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9221. SEIPS 101 and seven simple SEIPS tools. | PSNet
      psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
      October 03, 2013 - Commentary SEIPS 101 and seven simple SEIPS tools. Citation Text: Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

9222. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 3-A. Suggested Slides for Module 3 Previous Page 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 …

9223. Catheter-Associated Urinary Tract Infection (CAUTI) | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
      January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI) Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses…

9224. Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. | PSNet
      psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education
      February 17, 2011 - Commentary Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. Citation Text: Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. …

9225. Patient Safety Awareness Week 2024 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
      March 01, 2024 - Patient Safety Awareness Week 2024 As we celebrate Patient Safety Awareness Week 2024, the Agency for Healthcare Research and Quality (AHRQ) also marks its 35th anniversary. This milestone, under the banner "Today's Research, Tomorrow's Healthcare," highlights our dedication to transforming healthcare through…

9226. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet
      psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
      March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

9227. 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet
      psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
      May 19, 2021 - Commentary 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. Citation Text: Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…

9228. The role of error in organizing behaviour. | PSNet
      psnet.ahrq.gov/issue/role-error-organizing-behaviour
      April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

9229. Surgical site infection prevention: a review. | PSNet
      psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
      February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

9230. The future of safety and quality in radiation oncology. | PSNet
      psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
      May 17, 2023 - Commentary The future of safety and quality in radiation oncology. Citation Text: Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. Copy Citation Format: …

9231. Improving service systems for youth with serious emotional disorders and their families | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
      September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Improving service systems for youth with serious emotional disorders and their families Previous Page Next Page Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…

9232. Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202501.html
      January 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program Search All Impact Case Studies January 2025 Using AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of Clostridioides difficile (C. diff) infections in its…

9233. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. | PSNet
      psnet.ahrq.gov/issue/joint-commissions-new-and-revised-workplace-violence-prevention-standards-hospitals-major
      April 27, 2022 - Commentary The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. Citation Text: Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a majo…

9234. Therapeutic duplication on the general surgical wards. | PSNet
      psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
      December 22, 2021 - Study Therapeutic duplication on the general surgical wards. Citation Text: Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

9235. How informatics nurses use bar code technology to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
      August 04, 2021 - Commentary How informatics nurses use bar code technology to reduce medication errors. Citation Text: Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. Copy Citation Format:…

9236. Unrecognized cardiovascular emergencies among Medicare patients. | PSNet
      psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
      November 16, 2022 - Study Unrecognized cardiovascular emergencies among Medicare patients. Citation Text: Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628. Copy Citation Forma…

9237. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. | PSNet
      psnet.ahrq.gov/issue/cost-implications-acgmes-2011-changes-resident-duty-hours-and-training-environment
      August 05, 2015 - Study Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. Citation Text: Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s1160…

9238. Outcomes after out-of-hospital endotracheal intubation errors. | PSNet
      psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
      July 20, 2010 - Study Outcomes after out-of-hospital endotracheal intubation errors. Citation Text: Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. Copy Citation Format…

9239. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. | PSNet
      psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
      February 16, 2011 - Study Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. Citation Text: Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …

9240. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet
      psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
      August 02, 2011 - Study Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. Citation Text: Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…