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9141. Using contemporary leadership skills in medication safety programs. | PSNet
      psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medication-safety-programs
      October 31, 2017 - Commentary Using contemporary leadership skills in medication safety programs. Citation Text: Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338. Copy Citation Format: …

9142. Listen carefully: the risk of error in spoken medication orders. | PSNet
      psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
      November 16, 2022 - Study Listen carefully: the risk of error in spoken medication orders. Citation Text: Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042. Copy Citation Fo…

9143. Counting matters: lessons from the root cause analysis of a retained surgical item. | PSNet
      psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
      January 02, 2017 - Commentary Counting matters: lessons from the root cause analysis of a retained surgical item. Citation Text: Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574. Copy Citation Format: …

9144. Medically Induced Trauma Support Services (MITSS). | PSNet
      psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
      December 07, 2016 - Newspaper/Magazine Article Medically Induced Trauma Support Services (MITSS). Citation Text: Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013. Copy Citation Save Save to your library Print Do…

9145. Wrong-site sinus surgery in otolaryngology. | PSNet
      psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology
      July 30, 2014 - Study Wrong-site sinus surgery in otolaryngology. Citation Text: Shah RK, Nussenbaum B, Kienstra M, et al. Wrong-site sinus surgery in otolaryngology. Otolaryngol Head Neck Surg. 2010;143(1):37-41. doi:10.1016/j.otohns.2010.04.003. Copy Citation Format: DOI Google Scholar…

9146. A 62-year-old woman with skin cancer who experienced wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
      December 01, 2021 - Commentary Classic A 62-year-old woman with skin cancer who experienced wrong-site surgery. Citation Text: Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…

9147. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. | PSNet
      psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
      July 05, 2017 - Review Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Citation Text: Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;…

9148. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet
      psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
      November 15, 2023 - Study Audibility of patient clinical alarms to hospital nursing personnel. Citation Text: Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10. Copy Citation Format: Google Scholar PubMed Bib…

9149. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/programs/index.html?page=4
      Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More CAHPS The CAHPS program aims to advance our scientific …

9150. Strategy 2: Communicating to Improve Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy2/index.html
      December 01, 2017 - Strategy 2: Communicating to Improve Quality Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospit…

9151. Clinical Decision Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
      November 01, 2024 - Clinical Decision Support Clinical decision support provides timely information, usually at the point of care, to help inform decisions about a patient's care. Clinical decision support can effectively improve patient outcomes and lead to higher-quality health care. Clinical decision support (CDS) provides ti…

9152. Patient Safety Awareness Week 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
      December 01, 2024 - Patient Safety Awareness Week 2022 AHRQ and colleagues from the U.S. Department of Health and Human Services, the Health Resources and Services Administration, the Institute for Healthcare Improvement, and the entire patient safety community are collaborating to observe Patient Safety Awareness Week.  While AHR…

9153. Videos About Telementoring and COVID-19 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/multiple/project-echo/videos.html
      April 01, 2021 - Videos About Telementoring and COVID-19 AHRQ grantee and Project ECHO founder Dr. Sanjeev Arora, M.D., took part in an in-depth interview with AHRQ's Office of Communications as the COVID-19 pandemic continued to unfold. In these video clips, Dr. Arora describes AHRQ's contribution to this innovative model, h…

9154. Appendix B8: Unsafe Behavior Worksheet | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
      February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B8: Unsafe Behavior Worksheet Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview …

9155. Actions Based on Survey Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
      August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Actions Based on Survey Results Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study In…

9156. Off-Label Use of Atypical Antipsychotics in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/gurwitz.pdf
      January 01, 2014 - Off-Label Use of Atypical Antipsychotics in the Nursing Home Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Off-Label Use of Atypical Antipsychotics in the Nursing Home Description The prevalence of off-label use of atypi…

9157. A Family Passion for Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/model/profiles/mcmanus.html
      March 01, 2021 - A Family Passion for Primary Care "We grew up at the kitchen table talking about medicine," Mrs. Laurie McManus, registered nurse and practice manager at CP & RP McManus, MD, recalls. "Going into he alth care was very natural for us. You might say medicine runs through our blood." Laurie and her husband, Dr. Ch…

9158. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil1.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Chapter 1. Introduction This Guide for Developing a Community-Based Patient Safety Advisory Council is being made available to readers with the intent that it will provide information and guidance to empower individuals and organizations…

9159. Impact of Disparities and Lack of Equity on Patient Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role3.html
      September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Impact of Disparities and Lack of Equity on Patient Engagement Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design …

9160. Observational assessment of surgical teamwork: a feasibility study. | PSNet
      psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
      August 18, 2017 - Study Observational assessment of surgical teamwork: a feasibility study. Citation Text: Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83. Copy Citation Format: Google Scholar PubMed B…