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9961. The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. | PSNet
      psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite
      April 13, 2011 - Study The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. Citation Text: Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…

9962. Non-emergency patient transport: what are the quality and safety issues? A systematic review. | PSNet
      psnet.ahrq.gov/issue/non-emergency-patient-transport-what-are-quality-and-safety-issues-systematic-review
      June 27, 2012 - Review Non-emergency patient transport: what are the quality and safety issues? A systematic review. Citation Text: Hains IM, Marks A, Georgiou A, et al. Non-emergency patient transport: what are the quality and safety issues? A systematic review. Int J Qual Health Care. 2011;23(1):68-75…

9963. Drug administration errors in an institution for individuals with intellectual disability: an observational study. | PSNet
      psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
      October 18, 2023 - Study Drug administration errors in an institution for individuals with intellectual disability: an observational study. Citation Text: van den Bemt PMLA, Robertz R, de Jong AL, et al. Drug administration errors in an institution for individuals with intellectual disability: an observa…

9964. Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. | PSNet
      psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
      May 05, 2021 - Study Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. Citation Text: Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…

9965. Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. | PSNet
      psnet.ahrq.gov/issue/preventing-parallel-pandemic-national-strategy-protect-clinicians-well-being
      January 23, 2019 - Commentary Classic Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. Citation Text: Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. N Engl J Med. 2020;383(6…

9966. Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet
      psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
      January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

9967. Patient safety education to change medical students' attitudes and sense of responsibility. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
      January 20, 2021 - Study Patient safety education to change medical students' attitudes and sense of responsibility. Citation Text: Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…

9968. Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. | PSNet
      psnet.ahrq.gov/issue/developing-and-testing-health-care-safety-hotline-prototype-consumer-reporting-system-patient
      October 26, 2016 - Book/Report Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. Citation Text: Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final R…

9969. Direct oral anticoagulants: a review of common medication errors. | PSNet
      psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
      January 12, 2022 - Review Emerging Classic Direct oral anticoagulants: a review of common medication errors. Citation Text: Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …

9970. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. | PSNet
      psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
      June 27, 2018 - Study Classic A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Citation Text: Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…

9971. Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. | PSNet
      psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
      June 08, 2011 - Book/Report Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. Citation Text: Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable …

9972. An infrastructure to provide safer, higher quality, and more equitable telehealth. | PSNet
      psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
      February 12, 2020 - Commentary An infrastructure to provide safer, higher quality, and more equitable telehealth. Citation Text: Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…

9973. 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
      November 30, 2016 - Book/Report 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Citation Text: 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healt…

9974. Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. | PSNet
      psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
      February 03, 2016 - Study Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. Citation Text: Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e83…

9975. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
      psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
      May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

9976. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
      June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary case conferences. Citation Text: Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…

9977. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
      January 01, 2020 - Framing and Premature Closure (1) • Framing may also influence diagnostic reasoning — Example: nurses … The representativeness heuristic: influence on nurses’ decision making.

9978. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - Policies that enhance these safety checks could prevent adverse events by engaging nurses, physicians … , 2011 View More See More About The Topic Hospitals Physicians Nurses

9979. The 2-Week Itch | PSNet
      psnet.ahrq.gov/web-mm/2-week-itch
      June 16, 2019 - Since mix-ups between Zyprexa and Zyrtec are potentially serious, nurses, medical staff (including psychiatrists … For instance, writing “Zyrtec (antihistamine)” will help pharmacists and nurses differentiate the medication … Pharmacists and nurses should write down and read back drug names.

9980. Departure From Central Line Ritual | PSNet
      psnet.ahrq.gov/web-mm/departure-central-line-ritual
      October 13, 2018 - safely be borrowed from the nursing staff—assuming that a culture of psychological safety exists so that nurses … Sedation-assisted orthopedic reduction in emergency medicine: the safety and success of a one physician/one nurse