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6901. Creating a fellowship curriculum in patient safety and quality. | PSNet
      psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
      September 09, 2020 - Commentary Creating a fellowship curriculum in patient safety and quality. Citation Text: Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. Copy Citation Format: …

6902. Using clinical simulation to teach patient safety in an acute/critical care nursing course. | PSNet
      psnet.ahrq.gov/issue/using-clinical-simulation-teach-patient-safety-acutecritical-care-nursing-course
      July 13, 2022 - Commentary Using clinical simulation to teach patient safety in an acute/critical care nursing course. Citation Text: Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ. 2005;30(4):172-177. Copy Citation …

6903. Missed steps in the preanesthetic set-up. | PSNet
      psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
      June 26, 2019 - Study Missed steps in the preanesthetic set-up. Citation Text: DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

6904. Medication reconciliation in a rural trauma population. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
      April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…

6905. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
      January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. 5 AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ 6 Agency for Healthcare Research and Quality • AHRQ is: ► A research and sci…

6906. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
      December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan Workforce Safety Patricia McGaffigan, RN, MS, CPPS pmcgaffigan@ihi.org; @Pmcgaffigan_IHI mailto:pmcgaffigan@ihi.org Why Workforce Safety Matters Workforce safety is essential for safe, high- quality care and is preconditional to …

6907. Why a sociotechnical framework is necessary to address diagnostic error. | PSNet
      psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
      September 14, 2022 - Commentary Why a sociotechnical framework is necessary to address diagnostic error. Citation Text: Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231. Copy Citat…

6908. A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. | PSNet
      psnet.ahrq.gov/issue/multicentre-observational-study-evaluate-new-tool-assess-emergency-physicians-non-technical
      December 12, 2012 - Study A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. Citation Text: Flowerdew L, Gaunt A, Spedding J, et al. A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. Em…

6909. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet
      psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
      April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

6910. Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. | PSNet
      psnet.ahrq.gov/issue/nurse-interrupted-development-realistic-medication-administration-simulation-undergraduate
      September 27, 2016 - Commentary Nurse interrupted: development of a realistic medication administration simulation for undergraduate nurses. Citation Text: Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication administration simulation for undergraduate nurses. Nurse …

6911. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. | PSNet
      psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
      July 03, 2014 - Study Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Citation Text: FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…

6912. Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. | PSNet
      psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
      March 28, 2012 - Study Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. Citation Text: Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…

6913. Supervision, autonomy, and medical error in the teaching clinic. | PSNet
      psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
      November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

6914. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet
      psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
      June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

6915. Studying patient safety in health care organizations: accentuate the qualitative. | PSNet
      psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
      January 18, 2011 - Commentary Studying patient safety in health care organizations: accentuate the qualitative. Citation Text: Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. Copy Citation Format: …

6916. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. | PSNet
      psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
      November 25, 2020 - Commentary The perianesthesia nurse's role in the prevention of opioid-related sentinel events. Citation Text: Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. Copy Citat…

6917. Labeling solutions and medications in sterile procedural settings. | PSNet
      psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
      July 13, 2016 - Commentary Labeling solutions and medications in sterile procedural settings. Citation Text: Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82. Copy Citation Format: Google Scholar PubMed BibTeX End…

6918. Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet
      psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
      January 18, 2023 - Study Evaluating a handheld decision support device in pediatric intensive care settings. Citation Text: Evaluating a handheld decision support device in pediatric intensive care settings. Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. Copy Citation …

6919. Nurses' role in medical error recovery: an integrative review. | PSNet
      psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review
      September 28, 2005 - Review Nurses' role in medical error recovery: an integrative review. Citation Text: Gaffney TA, Hatcher BJ, Milligan R. Nurses' role in medical error recovery: an integrative review. J Clin Nurs. 2016;25(7-8):906-17. doi:10.1111/jocn.13126. Copy Citation Format: DOI Google…

6920. Measure twice, cut once. | PSNet
      psnet.ahrq.gov/issue/measure-twice-cut-once
      June 14, 2023 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…