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www.ahrq.gov/hai/cauti-tools/ena-slides/index.html
February 01, 2023 - The Emergency Nurses Association Presents CAUTI Slides and Transcript
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Table of Contents
The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, Introduction, and Main Menu
Part One: Traditional Practice and Recommendations for Cha…
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psnet.ahrq.gov/node/852271/psn-pdf
August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial
intelligence.
August 9, 2023
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
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psnet.ahrq.gov/node/36668/psn-pdf
June 29, 2011 - Language proficiency and adverse events in US
hospitals: a pilot study.
June 29, 2011
Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot
study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069.
https://psnet.ahrq.gov/issue/language-proficiency-a…
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psnet.ahrq.gov/node/39932/psn-pdf
October 20, 2010 - Incorrect surgical counts: a qualitative analysis.
October 20, 2010
Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9.
doi:10.1016/j.aorn.2010.01.019.
https://psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
Preventing surgical instruments from be…
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psnet.ahrq.gov/node/74152/psn-pdf
December 08, 2021 - Adverse events and their contributors among older adults
during skilled nursing stays for rehabilitation: a scoping
review.
December 8, 2021
Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled
nursing stays for rehabilitation: a scoping review. Patient Relat Outcome …
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psnet.ahrq.gov/node/855092/psn-pdf
November 08, 2023 - Using in situ simulation to identify latent safety threats in
emergency medicine: a systematic review.
November 8, 2023
Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a
systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748.
h…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/47409/psn-pdf
April 16, 2019 - Health care risk managers' consensus on the
management of inappropriate behaviors among hospital
staff.
April 16, 2019
Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of
inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42.
doi:10.1002/jhrm.…
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psnet.ahrq.gov/node/837308/psn-pdf
June 01, 2022 - Delays in diagnosis, treatment, and surgery: root causes,
actions taken, and recommendations for healthcare
improvement.
June 1, 2022
Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken,
and recommendations for healthcare improvement. J Patient Saf. 2022;1…
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/44713/psn-pdf
January 20, 2016 - Are surgeons and anesthesiologists lying to each other or
gaming the system? A national random sample survey
about "truth-telling practices" in the perioperative setting
in the United States.
January 20, 2016
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the
syste…
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psnet.ahrq.gov/node/39013/psn-pdf
October 14, 2009 - The nature and causes of unintended events reported at
ten emergency departments.
October 14, 2009
Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at
ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16.
https://psnet.ahrq.gov/issue/natur…
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psnet.ahrq.gov/node/46559/psn-pdf
December 22, 2018 - Effect of promoting high-quality staff interactions on fall
prevention in nursing homes: a cluster-randomized trial.
December 22, 2018
Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on
Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/863215/psn-pdf
February 28, 2024 - Learning from non-routine events and teamwork in
intensive care units: challenges and opportunities.
February 28, 2024
Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and
opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980.
https://p…
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www.ahrq.gov/pqmp/measures/fecc-school-staff-communication.html
August 01, 2021 - Family Experiences with Coordination of Care (FECC) Measure: Healthcare Provider Communicated with School Staff About Child's Condition
Measure Domain: Management of Chronic Conditions
Measure Sub-Domain: Care Coordination
Subcategory: Family Experiences with Coordination of Care (FECC) Measurement Set
…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/839317/psn-pdf
November 02, 2022 - Implementation and facilitation of post-resuscitation
debriefing: a comparative crossover study of two post-
resuscitation debriefing frameworks.
November 2, 2022
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing:
a comparative crossover study of two post-re…
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psnet.ahrq.gov/node/862154/psn-pdf
June 18, 2020 - Listening to women: recommendations from women of
color to improve experiences in pregnancy and birth care.
June 18, 2020
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color
to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…