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3221. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet
      psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
      February 04, 2009 - Commentary OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Citation Text: Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…

3222. Reading on Evaluation Recommended | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/assess/recommended-reading.html
      May 01, 2019 - Reading on Evaluation Recommended There are dozens of textbooks on evaluation research, and many textbooks on specific research methods you could use to assess a comparative quality reporting effort. This page offers a select list of references that are particularly useful and relevant. General Evaluation Res…

3223. Job Aid: Introduction to Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
      June 02, 2025 - Job Aid: Introduction to Quality Improvement Primary Care Practice Facilitator Training Series 1 Job Aid: Introduction to Quality Improvement Quality Improvement (QI) Basics The QI Process You will be helping practices to:  Identify areas for improvement.  Set goals.  Develop a plan that…

3224. High-Performance Work Practices in CLABSI Prevention Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
      August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key Informants, All Sites Tabl…

3225. The organizational and intraorganizational development of disasters. | PSNet
      psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
      May 12, 2021 - Review Classic The organizational and intraorganizational development of disasters. Citation Text: Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. Copy Citation Format: …

3226. Addressing prehospital patient safety using the science of injury prevention and control. | PSNet
      psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
      April 12, 2019 - Commentary Addressing prehospital patient safety using the science of injury prevention and control. Citation Text: Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…

3227. Disclosure of patient safety incidents: a comprehensive review. | PSNet
      psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
      November 10, 2010 - Review Disclosure of patient safety incidents: a comprehensive review. Citation Text: O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042. Copy Citation Format: …

3228. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet
      psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
      January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…

3229. Wireless technologies and patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
      August 30, 2023 - Review Wireless technologies and patient safety in hospitals. Citation Text: Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

3230. The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet
      psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
      August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

3231. Motivational influences on anaesthetists' use of practice guidelines. | PSNet
      psnet.ahrq.gov/issue/motivational-influences-anaesthetists-use-practice-guidelines
      April 18, 2011 - Study Motivational influences on anaesthetists' use of practice guidelines. Citation Text: Phipps DL, Beatty PCW, Parker D, et al. Motivational influences on anaesthetists' use of practice guidelines. Br J Anaesth. 2009;102(6):768-74. doi:10.1093/bja/aep082. Copy Citation Format:…

3232. Communication errors in radiology—pitfalls and how to avoid them. | PSNet
      psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
      September 24, 2017 - Review Communication errors in radiology—pitfalls and how to avoid them. Citation Text: Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. Copy Citation Format: …

3233. Functional health literacy and understanding of medications at discharge. | PSNet
      psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
      April 24, 2018 - Study Functional health literacy and understanding of medications at discharge. Citation Text: Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. Copy Citation Format: …

3234. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet
      psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
      January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

3235. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. | PSNet
      psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
      July 19, 2023 - Commentary Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Citation Text: Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…

3236. Implementing a national strategy for patient safety: lessons from the National Health Service in England. | PSNet
      psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
      March 02, 2011 - Commentary Implementing a national strategy for patient safety: lessons from the National Health Service in England. Citation Text: Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…

3237. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. | PSNet
      psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
      April 22, 2016 - Newspaper/Magazine Article The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Citation Text: Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare…

3238. That's the way we do things around here! Your actions speak louder than words when it comes to patient safety. | PSNet
      psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient
      December 19, 2018 - Commentary That's the way we do things around here! Your actions speak louder than words when it comes to patient safety. Citation Text: Grissinger M. That's the Way We Do Things Around Here!: Your Actions Speak Louder Than Words When It Comes To Patient Safety. P T. 2014;39(5):308-44. …

3239. Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet
      psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
      April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…

3240. Leveraging consistent communication tools and organizational values to promote accountability among health care providers. | PSNet
      psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
      January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…