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9521. Fewer but better auditory alarms will improve patient safety. | PSNet
      psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
      August 11, 2021 - Commentary Fewer but better auditory alarms will improve patient safety. Citation Text: Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14(3):212-215. doi:10.1136/qshc.2004.013052. Copy Citation Format: DOI Google Schol…

9522. How to prevent the top 4 medication errors. | PSNet
      psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
      May 20, 2020 - Newspaper/Magazine Article How to prevent the top 4 medication errors. Citation Text: How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018. Copy Citation Save Save to your library Print Download PDF Share …

9523. State of science: evolving perspectives on ‘human error’. | PSNet
      psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
      February 22, 2023 - Commentary State of science: evolving perspectives on ‘human error’. Citation Text: Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’. Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615. Copy Citation Format: D…

9524. The Safe Tables Collaborative: a statewide experience. | PSNet
      psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
      April 12, 2011 - Commentary The Safe Tables Collaborative: a statewide experience. Citation Text: Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. Copy Citation Format: Google Scholar PubMed BibT…

9525. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. | PSNet
      psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes
      December 11, 2008 - Study Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Citation Text: Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Me…

9526. The content and context of change of shift report on medical and surgical units. | PSNet
      psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units
      September 24, 2016 - Study The content and context of change of shift report on medical and surgical units. Citation Text: Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a. Copy Citatio…

9527. AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
      May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire MAY 31 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. Health services researchers have AcademyHealth’s Annu…

9528. Nursing handoffs: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
      January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

9529. Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study. | PSNet
      psnet.ahrq.gov/issue/nurses-perception-shift-handovers-europe-results-european-nurses-early-exit-study
      September 24, 2016 - Study Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study. Citation Text: Meissner A, Hasselhorn H-M, Estryn-Behar M, et al. Nurses' perception of shift handovers in Europe: results from the European Nurses' Early Exit Study. J Adv Nurs.…

9530. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
      January 22, 2016 - Review The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Citation Text: Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…

9531. Postoperative opioid prescribing: Getting it RIGHTT. | PSNet
      psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
      August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…

9532. Clinical questions raised by clinicians at the point of care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/clinical-questions-raised-clinicians-point-care-systematic-review
      May 04, 2022 - Review Clinical questions raised by clinicians at the point of care: a systematic review. Citation Text: Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014…

9533. Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. | PSNet
      psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
      October 19, 2022 - Review Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. Citation Text: Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…

9534. Role of medical students in preventing patient harm and enhancing patient safety. | PSNet
      psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
      July 10, 2008 - Study Role of medical students in preventing patient harm and enhancing patient safety. Citation Text: Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient safety. Qual Saf Health Care. 2006;15(4):272-6. Copy Citation Format: …

9535. Using a Delphi method to identify human factors contributing to nursing errors. | PSNet
      psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
      June 10, 2015 - Study Using a Delphi method to identify human factors contributing to nursing errors. Citation Text: Roth C, Brewer M, Wieck L. Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. Nurs Forum. 2017;52(3):173-179. doi:10.1111/nuf.12178. Copy Citation Forma…

9536. Rapid response teams and continuous quality improvement. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
      April 05, 2023 - Study Rapid response teams and continuous quality improvement. Citation Text: Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. Copy Citation Save Save to your l…

9537. 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…

9538. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet
      psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
      June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

9539. Residual anaesthesia drugs in intravenous lines—a silent threat? | PSNet
      psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
      July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…

9540. 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…