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Showing results for "addressing".

  1. Cultural diversity: what role does it play in patient safety? | PSNet

    psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
    June 15, 2011 - Commentary Cultural diversity: what role does it play in patient safety? Citation Text: Ardoin KB, Wilson KB. Cultural diversity: what role does it play in patient safety? Nurs Womens Health. 2010;14(4):322-6. doi:10.1111/j.1751-486X.2010.01563.x. Copy Citation Format: DO…

  2. The challenges in defining and measuring diagnostic error. | PSNet

    psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
    February 24, 2021 - Commentary The challenges in defining and measuring diagnostic error. Citation Text: Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069. Copy Citation Format: DOI Google Scholar PubMed Bi…

  3. Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
    December 01, 2017 - Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient…

  4. Medicines-related harm in the elderly post-hospital discharge. | PSNet

    psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
    February 07, 2024 - Commentary Medicines-related harm in the elderly post-hospital discharge. Citation Text: Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. Copy Citation Save Save to your library …

  5. Bar coding for patient safety. | PSNet

    psnet.ahrq.gov/issue/bar-coding-patient-safety
    February 12, 2020 - Commentary Bar coding for patient safety. Citation Text: Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  6. The challenges to transparency in reporting medical errors. | PSNet

    psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
    July 19, 2023 - Commentary The challenges to transparency in reporting medical errors. Citation Text: Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88. Copy Citation Format: …

  7. Performing the wrong procedure. | PSNet

    psnet.ahrq.gov/issue/performing-wrong-procedure
    April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  8. Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Methods Chapter 4. Results an…

  9. Normalization of deviance is contrary to the principles of high reliability. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
    June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

  10. 026-Assessing-Evc-Essential-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
    October 01, 2024 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…

  11. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. | PSNet

    psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
    June 21, 2016 - Commentary The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. Citation Text: Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…

  12. Patient misidentification in oncology care. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-oncology-care
    March 22, 2006 - Commentary Patient misidentification in oncology care. Citation Text: Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  13. 116-Cusp-Premortem-Project-Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
    January 01, 2007 - AHRQ Safety Program for MRSA Prevention Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment ICU & Non-ICU Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a project can help the team mitigate the…

  14. Tool 5: Portfolio Design

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
    June 02, 2025 - Tool 5: Portfolio Design Tool 5: Portfolio Design Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital. Purpose: To facilitate the formulation of you…

  15. Event reporting: the value of a nonpunitive approach. | PSNet

    psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
    June 16, 2011 - Commentary Event reporting: the value of a nonpunitive approach. Citation Text: Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05. Copy Citation Format: DOI Google Scholar PubMed Bi…

  16. A next act for patient safety. | PSNet

    psnet.ahrq.gov/issue/next-act-patient-safety
    September 03, 2011 - Commentary A next act for patient safety. Citation Text: Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Many COVID-19 survivors will be left traumatized by their ICU experience. | PSNet

    psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience
    February 21, 2024 - Newspaper/Magazine Article Many COVID-19 survivors will be left traumatized by their ICU experience. Citation Text: Many COVID-19 survivors will be left traumatized by their ICU experience. Jee C. MIT Technology Review. April 22, 2020. Copy Citation Save Save to…

  18. On the trail of quality and safety in health care. | PSNet

    psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
    December 17, 2009 - Commentary On the trail of quality and safety in health care. Citation Text: Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74-6. doi:10.1136/bmj.39413.486944.AD. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  19. Urinary Incontinence Patient Recruitment and Education Flyer (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/pt-recruitment-flyer.pdf
    June 02, 2025 - Urinary Incontinence Patient Recruitment and Education Flyer ``` Urinary Incontinence Patient Recruitment & Education Example EMPOWER Team – University Hospitals of Cleveland This project was funded under grant number 1U18HS028742-01 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Departme…

  20. Gossypiboma: tales of lost sponges and lessons learned. | PSNet

    psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
    March 24, 2021 - Study Gossypiboma: tales of lost sponges and lessons learned. Citation Text: McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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