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9401. Effective approaches to control non-actionable alarms and alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
      January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…

9402. Medical errors, malpractice, and defensive medicine: an ill-fated triad. | PSNet
      psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-ill-fated-triad
      July 06, 2022 - Review Medical errors, malpractice, and defensive medicine: an ill-fated triad. Citation Text: Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. Copy Citation Format: DOI Google …

9403. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. | PSNet
      psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
      March 07, 2012 - Review The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Citation Text: Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…

9404. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. | PSNet
      psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
      May 09, 2014 - Commentary Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Citation Text: Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483. Copy…

9405. Patient safety strategies: a call for physician leadership. | PSNet
      psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
      January 13, 2021 - Commentary Patient safety strategies: a call for physician leadership. Citation Text: Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011. Copy Citation Format: DOI Google …

9406. Perioperative Staff Safety Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
      December 01, 2017 - Perioperative Staff Safety Assessment 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 risks in the…

9407. Implementation of patient safety initiatives in US hospitals. | PSNet
      psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
      December 12, 2014 - Commentary Implementation of patient safety initiatives in US hospitals. Citation Text: McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052. Copy Citation Format: …

9408. A systems approach to patient-centered care. | PSNet
      psnet.ahrq.gov/issue/systems-approach-patient-centered-care
      November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

9409. Patient safety: planting the seed. | PSNet
      psnet.ahrq.gov/issue/patient-safety-planting-seed
      February 09, 2011 - Commentary Patient safety: planting the seed. Citation Text: Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

9410. When public health goes wrong: toward a new concept of public health error. | PSNet
      psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
      September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

9411. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …

9412. Medication errors: immunisation.  | PSNet
      psnet.ahrq.gov/issue/medication-errors-immunisation
      December 02, 2020 - Commentary Medication errors: immunisation.  Citation Text: Bird S. Medication errors: immunisation. Aust Fam Physician. 2006;35(9):735-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citati…

9413. Appropriate use of medical interpreters. | PSNet
      psnet.ahrq.gov/issue/appropriate-use-medical-interpreters
      December 13, 2023 - Commentary Appropriate use of medical interpreters. Citation Text: Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9414. Attending work hour restrictions: is it time? | PSNet
      psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
      November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

9415. Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet
      psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
      May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…

9416. Measuring team performance in healthcare: review of research and implications for patient safety. | PSNet
      psnet.ahrq.gov/issue/measuring-team-performance-healthcare-review-research-and-implications-patient-safety
      November 20, 2019 - Review Measuring team performance in healthcare: review of research and implications for patient safety. Citation Text: Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.10…

9417. Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. | PSNet
      psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
      June 23, 2021 - Book/Report Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Citation Text: Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806 Copy Citati…

9418. National Prescription Drug Take Back Day. | PSNet
      psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
      May 20, 2020 - Press Release/Announcement National Prescription Drug Take Back Day. Citation Text: National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023. Copy Citation Save Save to your library Print Download PDF Share Fa…

9419. Exhibit 28. Count of missing values (with percentage) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiexh28.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 28. Count of missing values (with percentage) Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary …

9420. Exhibits 68 to 70 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 68 to 70 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …