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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33642/psn-pdf
    November 01, 2006 - In Conversation With...Donald A. Norman, PhD November 1, 2006 In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background. How did you become interested…

  2. 111-Cusp-Program-Sustainability (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Program: Sustainability ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Program Sustainability SAY: Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings. Sl…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846127/psn-pdf
    March 15, 2023 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists March 15, 2023 Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among- spec…

  4. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. Slide 1 Say: Obje…

  5. Human Resources Issues (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdf
    January 01, 2011 - Human Resources Issues Human Resources Issues February 2012  Podcast Speaker Wendy Leebov, Ed.D., CEO Leebov Golde & Associates Moderator Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group Presentation Available https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx Li…

  6. Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
    January 01, 2024 - Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities Final Report Patient Safety: Physician Assistant Responsibilities and Opportunities An educational conference program of the American Academy of Physician Assistants This program was funded by a grant from the Agency fo…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - When the Indications for Drug Administration Blur June 24, 2020 Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

  9. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - Hospital SOPS Translation Information Background and Information for Translators This document provides information about the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (SOPS ® ) to help translation team members develop a translation that conveys the same meani…

  10. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet

    psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
    April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …

  11. Adverse Events in Dentistry | PSNet

    psnet.ahrq.gov/perspective/adverse-events-dentistry
    December 22, 2020 - we learned from a culture survey we did was that the two areas that we were particularly weak in are communicating

  12. Safety Climate on Hospital Units: A New Measure (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - safety.20–23 Continuously working with fewer nurses than needed may affect the climate on a unit by communicating

  13. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
    October 01, 2018 - technical oversight of the CAHPS surveys, moving the field of patient experience research forward and communicating

  14. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet

    psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
    October 27, 2022 - SPOTLIGHT CASE Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations Citation Text: Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations. PSNet [internet]. Rockville (MD): Agency for He…

  15. Final Progress Report: Patient Safety and the Primary Care Testing Process (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process Final Report 1. Title page Patient Safety and the Primary Care Testing Process PI: Nancy C. Elder, MD, MSPH Department of Family and Community Medicine University of Cincinnati PO Box 670582 3235 Eden Ave, 142 HPB Cincinnati, OH 45267…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840140/psn-pdf
    January 01, 2023 - Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I?PASS handoff program in diverse clinical environments: a multicenter prospective effectiv…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867383/psn-pdf
    December 18, 2024 - Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. December 18, 2024 Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. Leadership H…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73091/psn-pdf
    March 31, 2021 - Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. March 31, 2021 Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141. doi:10.1097…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867591/psn-pdf
    January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42503/psn-pdf
    September 18, 2013 - The patient is in: patient involvement strategies for diagnostic error mitigation. September 18, 2013 McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623. https://psnet.ahrq.gov/i…
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