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9901. Serious medication errors from intravenous administration of nimodipine oral capsules. | PSNet
      psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
      March 01, 2010 - Government Resource Serious medication errors from intravenous administration of nimodipine oral capsules. Citation Text: Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA. Copy Citation …

9902. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Error in the Testing Process Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the …

9903. Appendix 1. Advantages of sharing “unblinded” performance data within a team, practice, or network* | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/app-1.html
      March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Appendix 1. Advantages of sharing “unblinded” performance data within a team, practice, or network* Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on …

9904. Strengthening the core. Middle managers play a vital role in improving safety. | PSNet
      psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
      April 25, 2016 - Newspaper/Magazine Article Strengthening the core. Middle managers play a vital role in improving safety. Citation Text: Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. Copy Citation Forma…

9905. Major Physician Measurement Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
      January 01, 2023 - Major Physician Measurement Sets Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …

9906. Hospital ‘black boxes’ put surgical practices under the microscope. | PSNet
      psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
      March 29, 2023 - Newspaper/Magazine Article Hospital ‘black boxes’ put surgical practices under the microscope. Citation Text: Hospital ‘black boxes’ put surgical practices under the microscope. Sadick B. Wall Street Journal. March 19, 2023. Copy Citation Save Save to your libra…

9907. The Influence and Use of Individual Patient Comments | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/understand/patient-comments.html
      February 01, 2016 - The Influence and Use of Individual Patient Comments Comments from individual patients are becoming an increasingly popular ingredient in reports on the performance of health plans and providers, particularly physicians. Its use is controversial because of its potential to unduly influence consumer decisions. …

9908. Medicare study finds teaching hospitals have higher risk of complications; findings disputed. | PSNet
      psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
      June 01, 2016 - Newspaper/Magazine Article Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Citation Text: Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Rau J. Washington Post. February 12, 2012:A03. Cop…

9909. "Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. | PSNet
      psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
      April 17, 2019 - Newspaper/Magazine Article "Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Citation Text: "Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Chisholm P. Health Shots. National Public Radio. February 27, 2019. Copy Cit…

9910. Supporting nurses as essential partners in diagnosis. | PSNet
      psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
      August 05, 2020 - Newspaper/Magazine Article Supporting nurses as essential partners in diagnosis. Citation Text: Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)  Copy Citation Save Save to your library Print Download PDF …

9911. Medical error, malpractice and complications: a moral geography. | PSNet
      psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
      August 20, 2018 - Commentary Medical error, malpractice and complications: a moral geography. Citation Text: Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum. 2010;22(2):145-57. doi:10.1007/s10730-010-9130-9. Copy Citation Format: DOI Google Scholar Pu…

9912. Mounting drug shortages delay treatments for patients with bladder cancer | PSNet
      psnet.ahrq.gov/issue/mounting-drug-shortages-delay-treatments-patients-bladder-cancer
      December 05, 2018 - Newspaper/Magazine Article Mounting drug shortages delay treatments for patients with bladder cancer Citation Text: Mounting drug shortages delay treatments for patients with bladder cancer Tirrell M, Taylor H. CNBC. November 27, 2019. Copy Citation Save Save to…

9913. Patient safety in the dialysis facility. | PSNet
      psnet.ahrq.gov/issue/patient-safety-dialysis-facility
      May 27, 2015 - Commentary Patient safety in the dialysis facility. Citation Text: Kliger AS. Patient safety in the dialysis facility. Blood Purif. 2006;24(1):19-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

9914. Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. | PSNet
      psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
      August 08, 2007 - Book/Report Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Citation Text: Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254. C…

9915. Using simulation to improve systems. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-systems-0
      July 22, 2020 - Review Using simulation to improve systems. Citation Text: Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

9916. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
      October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…

9917. Appendix 7. Central Venous Catheter-Associated Laboratory-Confirmed Blood Stream Infection Event Report Template for Defect Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/appendix-7.html
      March 01, 2018 - Appendix 7. Central Venous Catheter-Associated Laboratory-Confirmed Blood Stream Infection Event Report Template for Defect Analysis Tools for Reducing Central Line-Associated Blood Stream Infections These tools will help your unit implement evidence-based practices and eliminate central line-associated blood…

9918. ISMP Medication Safety Intensive. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-safety-intensive
      February 05, 2025 - International Meeting/Conference ISMP Medication Safety Intensive. Citation Text: ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). Copy Citation Save Save to your library Print Do…

9919. Half of hospitals in Conn., Del. hit by Medicare's safety penalties. | PSNet
      psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
      December 12, 2018 - Newspaper/Magazine Article Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Citation Text: Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018. Copy Citation Save Save to your library …

9920. Key Driver Diagram | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
      July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Key Driver Diagram Previous Page Next Page Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Successful quality impr…