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9981. Patient Safety Curriculum. | PSNet
      psnet.ahrq.gov/issue/patient-safety-curriculum
      March 27, 2005 - Related Resources From the Same Author(s) The Definition of Quality and Approaches to Its Assessment … Explorations in Quality Assessment and Monitoring. … Resources Patient Safety Innovations Combined Proactive Risk Assessment

9982. MHA and MHA Keystone Center Annual Reports. | PSNet
      psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
      September 26, 2016 - June 9, 2021 The Definition of Quality and Approaches to Its Assessment. Vol 1. … Explorations in Quality Assessment and Monitoring. … December 9, 2014 Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation

9983. ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. | PSNet
      psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
      May 11, 2017 - Related Resources From the Same Author(s) 2017 ISMP Medication Safety Self Assessment … October 25, 2017 ISMP Medication Safety Self Assessment for High-Alert Medications. … April 24, 2018 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy

9984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40564/psn-pdf
      September 25, 2011 - team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment … team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment

9985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47142/psn-pdf
      June 13, 2018 - To manage problems associated with health IT systems, this commentary recommends applying risk assessment … /introducing-new-technology-safely https://psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit

9986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39378/psn-pdf
      March 17, 2010 - Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment … Exploring emergency physician-hospitalist handoff interactions: development of the Handoff Communication Assessment

9987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43119/psn-pdf
      April 16, 2014 - ://psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment … ://psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment

9988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37965/psn-pdf
      December 01, 2008 - resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment … resource management course for emergency medicine, phase 1: Results from an interdisciplinary needs assessment

9989. Oral chemotherapy: not just an ordinary pill. | PSNet
      psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
      May 05, 2018 - March 6, 2018 2012 ISMP International Medication Safety Self Assessment for Oncology. … for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment … March 26, 2015 2012 ISMP International Medication Safety Self Assessment for Oncology

9990. Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases. | PSNet
      psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
      July 24, 2018 - June 24, 2020 Video-based communication assessment of physician error disclosure skills … by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment … How does routine disclosure of medical error affect patients' propensity to sue and their assessment

9991. Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. | PSNet
      psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
      August 02, 2016 - June 15, 2011 Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation … May 21, 2014 Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation … January 6, 2015 Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment

9992. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43932/psn-pdf
      March 04, 2015 - misconnections, including recommendations regarding improvements for labeling, user testing, and risk assessment … operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety https://psnet.ahrq.gov/issue/risk-and-event-assessment

9993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34752/psn-pdf
      November 18, 2015 - He covers a broad range of topics in a somewhat journalistic tone, from quality assessment to evidence-based … Although the book includes sections on patient safety, its strengths are those on quality assessment

9994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33722/psn-pdf
      December 01, 2011 - Robert Wachter, Editor, AHRQ WebM&M: What have we learned about assessment of fall risk? Ann L. … RW: What does the best fall assessment program look like? … The full risk assessment does not really require me to do that much additional if I'm a good observer … over to the fall risk assessment. … That's why the gait and mobility assessment is crucial.

9995. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
      December 01, 2010 - Appreciate the importance of early skin assessment and the challenges of pressure ulcer identification … The nurse began his admission assessment but was interrupted multiple times because of acute issues with … * * Documentation of Pressure Ulcers Appropriate documentation is not just part of the nursing assessment … physician documentation * * Preventing Pressure Ulcers Bundled interventions including: Risk assessment … Skin assessment Support surface assessment Nutritional screening Moisture management Optimizing

9996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43870/psn-pdf
      January 28, 2015 - This commentary suggests that standards for peer assessment specific to error must be developed to achieve … exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

9997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45341/psn-pdf
      July 27, 2016 - outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized … https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized

9998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41624/psn-pdf
      November 06, 2012 - and physicians judge their own quality of care for deteriorating patients on medical wards: self- assessment … nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment

9999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47057/psn-pdf
      July 14, 2018 - This commentary describes how one academic medical center used assessment tools to monitor, measure, … department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders

10000. Psn-Pdf (pdf file)
       psnet.ahrq.gov/node/42877/psn-pdf
       January 22, 2014 - 11-years- observational-study This study reviewed data from the United Kingdom's National Clinical Assessment … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service