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9341. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. | PSNet
      psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
      March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…

9342. Nurses' clinical reasoning: processes and practices of medication safety. | PSNet
      psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
      June 15, 2012 - Study Nurses' clinical reasoning: processes and practices of medication safety. Citation Text: Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448. Copy Citation Format: …

9343. Bar coding for patient safety. | PSNet
      psnet.ahrq.gov/issue/bar-coding-patient-safety
      February 12, 2020 - Commentary Bar coding for patient safety. Citation Text: Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

9344. 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…

9345. 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…

9346. Office-based anesthesia: safety and outcomes. | PSNet
      psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
      February 18, 2019 - Review Office-based anesthesia: safety and outcomes. Citation Text: Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-285. doi:10.1213/ane.0000000000000313. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

9347. Normalization of deviance is contrary to the principles of high reliability. | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
      June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

9348. Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? | PSNet
      psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
      November 18, 2020 - Newspaper/Magazine Article Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? Citation Text: Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …

9349. Checklists improve experts' diagnostic decisions. | PSNet
      psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
      February 06, 2014 - Study Checklists improve experts' diagnostic decisions. Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

9350. Reducing medication prescribing errors in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/reducing-medication-prescribing-errors-teaching-hospital
      August 02, 2010 - Study Reducing medication prescribing errors in a teaching hospital. Citation Text: Garbutt J, Milligan PE, McNaughton C, et al. Reducing medication prescribing errors in a teaching hospital. Jt Comm J Qual Patient Saf. 2008;34(9):528-536. Copy Citation Format: Google Sch…

9351. Addressing medication errors - the role of undergraduate nurse education. | PSNet
      psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
      October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…

9352. Interdisciplinary communication in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
      April 18, 2011 - Study Interdisciplinary communication in the intensive care unit. Citation Text: Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

9353. Otolaryngologists' responses to errors and adverse events. | PSNet
      psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
      October 27, 2010 - Study Otolaryngologists' responses to errors and adverse events. Citation Text: Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

9354. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. | PSNet
      psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
      October 27, 2010 - Study Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Citation Text: Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:…

9355. Are you listening...Are you really listening? | PSNet
      psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
      December 04, 2016 - Commentary Are you listening...Are you really listening? Citation Text: Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52. Copy Citation Format: DOI Google Scholar BibTeX En…

9356. 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…

9357. Barbers of civility. | PSNet
      psnet.ahrq.gov/issue/barbers-civility
      October 07, 2015 - Commentary Barbers of civility. Citation Text: Klein AS, Forni PM. Barbers of civility. Arch Surg. 2011;146(7):774-7. doi:10.1001/archsurg.2011.150. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

9358. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? | PSNet
      psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
      March 19, 2019 - Commentary Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? Citation Text: Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care sa…

9359. Poor medication history plus slow symptom onset delays a diagnosis. | PSNet
      psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
      October 12, 2022 - Commentary Poor medication history plus slow symptom onset delays a diagnosis. Citation Text: Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41. Copy Citation Save Save to your l…

9360. Losing the moment: understanding interruptions to nurses' work. | PSNet
      psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
      September 19, 2012 - Study Losing the moment: understanding interruptions to nurses' work. Citation Text: Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162. Copy Citation Format: DOI …