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  1. psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
    May 06, 2009 - Commentary Designing a strategy to promote safe, innovative off-label use of medications. Citation Text: Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261. Copy Citation Format…
  2. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
    June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
    January 01, 2018 - Emergency Department Workflow Diagrams Emergency Department Workflow Diagrams Ambulatory patient arrives. Provider assigns patient to self and evaluates patient. Diagnostic testing including labwork and chest x-ray. Diagnosis CAP? Pursue other diagnoses. Inpatient treatment warranted? Based on clin…
  4. psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
    January 12, 2022 - Study Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. Citation Text: Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…
  5. psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
    November 04, 2020 - Commentary Tubing safety in the obstetric setting: preventing medication errors. Citation Text: Broussard BS. Tubing safety in the obstetric setting: preventing medication errors. Nurs Womens Health. 2009;13(2):155-158. doi:10.1111/j.1751-486X.2009.01407.x. Copy Citation Format: …
  6. psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
    February 02, 2022 - Commentary Smart pumps: implications for nurse leaders. Citation Text: Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  7. psnet.ahrq.gov/issue/standardizing-hand-processes
    June 03, 2020 - Commentary Standardizing hand-off processes. Citation Text: Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  8. psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…
  9. psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
    September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
    May 03, 2017 - Commentary Physician Quality Officer: a new model for engaging physicians in quality improvement. Citation Text: Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/10628…
  11. psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
    April 11, 2018 - Newspaper/Magazine Article My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Citation Text: My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. Henigson J. Washington Post. March 26, 2021. …
  12. psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …
  13. psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
    August 17, 2005 - Study Three Australian whistleblowing sagas: lessons for internal and external regulation. Citation Text: Faunce TA, Bolsin SNC. Three Australian whistleblowing sagas: lessons for internal and external regulation. Med J Aust. 2004;181(1):44-7. Copy Citation Format: Google …
  14. psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
    August 29, 2011 - Commentary Improving operating room and perioperative safety: background and specific recommendations. Citation Text: Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - Study Eight-year experience with a neurosurgical checklist. Citation Text: Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
  16. psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
    March 28, 2011 - Review Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Citation Text: Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…
  17. psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
    July 29, 2020 - Newspaper/Magazine Article Costly issues of an uncommunicative OR. Citation Text: Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  18. psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
    December 23, 2008 - Book/Report Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement. Citation Text: Clinical Uncertainty In Primary Care. Springer New York; 2013. doi:10.1007/978-1-4614-6812-7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …
  19. psnet.ahrq.gov/issue/safety-hospital-stroke-care
    December 02, 2020 - Study The safety of hospital stroke care. Citation Text: Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  20. psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment
    April 27, 2011 - July 6, 2011 How to avoid falling victim to a hospital mistake.