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8181. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-factsheet.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Did You Know? Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up to a 50 percent decrease in the incidence of gastric aspiration, a potential cause…

8182. Resident And Family Engagement: What is my role as a leader? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
      March 01, 2017 - Resident And Family Engagement: What is my role as a leader? AHRQ Safety Program for Long-Term Care: HAIs/CAUTI What is resident and family engagement? Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…

8183. Non–operating room anesthesia challenges. | PSNet
      psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
      November 28, 2018 - Newspaper/Magazine Article Non–operating room anesthesia challenges. Citation Text: Non–operating room anesthesia challenges. Smith MJ. Anesthesiology News. June 6, 2023. Copy Citation Save Save to your library Print Download PDF Share Face…

8184. Patient safety: break the silence. | PSNet
      psnet.ahrq.gov/issue/patient-safety-break-silence
      October 19, 2022 - Commentary Patient safety: break the silence. Citation Text: Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

8185. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
      November 18, 2016 - Commentary Medication errors and drug-dispensing systems in a hospital pharmacy. Citation Text: Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. Copy Citation For…

8186. Studying organisational cultures and their effects on safety. | PSNet
      psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
      April 20, 2014 - Commentary Studying organisational cultures and their effects on safety. Citation Text: Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

8187. The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. | PSNet
      psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
      March 06, 2005 - Newspaper/Magazine Article The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Citation Text: The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J. Copy Citatio…

8188. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet
      psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
      December 15, 2021 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Citation Text: New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…

8189. Beyond patient safety Flatland. | PSNet
      psnet.ahrq.gov/issue/beyond-patient-safety-flatland
      September 04, 2024 - Commentary Beyond patient safety Flatland. Citation Text: Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

8190. Radiology failure mode and effect analysis: what is it? | PSNet
      psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
      May 03, 2017 - Commentary Radiology failure mode and effect analysis: what is it? Citation Text: Abujudeh H, Kaewlai R. Radiology failure mode and effect analysis: what is it? Radiology. 2009;252(2):544-50. doi:10.1148/radiol.2522081954. Copy Citation Format: DOI Google Scholar PubMed Bi…

8191. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet
      psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
      August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …

8192. Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. | PSNet
      psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
      January 23, 2019 - Toolkit Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Citation Text: Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…

8193. Still Failing the Frail. | PSNet
      psnet.ahrq.gov/issue/still-failing-frail
      March 29, 2010 - Newspaper/Magazine Article Still Failing the Frail. Citation Text: Still Failing the Frail. Simmons-Ritchie D. Penn Live. November 15, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…

8194. Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. | PSNet
      psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
      May 11, 2014 - Study Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Citation Text: Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…

8195. ISMP's List of Confused Drug Names. | PSNet
      psnet.ahrq.gov/issue/ismps-list-confused-drug-names
      August 21, 2015 - Fact Sheet/FAQs Classic ISMP's List of Confused Drug Names. Citation Text: ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023. Copy Citation Save Save to your library Print Downlo…

8196. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. | PSNet
      psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
      April 22, 2016 - Newspaper/Magazine Article Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Citation Text: Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20. Copy Citation For…

8197. Promote a culture of safety with good catch reports. | PSNet
      psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
      November 06, 2015 - Newspaper/Magazine Article Promote a culture of safety with good catch reports. Citation Text: Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. Copy Citation Save Save to your librar…

8198. Quality Measurement | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/quality-measurement
      January 01, 2023 - Quality Measurement Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by…

8199. Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. | PSNet
      psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
      February 06, 2018 - Book/Report Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Citation Text: Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. Copy Citation Save Save to your library …

8200. Procedure Manual Appendix XIII. Template for Scoping the “Decision Problem” to Address Through Decision Modeling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xiii-template-scoping-decision-problem-address-through-decision-modeling
      July 01, 2017 - Procedure Manual Appendix XIII. Template for Scoping the “Decision Problem” to Address Through Decision Modeling Share to Facebook Share to X Share to WhatsApp Share to Email Print Date: Prepared by: Version: Rationale: A priori articu…