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9641. Developing a principle-based approach to safe medication practices. | PSNet
      psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
      March 29, 2023 - Commentary Developing a principle-based approach to safe medication practices. Citation Text: Developing a principle-based approach to safe medication practices. Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. Copy Citation Save Save to your library …

9642. Safety still compromised by computer weaknesses. | PSNet
      psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
      September 14, 2016 - Newspaper/Magazine Article Safety still compromised by computer weaknesses. Citation Text: Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3. Copy Citation Save Save to your library Prin…

9643. Preventing high-alert medication errors in hospital patients. | PSNet
      psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
      November 18, 2015 - Newspaper/Magazine Article Preventing high-alert medication errors in hospital patients. Citation Text: Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. Copy Citation Save Save to your library…

9644. Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. | PSNet
      psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
      March 17, 2011 - Book/Report Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Citation Text: Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Salt Lake City, UT: Utah Department of Health, HealthIn…

9645. Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. | PSNet
      psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
      August 29, 2017 - Book/Report Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Citation Text: Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…

9646. Integrating patient safety into curriculum. | PSNet
      psnet.ahrq.gov/issue/integrating-patient-safety-curriculum
      July 15, 2009 - Commentary Integrating patient safety into curriculum. Citation Text: Integrating patient safety into curriculum. Rapala K, Novak JC. Patient Safety Quality in Healthcare. March/April 2007. Copy Citation Save Save to your library Print Download PDF …

9647. Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Bakdash (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-teamstepps-webcast-bakdash.pdf
      January 01, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Bakdash AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ 5 Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-bas…

9648. A tragic death: a time to blame or a time to learn? | PSNet
      psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
      March 23, 2011 - Commentary A tragic death: a time to blame or a time to learn? Citation Text: Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

9649. Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS® | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
      October 01, 2014 - Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS® Search All Impact Case Studies December 2010 The University of Nebraska Medical Center (UNMC) customized the coaching strategies used in the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum fo…

9650. AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201414.html
      August 01, 2014 - AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts Search All Impact Case Studies August 2014 MedStar Washington Hospital Center, a 926-bed teaching and research hospital in Washington, D.C., has used AHRQ's Hospital Survey on Patient Safety Culture since…

9651. Patient safety and patient error. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-patient-error
      June 02, 2010 - Commentary Patient safety and patient error. Citation Text: Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

9652. Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. | PSNet
      psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
      April 08, 2020 - Government Resource Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. Citation Text: Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. U…

9653. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/case-studies/overview.html
      August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Overview Previous Page Next Page Table of Contents Case Studies of Exemplary Primary Care Practice Facilitation Training Programs Overview Training Program Summary: HealthTeamWorks’ Coach University Training Program…

9654. Radiologic errors and malpractice: a blurry distinction. | PSNet
      psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
      October 23, 2018 - Review Radiologic errors and malpractice: a blurry distinction. Citation Text: Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

9655. Legacy: a Black Physician Reckons with Racism in Medicine. | PSNet
      psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
      March 20, 2024 - Book/Report Legacy: a Black Physician Reckons with Racism in Medicine. Citation Text: Legacy: a Black Physician Reckons with Racism in Medicine. Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287. Copy Citation Save Save to your library Print …

9656. Major Physician Measurement Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
      January 01, 2023 - Major Physician Measurement Sets Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …

9657. Relationships among teams, culture, safety, and cost outcomes. | PSNet
      psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
      January 30, 2019 - Commentary Relationships among teams, culture, safety, and cost outcomes. Citation Text: Brewer BB. Relationships among teams, culture, safety, and cost outcomes. West J Nurs Res. 2006;28(6):641-53. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

9658. Medical error, malpractice and complications: a moral geography. | PSNet
      psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
      August 20, 2018 - Commentary Medical error, malpractice and complications: a moral geography. Citation Text: Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum. 2010;22(2):145-57. doi:10.1007/s10730-010-9130-9. Copy Citation Format: DOI Google Scholar Pu…

9659. Radiology reporting—where does the radiologist's duty end? | PSNet
      psnet.ahrq.gov/issue/radiology-reporting-where-does-radiologists-duty-end
      April 03, 2005 - Commentary Radiology reporting—where does the radiologist's duty end? Citation Text: Radiology reporting—where does the radiologist's duty end? Garvey CJ; Connolly S. Copy Citation Save Save to your library Print Download PDF Share Faceb…

9660. Small effort, big payoff...automated maximum dose alerts with hard stops. | PSNet
      psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
      June 10, 2018 - Newspaper/Magazine Article Small effort, big payoff...automated maximum dose alerts with hard stops. Citation Text: Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4. Copy Citation …