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7761. Nearing zero...reducing grade C medication errors. | PSNet
      psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
      October 05, 2022 - Commentary Nearing zero...reducing grade C medication errors. Citation Text: Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3. Copy Citation Format: DOI …

7762. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet
      psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
      February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

7763. High-reliability and the I-PASS communication tool. | PSNet
      psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
      June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. Citation Text: Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. Copy Citation Format: DOI Goo…

7764. A culture of safety in EMS systems. | PSNet
      psnet.ahrq.gov/issue/culture-safety-ems-systems-0
      February 18, 2011 - Organizational Policy/Guidelines A culture of safety in EMS systems. Citation Text: A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services.  Ann Emerg Med. 2021;78(3):e37-e57.  Copy Citation …

7765. Patient safety movement: history and future directions. | PSNet
      psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
      February 21, 2015 - Review Patient safety movement: history and future directions. Citation Text: Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. Copy Citation Format: DOI Google Scholar BibTe…

7766. The quality and safety track: training future physician leaders. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-track-training-future-physician-leaders
      March 28, 2018 - Commentary The quality and safety track: training future physician leaders. Citation Text: Vinci LM, Oyler J, Arora V. The Quality and Safety Track: Training Future Physician Leaders. Am J Med Qual. 2014;29(4):277-83. doi:10.1177/1062860613498264. Copy Citation Format: DOI …

7767. An innovative approach to the surgical time out: a patient-focused model. | PSNet
      psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
      July 10, 2008 - Commentary An innovative approach to the surgical time out: a patient-focused model. Citation Text: Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. Copy Citatio…

7768. Job Aid: Starting with a Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-starting-practice.pdf
      June 02, 2025 - Job Aid: Starting with a Practice Primary Care Practice Facilitator Training Series 1 Job Aid: Starting with a Practice Overview How you start with a practice can set the tone for your work with the practice. Do your homework and be well prepared for all of your meetings. Spend time getting to know…

7769. Three perspectives on changes in resident work environment and duty hours. | PSNet
      psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
      September 02, 2020 - Commentary Three perspectives on changes in resident work environment and duty hours. Citation Text: Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. Copy Citation S…

7770. HIPAA and patient care: the role for professional judgment. | PSNet
      psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
      June 22, 2022 - Commentary HIPAA and patient care: the role for professional judgment. Citation Text: Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

7771. Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
      November 16, 2022 - Commentary Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. Citation Text: Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…

7772. CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. | PSNet
      psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
      June 15, 2022 - Newspaper/Magazine Article CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. Citation Text: CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…

7773. Quality improvement and patient safety activities in academic departments of medicine. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
      July 02, 2014 - Study Quality improvement and patient safety activities in academic departments of medicine. Citation Text: Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…

7774. Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Bakdash (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-riverside-handoffs-webcast-bakdash.pdf
      January 01, 2022 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Bakdash AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and …

7775. Safety stop: a valuable addition to the pediatric universal protocol. | PSNet
      psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
      June 21, 2015 - Commentary Safety stop: a valuable addition to the pediatric universal protocol. Citation Text: Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015. …

7776. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
      June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science Introduction Previous Page Next Page Table of Contents Operational Measurement of Diagnostic Safety: State of the Science Introduction Special Considerations for Measurement of Diagnostic Safety Getting Ready for Measurement: O…

7777. Supervision, autonomy, and medical error in the teaching clinic. | PSNet
      psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
      November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

7778. 059-Nursing-Protocol-Nasal-Mupirocin (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/059-nursing-protocol-nasal-mupirocin.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Nursing Decolonization Protocol: Nasal Mupirocin ICU & Non-ICU Note: Mupirocin should generally be chosen over iodophor when possible. A recent study showed a mupirocin & chlorhexidine gluconate (CHG) decolonization strategy to be more effective at reducing Staphylococcus aureus …

7779. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet
      psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
      June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

7780. The lost art of doctoring: reflections of a pediatric resident. | PSNet
      psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
      November 21, 2021 - Commentary The lost art of doctoring: reflections of a pediatric resident. Citation Text: Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. Copy Citation Format: DOI Google Schola…