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7041. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
      June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…

7042. Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
      December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Slide Presentation Slide 1 Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing Slide 2 Learning Objectives Di…

7043. 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…

7044. Infection control hazards and near misses reported by nursing students. | PSNet
      psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
      February 11, 2009 - Study Infection control hazards and near misses reported by nursing students. Citation Text: Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001. Copy Cit…

7045. Lessons Learned From Implementation Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Lessons Learned From Implementation Challenges Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability L…

7046. Interruptions and medication administration in critical care. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
      December 08, 2021 - Review Interruptions and medication administration in critical care. Citation Text: Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. Copy Citation Format: DOI Google Scho…

7047. Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. | PSNet
      psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
      April 24, 2018 - Commentary Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. Citation Text: Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…

7048. Vol 6: Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/nutritn6tp.html
      April 01, 2018 - Vol 6: Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Analysis Structured Abstract Full Title: Nutritional Research Series: Advancing the Role of Evidence-based Reviews in Nutrition Research and Applications To facilitate a better …

7049. Patient safety: it's not just carefulness, it's a culture. | PSNet
      psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
      December 24, 2008 - Commentary Patient safety: it's not just carefulness, it's a culture. Citation Text: Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211-212. doi:10.1097/00129234-200409000-00001. Copy Citation Format: DOI Google Scho…

7050. Insights into the climate of safety towards the prevention of falls among hospital staff. | PSNet
      psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
      February 14, 2017 - Study Insights into the climate of safety towards the prevention of falls among hospital staff. Citation Text: Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…

7051. Citing harms, momentum grows to remove race from clinical algorithms. | PSNet
      psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms
      January 31, 2011 - Commentary Citing harms, momentum grows to remove race from clinical algorithms. Citation Text: Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. Copy Citation Format: DOI Google Scholar B…

7052. Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201524.html
      August 01, 2015 - Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety Search All Impact Case Studies August 2015 Fourteen hospitals operated by Aurora Health Care in eastern Wisconsin reduced central line-associated bloodstream infections (CLABSI) in intensive care units by 65 percent after adopting pat…

7053. Development of the CAHPS Health Information Technology Item Set | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/Development-HIT-Item-Set.html
      July 01, 2022 - Development of the CAHPS Health Information Technology Item Set Nearly all health care providers have incorporated various forms of health IT into their practices. The pace of change has been driven in large part by pressure from public and private purchasers to adopt technologies that promise to improve the qu…

7054. Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. | PSNet
      psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-hospital
      March 11, 2020 - Study Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. Citation Text: Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2…

7055. Intra-operative monitoring—many alarms with minor impact. | PSNet
      psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
      June 18, 2014 - Study Intra-operative monitoring—many alarms with minor impact. Citation Text: de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact. Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289. Copy Citation Format: DOI Google Scholar …

7056. Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement. | PSNet
      psnet.ahrq.gov/issue/viewpoint-patient-safety-primary-care-patients-are-not-just-beneficiary-critical-component
      August 16, 2017 - Commentary Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement. Citation Text: Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary but a critical component in its …

7057. Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. | PSNet
      psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient
      February 03, 2011 - Commentary Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. Citation Text: Staveski S, Leong K, Graham K, et al. Nursing Mortality and Morbidity and Journal Club Cycles. AACN Adv Crit Care. 2012;2…

7058. Close calls in patient safety: should we be paying closer attention? | PSNet
      psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
      November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

7059. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
      February 13, 2014 - Review A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. Citation Text: Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…

7060. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet
      psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
      September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…