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9961. Medical malpractice claims by members of the uniformed services. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
      November 14, 2011 - Regulation Medical malpractice claims by members of the uniformed services. Citation Text: Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. Copy Cit…

9962. Nurses' experiences of drug administration errors. | PSNet
      psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
      October 14, 2020 - Study Nurses' experiences of drug administration errors. Citation Text: Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

9963. Building an ambulatory safety program at an academic health system. | PSNet
      psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
      April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

9964. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201709.html
      June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety Search All Impact Case Studies June 2017 St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…

9965. Daily Goals Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
      December 01, 2012 - Daily Goals Checklist CUSP Toolkit Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…

9966. Dailygoals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
      January 01, 2003 - Daily Goals Checklist Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …

9967. Improving Patient Safety in Long-Term Care Facilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Condition Module 3. Falls Prevention Append…

9968. Defining patient safety events in inpatient psychiatry. | PSNet
      psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
      January 30, 2019 - Study Defining patient safety events in inpatient psychiatry. Citation Text: Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520. Copy Citation Format: DOI Google Sc…

9969. Perception of feeling safe perioperatively: a concept analysis. | PSNet
      psnet.ahrq.gov/issue/perception-feeling-safe-perioperatively-concept-analysis
      December 21, 2022 - Review Perception of feeling safe perioperatively: a concept analysis. Citation Text: Larsson F, Strömbäck U, Rysst Gustafsson S, et al. Perception of feeling safe perioperatively: a concept analysis. Int J Qual Stud Health Well-being. 2023;18(1):2216018. doi:10.1080/17482631.2023.221601…

9970. Possible solutions for barriers in incident reporting by residents. | PSNet
      psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
      April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. Citation Text: Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x. Copy …

9971. Evidence summary and recommendations for improved communication during care transitions. | PSNet
      psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
      October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

9972. Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. | PSNet
      psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
      January 06, 2017 - Study Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. Citation Text: Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…

9973. Implementation of checklists in health care; learning from high-reliability organisations. | PSNet
      psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations
      May 04, 2010 - Study Implementation of checklists in health care; learning from high-reliability organisations. Citation Text: Thomassen Ø, Espeland A, Søfteland E, et al. Implementation of checklists in health care; learning from high-reliability organisations. Scand J Trauma Resusc Emerg Med. 2011;…

9974. Supplement to Evaluation Highlight No. 13 | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
      June 01, 2015 - Supplement to Evaluation Highlight No. 13 How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? June 2015 Evaluation Highlight No. 13 is the 13th in a series that presents descriptive and analytic findings from the national evaluation of the C…

9975. How do physicians conduct medication reviews? | PSNet
      psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
      September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…

9976. Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. | PSNet
      psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
      June 07, 2018 - Commentary Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. Citation Text: Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…

9977. Beyond the prescription: medication monitoring and adverse drug events in older adults. | PSNet
      psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
      August 04, 2021 - Commentary Beyond the prescription: medication monitoring and adverse drug events in older adults. Citation Text: Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…

9978. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. | PSNet
      psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
      March 25, 2015 - Study Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Citation Text: Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…

9979. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry
      October 06, 2011 - Study Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. Citation Text: Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…

9980. Identify the Audience for Your Healthcare Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/your-audience/index.html
      December 01, 2022 - Identify the Audience for Your Healthcare Quality Report Before doing anything else, you need to consider your audience: For whom are you creating this report? What do they want to know? What will they do with the information? First Priority: The Primary Audience The group you are trying to reach …