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  1. The leader's role in medical device safety. | PSNet

    psnet.ahrq.gov/issue/leaders-role-medical-device-safety
    August 14, 2017 - Newspaper/Magazine Article The leader's role in medical device safety. Citation Text: Federico F. The leader's role in medical device safety. Healthcare executives must ensure appropriate policies, procedures. Healthcare executive. 2013;28(3):82-5. Copy Citation Format: G…

  2. 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 …

  3. Safety for all: integrated design for inpatient units. | PSNet

    psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
    June 01, 2016 - Newspaper/Magazine Article Safety for all: integrated design for inpatient units. Citation Text: Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. Copy Citation Save Save to your library …

  4. Nontechnical skills in pediatric surgery: factors influencing operative performance. | PSNet

    psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance
    June 12, 2008 - Commentary Nontechnical skills in pediatric surgery: factors influencing operative performance. Citation Text: Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062. Copy C…

  5. 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…

  6. Maternal and Child Health Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-measures.html
    June 01, 2018 - Chartbook on Healthy Living Maternal and Child Health Care Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectiveness Measures Matern…

  7. Studying the technical work of emergency care. | PSNet

    psnet.ahrq.gov/issue/studying-technical-work-emergency-care
    September 29, 2010 - Commentary Studying the technical work of emergency care. Citation Text: Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  8. 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 …

  9. 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…

  10. Assessing medication safety in settings not designated solely for pediatric patients. | PSNet

    psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
    February 01, 2023 - Newspaper/Magazine Article Assessing medication safety in settings not designated solely for pediatric patients. Citation Text: Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…

  11. 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. …

  12. 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 …

  13. Medical error: the second victim. | PSNet

    psnet.ahrq.gov/issue/medical-error-second-victim-0
    February 17, 2017 - Commentary Medical error: the second victim. Citation Text: McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

  14. Internal Medicine | Digital Healthcare Research

    digital.ahrq.gov/type-care/internal-medicine
    January 01, 2023 - Internal Medicine Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions Description This research will use digital health tools leveraging patient-reported outcomes and data from electronic health records to engage individuals with multiple…

  15. Re-Engineered Discharge (RED) Toolkit. | PSNet

    psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
    June 20, 2014 - Toolkit Re-Engineered Discharge (RED) Toolkit. Citation Text: Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. Copy Citation …

  16. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet

    psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
    February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…

  17. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

    psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
    May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …

  18. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet

    psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

  19. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

    psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

  20. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet

    psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
    July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…
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