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9661. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. | PSNet
      psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
      April 28, 2021 - Commentary Thinking in three's: changing surgical patient safety practices in the complex modern operating room. Citation Text: Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…

9662. Value of human factors to medication and patient safety in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
      December 01, 2010 - Study Value of human factors to medication and patient safety in the intensive care unit. Citation Text: Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2. Copy Citation …

9663. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201809.html
      January 01, 2019 - AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low Search All Impact Case Studies January 2019 Chicago’s NorthShore University Health System was on a mission to maintain low rates of catheter-associated urinary tract infections (CAUTI). Then NorthShore infection preventionist Mona …

9664. Identification and Prioritization of Health IT Patient Safety Measures. | PSNet
      psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
      September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …

9665. Mask shortage straps pharmacists who need them to keep medicines pure. | PSNet
      psnet.ahrq.gov/issue/mask-shortage-straps-pharmacists-who-need-them-keep-medicines-pure
      August 02, 2023 - Newspaper/Magazine Article Mask shortage straps pharmacists who need them to keep medicines pure. Citation Text: Mask shortage straps pharmacists who need them to keep medicines pure. Jewett C, Lupkin S. Health Shots. National Public Radio. March 20, 2020. Copy Citation …

9666. Missed nursing care: a concept analysis. | PSNet
      psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis
      January 19, 2022 - Commentary Missed nursing care: a concept analysis. Citation Text: Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009;65(7):1509-17. doi:10.1111/j.1365-2648.2009.05027.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

9667. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
      February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

9668. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. | PSNet
      psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
      May 13, 2020 - Book/Report Classic Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Citation Text: Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…

9669. The ongoing quality improvement journey: next stop, high reliability. | PSNet
      psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
      January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…

9670. Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet
      psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
      September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

9671. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. | PSNet
      psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
      March 18, 2019 - Commentary Patient safety is not elective: a debate at the NPSF Patient Safety Congress. Citation Text: McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429. …

9672. Failure mode and effects analysis: too little for too much? | PSNet
      psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
      November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

9673. Predicting the future—big data, machine learning, and clinical medicine. | PSNet
      psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine
      June 28, 2017 - Commentary Predicting the future—big data, machine learning, and clinical medicine. Citation Text: Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181. Copy Citation Format:…

9674. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
      July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

9675. Nursing and physician attire as possible source of nosocomial infections. | PSNet
      psnet.ahrq.gov/issue/nursing-and-physician-attire-possible-source-nosocomial-infections
      July 01, 2016 - Study Nursing and physician attire as possible source of nosocomial infections. Citation Text: Wiener-Well Y, Galuty M, Rudensky B, et al. Nursing and physician attire as possible source of nosocomial infections. Am J Infect Control. 2011;39(7):555-9. doi:10.1016/j.ajic.2010.12.016. …

9676. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet
      psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
      September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…

9677. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. | PSNet
      psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
      September 20, 2023 - Commentary Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Citation Text: Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5. Copy Citation Format: D…

9678. Intrathecal chemotherapy: potential for medication error. | PSNet
      psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
      February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

9679. Systematic review: effects of resident work hours on patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
      February 03, 2011 - Review Systematic review: effects of resident work hours on patient safety. Citation Text: Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857. Copy Citation Format: Google Sc…

9680. The 80-hour duty week: rationale, early attitudes, and future questions. | PSNet
      psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
      September 28, 2010 - Commentary The 80-hour duty week: rationale, early attitudes, and future questions. Citation Text: Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. Copy Citation Format: Google Scholar PubMe…