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9381. Resident Physicians as Champions in Preventing Device-Associated Infections Pocket Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/pocketguide.html
      December 01, 2017 - Resident Physicians as Champions in Preventing Device-Associated Infections Pocket Guide PREVENT DEVICE-ASSOCIATED INFECTIONS: EVALUATE ALL DEVICES DAILY! Indwelling devices that HEAL may also HARM! Use them only when necessary. Ask: What is the Indication for the device? Can the device be DISCONTINUE…

9382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866903/psn-pdf
      October 09, 2024 - What does 'safe care' mean in the context of community- based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. October 9, 2024 Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in the context of community-based …

9383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46807/psn-pdf
      July 02, 2019 - Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. July 2, 2019 Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…

9384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43670/psn-pdf
      November 12, 2014 - Incidents resulting from staff leaving normal duties to attend medical emergency team calls. November 12, 2014 Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. https://psnet.ahrq.gov/issue/in…

9385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39777/psn-pdf
      November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…

9386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46435/psn-pdf
      August 20, 2018 - Patients' experiences with communication-and-resolution programs after medical injury. August 20, 2018 Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002. https://psnet.ahr…

9387. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
      July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…

9388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45608/psn-pdf
      October 27, 2016 - Errors, omissions, and outliers in hourly vital signs measurements in intensive care. October 27, 2016 Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. https://psnet.ahrq.gov/issue/errors-omissions…

9389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36013/psn-pdf
      September 22, 2010 - A new safety event reporting system improves physician reporting in the surgical intensive care unit. September 22, 2010 Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006;202(6):881-887. https://psnet.…

9390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47170/psn-pdf
      May 30, 2018 - Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. May 30, 2018 Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experience. J Patient Saf. 2018;14(2):87-9…

9391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46910/psn-pdf
      January 23, 2019 - Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. January 23, 2019 Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for i…

9392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45780/psn-pdf
      March 15, 2017 - Overdose risk in young children of women prescribed opioids. March 15, 2017 Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. https://psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-op…

9393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47452/psn-pdf
      December 27, 2018 - The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta- analysis. December 27, 2018 Schreiber PW, Sax H, Wolfensberger A, et al. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis. Infect Control Hosp Epidemiol…

9394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45739/psn-pdf
      July 02, 2017 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? July 2, 2017 Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703. …

9395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41317/psn-pdf
      January 31, 2013 - Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? January 31, 2013 Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…

9396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46700/psn-pdf
      November 19, 2018 - Promising practices for improving hospital patient safety culture. November 19, 2018 Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001. https://psnet.ahrq.gov/issue/promising-practices-improving-ho…

9397. Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section6.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Sustainability Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of P…

9398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73130/psn-pdf
      January 01, 2022 - Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals. April 14, 2021 Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness and reducing device-related compl…

9399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40978/psn-pdf
      March 21, 2012 - Relationship between patient safety and hospital surgical volume. March 21, 2012 Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. https://psnet.ahrq.gov/issue/relationship-betwee…

9400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837499/psn-pdf
      June 22, 2022 - Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. June 22, 2022 Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the m…