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8501. Medical Error: What Do We Know? What Do We Do? | PSNet
      psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
      May 06, 2016 - Book/Report Classic Medical Error: What Do We Know? What Do We Do? Citation Text: Medical Error: What Do We Know? What Do We Do? Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002. Copy Citation Save Save to your libr…

8502. Patient safety issues in advanced practice nursing students' care settings. | PSNet
      psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
      April 10, 2013 - Study Patient safety issues in advanced practice nursing students' care settings. Citation Text: Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. Copy Citatio…

8503. Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. | PSNet
      psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
      October 19, 2022 - Press Release/Announcement Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Citation Text: Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022. C…

8504. Medication Safety for Look-alike, Sound-alike Medicines. | PSNet
      psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
      November 19, 2014 - Book/Report Medication Safety for Look-alike, Sound-alike Medicines. Citation Text: Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. Copy Citation …

8505. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet
      psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
      March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

8506. Part 5: Implementing the Care Model and Patient-Centered Medical Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/part-5.html
      February 01, 2022 - Primary Care Practice Facilitation Curriculum Part 5: Implementing the Care Model and Patient-Centered Medical Home Previous Page   Table of Contents Primary Care Practice Facilitation Curriculum Preface Introduction Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies P…

8507. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet
      psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
      February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …

8508. Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
      May 04, 2016 - Book/Report Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Citation Text: Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…

8509. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
      December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety …

8510. FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet
      psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
      June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

8511. Appendix 9: Back to Basics | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/appendix-9.html
      March 01, 2018 - Appendix 9: Back to Basics Tools for Reducing Central Line-Associated Blood Stream Infections These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, th…

8512. Digital Clinical Safety Strategy | PSNet
      psnet.ahrq.gov/issue/digital-clinical-safety-strategy
      March 01, 2023 - Book/Report Digital Clinical Safety Strategy Citation Text: Digital Clinical Safety Strategy NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021. Copy Citation Save Save to your library Print Download PDF Sha…

8513. Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
      March 19, 2014 - Book/Report Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Citation Text: Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Washington, DC: United States Government Accountability Off…

8514. Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. | PSNet
      psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
      May 02, 2018 - Newspaper/Magazine Article Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. Citation Text: Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. ISMP Medication Safety Alert! …

8515. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet
      psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
      April 27, 2022 - Newspaper/Magazine Article Nurses: Guilty verdict for dosing mistake could cost lives. Citation Text: Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022. Copy Citation Save Save to your library …

8516. Parents' perceptions of medical errors. | PSNet
      psnet.ahrq.gov/issue/parents-perceptions-medical-errors
      April 27, 2010 - Study Parents' perceptions of medical errors. Citation Text: Mazor KM, Goff SL, Dodd KS, et al. Parents' Perceptions of Medical Errors. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181ddfcd0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

8517. Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.pdf
      March 20, 2008 - Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx Present on Admission Indicators Today and Tomorrow Patrick W. Kennedy Administrator Office of Data Collection & Quality Assurance Agency for Health Care Administration Thursday, March 20, 2008 The History of POA in Florida • POA reporting ad…

8518. Quest for the ideal: a redesign of the medication use system. | PSNet
      psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
      September 16, 2020 - Commentary Quest for the ideal: a redesign of the medication use system. Citation Text: Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. Copy Citation Format: Google Scholar PubMed BibTeX En…

8519. Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. | PSNet
      psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
      July 29, 2015 - Government Resource Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Citation Text: Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …

8520. Patient self-medication--a change in hospital practice. | PSNet
      psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
      March 09, 2022 - Study Patient self-medication--a change in hospital practice. Citation Text: Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…