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9241. Joint Commission offers warnings, advice on adopting new health care IT systems. | PSNet
      psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
      September 12, 2016 - Newspaper/Magazine Article Joint Commission offers warnings, advice on adopting new health care IT systems. Citation Text: Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37. Copy Citation Fo…

9242. Reducing Adverse Drug Events Related to Opioids Implementation Guide. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
      January 26, 2022 - Toolkit Reducing Adverse Drug Events Related to Opioids Implementation Guide. Citation Text: Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. Copy Citation …

9243. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. | PSNet
      psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
      January 03, 2017 - Commentary Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Citation Text: Salas E, Wilson K, Murphy CE, et al. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-41. …

9244. Why your TeamSTEPPS program may not be working. | PSNet
      psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
      February 14, 2024 - Commentary Why your TeamSTEPPS program may not be working. Citation Text: Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

9245. Cultural diversity: what role does it play in patient safety? | PSNet
      psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
      June 15, 2011 - Commentary Cultural diversity: what role does it play in patient safety? Citation Text: Ardoin KB, Wilson KB. Cultural diversity: what role does it play in patient safety? Nurs Womens Health. 2010;14(4):322-6. doi:10.1111/j.1751-486X.2010.01563.x. Copy Citation Format: DO…

9246. Medication errors in anaesthesia and critical care. | PSNet
      psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
      January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

9247. Viewing health care delivery as science: challenges, benefits, and policy implications. | PSNet
      psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
      May 24, 2012 - Commentary Viewing health care delivery as science: challenges, benefits, and policy implications. Citation Text: Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…

9248. Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/materials/prevention/vaccine-trust.html
      July 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs Invest in Trust: A Guide for Building COVID-19 Vaccine Trust Among Certified Nursing Assistants (CNAs) is designed to help nursing home leaders build COVID-19 vaccine confidence among CNAs and overcome barr…

9249. Patient safety and quality in surgery. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
      August 26, 2011 - Commentary Patient safety and quality in surgery. Citation Text: McCafferty MH, Polk HC. Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

9250. Medicines-related harm in the elderly post-hospital discharge. | PSNet
      psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
      February 07, 2024 - Commentary Medicines-related harm in the elderly post-hospital discharge. Citation Text: Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. Copy Citation Save Save to your library …

9251. The challenges to transparency in reporting medical errors. | PSNet
      psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
      July 19, 2023 - Commentary The challenges to transparency in reporting medical errors. Citation Text: Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88. Copy Citation Format: …

9252. Surgical 'never events': how common are adverse occurrences? | PSNet
      psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
      November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

9253. The drive toward transparency: enhancing openness and accountability. | PSNet
      psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
      July 24, 2013 - Newspaper/Magazine Article The drive toward transparency: enhancing openness and accountability. Citation Text: Cohen SS. The drive toward transparency: enhancing openness and accountability. Healthcare executive. 2005;20(4):16-20. Copy Citation Format: Google Scholar PubMe…

9254. 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. …

9255. Philosophy of science and the diagnostic process. | PSNet
      psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
      April 24, 2018 - Commentary Philosophy of science and the diagnostic process. Citation Text: Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

9256. Roundtable on public policy affecting patient safety. | PSNet
      psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
      June 15, 2016 - Commentary Roundtable on public policy affecting patient safety. Citation Text: Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd. Copy Citation Format: DOI Google Scholar BibTeX EndN…

9257. Establishing a simulation center for surgical skills: what to do and how to do it. | PSNet
      psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
      January 18, 2012 - Meeting/Conference Proceedings Establishing a simulation center for surgical skills: what to do and how to do it. Citation Text: Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it. Copy Citation Format: …

9258. Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. | PSNet
      psnet.ahrq.gov/issue/intrapersonal-and-institutional-influences-overall-perception-radiation-safety-among
      September 27, 2023 - Study Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. Citation Text: Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. Moore QT, Walker DA, Frush DP, et…

9259. Omission of high-alert medications: a hidden danger. | PSNet
      psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
      January 11, 2017 - Newspaper/Magazine Article Omission of high-alert medications: a hidden danger. Citation Text: Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. Copy Citation Save Save to your libra…

9260. 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…