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  1. Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet

    psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
    October 19, 2022 - Review Adverse events experienced by homecare patients: a scoping review of the literature. Citation Text: Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…

  2. Introduction of surgical safety checklists in Ontario, Canada. | PSNet

    psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
    June 21, 2016 - Study Classic Introduction of surgical safety checklists in Ontario, Canada. Citation Text: Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa13082…

  3. Multistate point-prevalence survey of health care-associated infections. | PSNet

    psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
    November 14, 2018 - Study Multistate point-prevalence survey of health care-associated infections. Citation Text: Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. Copy Citation …

  4. A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet

    psnet.ahrq.gov/issue/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
    November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

  5. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. | PSNet

    psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
    June 29, 2022 - Study Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. Citation Text: Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. JAMA Ped…

  6. Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
    November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

  7. How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet

    psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards
    November 20, 2015 - Study How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. Citation Text: Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality of care for…

  8. Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-measurement-tools-used-nursing-homes-systematic-literature-review
    January 11, 2023 - Review Patient safety measurement tools used in nursing homes: a systematic literature review. Citation Text: Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022…

  9. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet

    psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
    December 06, 2023 - Study A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Citation Text: Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…

  10. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet

    psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
    June 30, 2021 - Commentary Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? Citation Text: Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable advers…

  11. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. | PSNet

    psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
    May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…

  12. Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. | PSNet

    psnet.ahrq.gov/issue/effect-real-time-pediatric-icu-safety-bundle-dashboard-quality-improvement-measures
    June 21, 2015 - Study Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. Citation Text: Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):41…

  13. Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/guide.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Module 5: Resident and Family Engagement Material Use Guide Learning Objectives: · Define resident- and family-centered care · Describe the key concepts of resident- and family-centered care in long-term care (LTC) facilities · Explain…

  14. An alternative strategy for studying adverse events in medical care. | PSNet

    psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
    June 03, 2020 - Study Classic An alternative strategy for studying adverse events in medical care. Citation Text: Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13. Copy Citation Fo…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863308/psn-pdf
    February 28, 2024 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy February 28, 2024 Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy The Case A…

  16. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
    August 01, 2017 - On-Time Preventable Hospital and ED Visits Functional Specs AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Functional Specifications Current as of August 2017 Contents 1. General Information .......…

  17. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
    March 22, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1 AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications 1. General Information 1.1. Background The Agency for Health Care Research and Quality (AHRQ) developed…

  18. Standing Order Protocol: Nasal Mupirocin (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standing-order-protocol-mupirocin.docx
    March 01, 2022 - Standing Order Protocol: Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Section 9-3 – Standing Order Protocol: Nasal Mupirocin The following is a standing order protocol for implementing nasal decolonization in adult non-intensive care unit (ICU) patients who are methicillin-resistant Staphylococcus…

  19. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet

    psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
    March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy Citation Text: Do T, Scott FJ. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…

  20. The Empty Bag | PSNet

    psnet.ahrq.gov/web-mm/empty-bag
    June 01, 2018 - The Empty Bag Citation Text: Vincent C. The Empty Bag. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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