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Showing results for "communicate".

9881. Planning Facilitation Sessions Chart (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-planning-facilitation-sessions-chart.docx
      July 01, 2023 - Planning Facilitation Sessions Chart AHRQ Safety Program for Perinatal Care II Planning Facilitation Sessions Chart Use this chart to help facilitate conversations among your team about planning the Safety Program in Perinatal Care. DECISION POINT PLAN How many sessions need to be held? Tip: Consider when staff …

9882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48014/psn-pdf
      July 10, 2019 - Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. July 10, 2019 Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev. 2019;…

9883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34043/psn-pdf
      March 11, 2011 - Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. March 11, 2011 Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med…

9884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41703/psn-pdf
      November 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. November 8, 2012 Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations who…

9885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866403/psn-pdf
      July 31, 2024 - Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. July 31, 2024 Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary …

9886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47141/psn-pdf
      August 17, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. August 17, 2018 Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosi…

9887. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/amermanslides.pdf
      June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture Safety Survey Dawn Amerman Manager Dexter Pharmacy and Village Pharmacy II Reasons for Taking the Survey • Provided staff with an opportunity to give uncensored feedback • Offered staff a sense of being part of the solutions • Let staff know t…

9888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846440/psn-pdf
      March 22, 2023 - "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. March 22, 2023 Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use of medication administration tech…

9889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35434/psn-pdf
      June 14, 2011 - Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. June 14, 2011 Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15. https://psnet.ahrq.gov/issue/…

9890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838126/psn-pdf
      September 21, 2022 - Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022 Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Glob Res Rev. 2022;6(9):e22.0007…

9891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72792/psn-pdf
      March 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan…

9892. Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
      March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Learn From Defects Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety Who should use this too…

9893. Action Planning for the SOPS Surveys-Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
      June 02, 2025 - Action Planning for the SOPS Surveys-Overview 6 Overview of AHRQ’s Patient Safety Priorities Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Service AHRQ’s Core Compet…

9894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848359/psn-pdf
      May 03, 2023 - Medical line entanglement: the unspoken patient safety hazard of medical devices. May 3, 2023 Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. https://psnet.ahrq.gov/issue/medical-line-enta…

9895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46848/psn-pdf
      October 13, 2018 - Identifying what is known about improving operating room to intensive care handovers: a scoping review. October 13, 2018 Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548. doi:10.1177…

9896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60326/psn-pdf
      May 13, 2020 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. May 13, 2020 Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…

9897. Understanding SOPS Surveys: A Primer for New Users - Brady (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
      January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady 6 Overview of AHRQ’s Patient Safety Priorities and Programs Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…

9898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61021/psn-pdf
      October 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video inter…

9899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72637/psn-pdf
      January 13, 2021 - Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. January 13, 2021 Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English G…

9900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841151/psn-pdf
      December 07, 2022 - Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022 Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med Inform Assoc. 2022;29(12):2101-21…