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9441. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet
      psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
      August 12, 2020 - Newspaper/Magazine Article 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. Citation Text: 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…

9442. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. | PSNet
      psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
      October 19, 2011 - Study Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. Citation Text: Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. d…

9443. As college students return, a crisis in campus care awaits. | PSNet
      psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
      September 09, 2020 - Newspaper/Magazine Article As college students return, a crisis in campus care awaits. Citation Text: Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13. Copy Citation Format: Google Scholar Bi…

9444. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. | PSNet
      psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
      July 16, 2008 - Study Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Citation Text: Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:…

9445. Priorities for pediatric patient safety research. | PSNet
      psnet.ahrq.gov/issue/priorities-pediatric-patient-safety-research
      May 26, 2011 - Study Priorities for pediatric patient safety research. Citation Text: Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for Pediatric Patient Safety Research. Pediatrics. 2019;143(2). doi:10.1542/peds.2018-0496. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

9446. Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet
      psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
      November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

9447. Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet
      psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
      July 05, 2008 - Meeting/Conference Proceedings Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. Citation Text: Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…

9448. Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system. | PSNet
      psnet.ahrq.gov/issue/emergency-department-visits-outpatient-adverse-drug-events-demonstration-national
      February 14, 2017 - Study Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system. Citation Text: Budnitz DS, Pollock DA, Mendelsohn AB, et al. Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance …

9449. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet
      psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
      April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

9450. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet
      psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
      April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

9451. A multifaceted program for improving quality of care in intensive care units: IATROREF study. | PSNet
      psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
      April 12, 2011 - Study A multifaceted program for improving quality of care in intensive care units: IATROREF study. Citation Text: Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-7…

9452. A system analysis of a suboptimal surgical experience. | PSNet
      psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
      March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

9453. Care Coordination | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/care-coordination.html
      January 01, 2014 - Care Coordination Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs and preferences are known ahead of time a…

9454. Debriefing in the OR: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
      April 24, 2018 - Commentary Debriefing in the OR: a quality improvement project. Citation Text: Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. Copy Citation Format: DOI Google Scholar PubMed …

9455. Medication safety in the operating room: literature and expert-based recommendations. | PSNet
      psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
      October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…

9456. Artificial intelligence and surgical decision-making. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making
      September 11, 2019 - Review Classic Artificial intelligence and surgical decision-making. Citation Text: Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917. Copy Citation …

9457. Quality of Pediatric Hospital-to-Home Transitions Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/index.html
      July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Resources Pedia…

9458. 10 years in, why time out still matters. | PSNet
      psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
      November 08, 2013 - Commentary 10 years in, why time out still matters. Citation Text: Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

9459. Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. | PSNet
      psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
      August 04, 2021 - Study Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. Citation Text: Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience with the reporting…

9460. Pediatric patient safety in the prehospital/emergency department setting. | PSNet
      psnet.ahrq.gov/issue/pediatric-patient-safety-prehospitalemergency-department-setting
      June 21, 2010 - Review Pediatric patient safety in the prehospital/emergency department setting. Citation Text: Barata IA, Benjamin LS, Mace SE, et al. Pediatric patient safety in the prehospital/emergency department setting. Pediatr Emerg Care. 2007;23(6):412-8. Copy Citation Format: Go…