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6921. Identify the Audience for Your Healthcare Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/your-audience/index.html
      December 01, 2022 - Identify the Audience for Your Healthcare Quality Report Before doing anything else, you need to consider your audience: For whom are you creating this report? What do they want to know? What will they do with the information? First Priority: The Primary Audience The group you are trying to reach …

6922. Changes in prognosis after the first postoperative complication. | PSNet
      psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
      June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…

6923. Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. | PSNet
      psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
      June 15, 2011 - Commentary Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. Citation Text: Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…

6924. Person- and Family-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
      June 01, 2018 - Chartbook on Person- and Family-Centered Care Person- and Family-Centered Care Previous Page Next Page Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communicat…

6925. Causes of near misses in critical care of neonates and children. | PSNet
      psnet.ahrq.gov/issue/causes-near-misses-critical-care-neonates-and-children
      July 19, 2023 - Study Causes of near misses in critical care of neonates and children. Citation Text: Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x. Copy Citation Fo…

6926. Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. | PSNet
      psnet.ahrq.gov/issue/randomized-crossover-study-evaluating-effect-hand-sanitizer-dispenser-frequency-hand-hygiene
      November 09, 2015 - Study Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. Citation Text: Munoz-Price S, Patel Z, Banks S, et al. Randomized crossover study evaluating the effect of a hand saniti…

6927. “Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet
      psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
      September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…

6928. Managing alarm systems for quality and safety in the hospital setting. | PSNet
      psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
      August 13, 2014 - Review Managing alarm systems for quality and safety in the hospital setting. Citation Text: Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. Copy Citation Format: …

6929. Elopement: evidence-based mitigation and management. | PSNet
      psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
      October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…

6930. Patient safety and quality improvement: reducing risk of harm. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
      November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

6931. Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. | PSNet
      psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
      July 17, 2019 - Commentary Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Citation Text: Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …

6932. How do simulated error experiences impact attitudes related to error prevention? | PSNet
      psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
      October 19, 2022 - Study How do simulated error experiences impact attitudes related to error prevention? Citation Text: Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333. Copy Citation Format: …

6933. The relationship between early emergency team calls and serious adverse events. | PSNet
      psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
      June 02, 2010 - Study The relationship between early emergency team calls and serious adverse events. Citation Text: Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…

6934. Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. | PSNet
      psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
      January 02, 2017 - Commentary Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. Citation Text: Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…

6935. Overnight and postcall errors in medication orders. | PSNet
      psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
      May 18, 2022 - Study Overnight and postcall errors in medication orders. Citation Text: Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

6936. The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet
      psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
      November 16, 2022 - Study The use of patient pictures and verification screens to reduce computerized provider order entry errors. Citation Text: Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…

6937. Preventing-Cauti-Icu-Setting-Module 4-Speaker-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
      September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 4: Summary and Next Steps SAY: SLIDE 1 SAY: You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned that hos…

6938. S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. | PSNet
      psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
      November 30, 2022 - Commentary S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. Citation Text: Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…

6939. Patient safety in an interprofessional learning environment. | PSNet
      psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
      May 30, 2008 - Commentary Patient safety in an interprofessional learning environment. Citation Text: Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

6940. The effects of safety checklists in medicine: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effects-safety-checklists-medicine-systematic-review
      December 07, 2011 - Review The effects of safety checklists in medicine: a systematic review. Citation Text: Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207. Copy Citation …