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  1. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
    June 01, 2017 - Management Practices for Sustainability - Module 1: Overview Slide 1: Management Practices for Sustainability Module 1: Overview Slide 2: Ensuring Safety in Ambulatory Surgery Surgery volume in ambulatory surgery centers (ASCs) has increased rapidly 1 The complexity of procedures continues to increa…
  2. psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
    May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…
  3. psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends
    February 17, 2011 - Study Emerging Classic Trends in survival after in-hospital cardiac arrest during nights and weekends. Citation Text: Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…
  4. psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
    January 20, 2021 - Study Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Citation Text: Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
    January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Did You Know? Low tidal volume ventilation (LTVV) is one of the interventions specifically designed to prevent ventilator-associated conditions (VAC). For patients without acute respiratory distress syndrome (ARDS), target the recommended tidal volume of 6–8 mL/kg …
  6. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/quiz-key.html
    March 01, 2017 - Catheter Care and Maintenance Quiz Key AHRQ Safety Program for Long-Term Care: HAIs/CAUTI 1. During catheter care, gloves only need to be worn if you are emptying the urine drainage bag. ☐ True          ☒ False ANSWER: False. Gloves should always be worn when handling an indwelling urinary ca…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/catheter-care-quiz-key.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Catheter Care and Maintenance Quiz Key 1. During catheter care, gloves only need to be worn if you are emptying the urine drainage bag. ☐ True ☒ False ANSWER: False. Gloves should always be worn when handling an indwelling urinary catheter, accessing the drainage syst…
  8. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
  9. psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
    October 27, 2021 - Study Contribution of adverse events to death of hospitalised patients. Citation Text: Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377. Copy Citation Format…
  10. psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
    November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …
  11. psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
    September 07, 2022 - Study How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. Citation Text: Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…
  12. psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
    May 20, 2020 - Study Emerging Classic Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Citation Text: Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…
  13. psnet.ahrq.gov/issue/developing-high-value-care-programme-bottom-programme-faculty-resident-improvement-projects
    December 16, 2020 - Study Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. Citation Text: Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of…
  14. psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
    December 18, 2017 - Review Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. Citation Text: Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on me…
  15. psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
    September 08, 2021 - Study The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. Citation Text: Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on the occurrence o…
  16. psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
    August 24, 2016 - Study Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. Citation Text: Bergholtz J, Wolf A, Crine V, et al. Patient and public involvement in healthcare: a syst…
  17. psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory
    April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…
  18. psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
    October 01, 2014 - Commentary Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. Citation Text: Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
  19. psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
    June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…
  20. psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
    August 28, 2024 - Study Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…