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3281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47356/psn-pdf
      September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety. September 5, 2018 Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560- 562. doi:10.1016/j.jopan.2018.05.003. https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety The health ca…

3282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73187/psn-pdf
      April 28, 2021 - Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021 van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…

3283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73637/psn-pdf
      August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General.  July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re…

3284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45145/psn-pdf
      January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. January 8, 2018 Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family Involvement in Care in a Pediatric…

3285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46359/psn-pdf
      September 21, 2017 - Parent–provider miscommunications in hospitalized children. September 21, 2017 Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. https://psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-ch…

3286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867083/psn-pdf
      November 06, 2024 - Patient-clinician diagnostic concordance upon hospital admission. November 6, 2024 Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…

3287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43853/psn-pdf
      March 11, 2015 - Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015 Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…

3288. The Single IRB Plan Elements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/single-IRB-plan-elements.pdf
      June 02, 2025 - The Single IRB Plan Elements The Single IRB Plan Elements The single IRB plan should include the following elements: • Describe how you will comply with the requirement for single IRB review under the revised common rule at 45 CFR 46.114. • If available, provide the name of the IRB that you anticipate wi…

3289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46121/psn-pdf
      January 01, 2021 - Quality of handoffs in community pharmacies. May 10, 2017 Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies Handoffs present a significant patient …

3290. Reduce Unnecessary Urine Culturing and Overuse of Antibiotics | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
      March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics Know When To Order Urine Cultures Educational module and tools that summarize why more urine cultures lead to more catheter-associated urinary tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine cul…

3291. Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Improving Communication and Teamwork in the Surgical Environment Module 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 impro…

3292. T.E.A.M.S. infographic | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
      March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction. Culture influences how change can occur. T Team Formation The most effective…

3293. Resources by the CMS Patient Safety Structural Measure Domains | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/measure-domains.html
      April 01, 2025 - Resources by the CMS Patient Safety Structural Measure Domains The Patient Safety Structural Measure is an attestation-based measure to assess whether hospitals demonstrate having a structure and culture that prioritizes patient safety. The Patient Safety Structural Measure is informed by the  National Action P…

3294. Silence A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/silence.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Silence A Commentary Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apo…

3295. SOPS Community Pharmacy Survey Items and Composites (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
      June 02, 2025 - SOPS Community Pharmacy Survey Items and Composites SOPSTM Community Pharmacy Survey Items and Composites Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based sur…

3296. Chapter 7. What’s Next? | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
      June 01, 2014 - Medical Office Survey on Patient Safety Culture Chapter 7. What’s Next? Previous Page Next Page Table of Contents Medical Office Survey on Patient Safety Culture Executive Summary Chapter 1. Introduction Chapter 2. Survey Administration Statistics Chapter 3. Medical Office Characteristics …

3297. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
      March 01, 2017 - PowerPoint Presentation Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules AHRQ Pub. No. 16(17)-0003-03-EF March 2017 1 Objectives Describe the purpose of the Long-Term Care Safety Modules…

3298. Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
      May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice Case Study Problem Addressed A typical primary care visit is not always a satisfying encounter for either the provider or the patient. Providers feel stressed by the need for efficiency and the demands of electronic…

3299. Sample Scenario for Antepartum Hemorrhage In Situ Simulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
      July 01, 2023 - Sample Scenario for Antepartum Hemorrhage In Situ Simulation AHRQ Safety Program for Perinatal Care Purpose of the tool: The Antepartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the…

3300. AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation AHRQ Safety Program for Perinatal Care Sample Scenario for Shoulder Dystocia In Situ Simulation Sample Scenario for Shoulder Dystocia In Situ Simulation Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool …