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2861. Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. | PSNet
      psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
      January 15, 2014 - Study Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. Citation Text: Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…

2862. 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: …

2863. Joint Statement on Multiple Patients Per Ventilator. | PSNet
      psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
      May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…

2864. The road to zero preventable birth injuries. | PSNet
      psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
      January 05, 2012 - Commentary The road to zero preventable birth injuries. Citation Text: Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

2865. State sepsis mandates—a new era for regulation of hospital quality. | PSNet
      psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
      October 02, 2019 - Commentary State sepsis mandates—a new era for regulation of hospital quality. Citation Text: Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. Copy Citation Format: DOI…

2866. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. | PSNet
      psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
      February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…

2867. Committed to Safety: Ten Case Studies on Reducing Harm to Patients. | PSNet
      psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
      July 31, 2012 - Book/Report Committed to Safety: Ten Case Studies on Reducing Harm to Patients. Citation Text: Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. Copy Citation Save Save to you…

2868. What to do with healthcare incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
      November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…

2869. The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. | PSNet
      psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
      April 21, 2021 - Commentary The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. Citation Text: Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…

2870. Safety analysis over time: seven major changes to adverse event investigation. | PSNet
      psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
      September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…

2871. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet
      psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
      September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

2872. Physicians' Experiences Using Commercial E-Prescribing Systems | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
      January 01, 2023 - Physicians' Experiences Using Commercial E-Prescribing Systems Project Description Publications Project Details - Completed Contract Number 290-05-0007-1 Funding Mechanism(s) Health Information Technology Community Tracking …

2873. Sleep and alertness in a duty-hour flexibility trial in internal medicine. | PSNet
      psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
      March 13, 2019 - Study Emerging Classic Sleep and alertness in a duty-hour flexibility trial in internal medicine. Citation Text: Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …

2874. Hospital responses to the Leapfrog Group in local markets. | PSNet
      psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
      March 04, 2011 - Study Hospital responses to the Leapfrog Group in local markets. Citation Text: Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. Copy Citation Format: DOI Goog…

2875. A resident-led institutional patient safety and quality improvement process. | PSNet
      psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
      November 16, 2022 - Study A resident-led institutional patient safety and quality improvement process. Citation Text: Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387. Cop…

2876. HIPAA and patient care: the role for professional judgment. | PSNet
      psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
      June 22, 2022 - Commentary HIPAA and patient care: the role for professional judgment. Citation Text: Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

2877. Pushing the profession: how the news media turned patient safety into a priority. | PSNet
      psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safety-priority
      September 02, 2018 - Review Classic Pushing the profession: how the news media turned patient safety into a priority. Citation Text: Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf Health Care. 2002;11(1):57-63. Copy Citat…

2878. Appendix M. Endoscopy Infographic - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
      May 01, 2017 - Appendix M. Endoscopy Infographic - Implementation Guide Preventing Infections in Endoscopic Procedures More than 20 million gastrointestinal (GI) endoscopic procedures are performed annually in the United States. While rare, patients have acquired infections from these procedures due to: Poor…

2879. Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. | PSNet
      psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
      February 12, 2020 - Review Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. Citation Text: Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. Copy Citation …

2880. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. | PSNet
      psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
      December 18, 2013 - Study Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Citation Text: Collier A, Sorensen R, Iedema R. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Int J Qual…