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psnet.ahrq.gov/node/43360/psn-pdf
September 29, 2017 - Antimicrobial Stewardship Toolkit.
September 29, 2017
Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit
Antimicrobial stewardship has been promoted as an element of patient safety. This toolkit provides
resources for hos…
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psnet.ahrq.gov/node/867770/psn-pdf
March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients with
Devices.
March 1, 2022
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
https://psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
Healthcare associated infection is a persistent contributo…
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Implementing a Fall Prevention Program
Frances Healey, RN, PhD | December 1, 2011
View more articles from the same authors.
Citation Text:
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment
Citation Text:
Cable CA, Murphy DJ, Martin GS. Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google S…
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - SPOTLIGHT CASE
Physical Diagnosis: A Lost Art?
Citation Text:
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Schola…
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient
Safety
November 27, 2023
Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
Introduction
Nurses are a li…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - Too Hot For Comfort
December 1, 2007
Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/too-hot-comfort
The Case
A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV) fluid and IV
antibiotics via a peripheral line in the left antec…
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psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
March 04, 2020 - The Hidden Harms of Hand Sanitizer
Citation Text:
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/node/41711/psn-pdf
September 26, 2012 - Beyond FMEA: the structured what-if technique (SWIFT).
September 26, 2012
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk
Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
This commentary…
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psnet.ahrq.gov/node/47556/psn-pdf
November 28, 2018 - Improving Diagnosis.
November 28, 2018
Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70.
https://psnet.ahrq.gov/issue/improving-diagnosis
This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights
from experts about how to improve diagnosis, t…
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psnet.ahrq.gov/node/43800/psn-pdf
August 02, 2016 - Patient Safety Culture: Theory, Methods and Application.
August 2, 2016
Waterson P, ed. London, UK: Ashgate; 2014. ISBN: 9781409448143.
https://psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
This publication covers patient safety culture including its background in high-risk industries, …
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psnet.ahrq.gov/node/50633/psn-pdf
November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019.
November 6, 2019
Washington DC: Leapfrog Group; 2019.
https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019
Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in
assessment to ensure their safety. This re…
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psnet.ahrq.gov/node/41442/psn-pdf
May 30, 2012 - Radiation Therapy Safety: The Critical Role of the
Radiation Therapist.
May 30, 2012
Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and
Research Foundation; 2012.
https://psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
Summarizing the rol…
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psnet.ahrq.gov/node/37951/psn-pdf
May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool.
May 26, 2011
Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August
2008;5:22-25.
https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
This article describes an evaluation tool designed for…
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psnet.ahrq.gov/node/39937/psn-pdf
December 06, 2010 - Hospital safety climate surveys: measurement issues.
December 6, 2010
Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care.
2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6.
https://psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
This review…
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psnet.ahrq.gov/node/34926/psn-pdf
February 03, 2010 - Strategies to improve the patient safety outcome
indicator: preventing or reducing falls.
February 3, 2010
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home
Healthc Nurse. 2005;23(1):29-36.
https://psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome…
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psnet.ahrq.gov/node/37339/psn-pdf
January 02, 2017 - A check-up for safety culture in "my patient care area."
January 2, 2017
Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”.
doi:10.1016/s1553-7250(07)33081-x.
https://psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
This tool is designed to allow frontline…
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psnet.ahrq.gov/node/60332/psn-pdf
May 13, 2020 - Circle Up Training.
May 13, 2020
Center for Medical Simulation.
https://psnet.ahrq.gov/issue/circle-training
Communication strategies are important for engaging staff in behaviors that support effective teamwork.
This website highlights a process that involves briefings, supportive conversations, and debriefings a…