical errors. Warm handoffs can help address communication issues and: ■ Engage patients and families and encourage them to ask questions. ■ Allow patients to clarify or correct the information exchanged. ■…

6240. Warm Handoffs: A Guide for Staff (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-guide-for-staff.pdf
      June 02, 2025 - Warm Handoffs: A Guide for Staff Why is it important? Warm handoffs can: ■ Engage patients and families as team members. ■ Allow patients to clarify or correct the information exchanged. ■ Build relationships. ■ Provide a safety check. Guide to Patient and Family Engagement in Primary Care How do I conduc…