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  1. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. | PSNet

    psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
    March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. Citation Text: Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…

  2. Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. | PSNet

    psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
    August 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…

  3. Implementing the Safety Thermometer tool in one NHS trust. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
    March 19, 2019 - Commentary Implementing the Safety Thermometer tool in one NHS trust. Citation Text: Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  4. The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet

    psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
    March 22, 2011 - Study The use of human factors methods to identify and mitigate safety issues in radiation therapy. Citation Text: Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…

  5. Not thinking clearly? Play a game, seriously! | PSNet

    psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
    January 17, 2018 - Commentary Not thinking clearly? Play a game, seriously! Citation Text: Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  6. Getting boards on board: engaging governing boards in quality and safety.  | PSNet

    psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
    February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety.  Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

  7. Can electronic clinical documentation help prevent diagnostic errors? | PSNet

    psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
    December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? Citation Text: Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. Copy Citation Format: …

  8. Designing a Scorecard for Sustainability: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
    December 01, 2017 - Designing a Scorecard for Sustainability: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Designing a Scorecard for Sustainability Slide 2: Learning Objectives After this session, you will be able to– Assess objectively your unit’s curre…

  9. Implementing computerized physician order management at a community hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital
    November 16, 2022 - Commentary Implementing computerized physician order management at a community hospital. Citation Text: Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84. Copy Citation For…

  10. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet

    psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

  11. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
    January 23, 2017 - Commentary Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Citation Text: Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…

  12. Preventable adverse events in infants hospitalized with bronchiolitis. | PSNet

    psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
    April 11, 2011 - Study Preventable adverse events in infants hospitalized with bronchiolitis. Citation Text: McBride SC, Chiang VW, Goldmann DA, et al. Preventable adverse events in infants hospitalized with bronchiolitis. Pediatrics. 2005;116(3):603-608. doi:10.1542/peds.2004-2387. Copy Citation …

  13. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. | PSNet

    psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error-reporting-and
    July 14, 2010 - Study Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Citation Text: Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and P…

  14. Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
    October 01, 2020 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units…

  15. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. | PSNet

    psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
    June 15, 2022 - Study Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Citation Text: Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…

  16. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
    January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. 5 AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ 6 Agency for Healthcare Research and Quality • AHRQ is: ► A research and sci…

  17. A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

    psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
    June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

  18. Ncinqtobaccousehelp-References (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelp-References.pdf
    August 01, 2012 - National Collaborative for Innovation in Quality Measurement Tobacco Use and Help List of References Campaign for Tobacco-Free Kids. 2012. Tobacco Overview. http://www.tobaccofreekids.org/facts_issues/tobacco_101/ (April 2012). Campaign for Tobacco-Free Kids. 2011. Health Harms from Smoking and Other Tobac…

  19. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. | PSNet

    psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphylococcus-aureus-mrsa-infections
    January 03, 2018 - Commentary Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Citation Text: Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31. Copy Citation Format: …

  20. Ethics, oversight and quality improvement initiatives. | PSNet

    psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initiatives
    August 04, 2021 - Study Ethics, oversight and quality improvement initiatives. Citation Text: Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. Copy Citation Format: DOI G…
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