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  1. Module 7: Resolution | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Module 7: Resolution AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process. Slide 1 Say: When adverse patient events occur, the patient and their family are looking for answers to t…

  2. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
    June 02, 2025 - Slide 1 Patient-and-family Centered Care * Christine Goeschel ScD, MPA, MPS, RN, FAAN Assistant Professor, Johns Hopkins School of Medicine Joint Appointment, Schools of Public Health and Nursing And Gail Panoff Chair, Patient and Community Engagement Council St. Joseph Mercy Health System Ann Arbor, MI Lear…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45186/psn-pdf
    June 15, 2017 - Patient and family empowerment as agents of ambulatory care safety and quality. June 15, 2017 Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. https://psnet.ahrq.gov/issue/patient-and-f…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48188/psn-pdf
    August 14, 2019 - Analysis of human performance deficiencies associated with surgical adverse events. August 14, 2019 Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2019;2(7):e198067. doi:10.1001/jamanetworkopen.2019.8067. https://psnet.ahr…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39550/psn-pdf
    July 05, 2013 - A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. July 5, 2013 Nurok M, Lipsitz S, Satwicz P, et al. A novel method for reproducibly measuring the eff…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45010/psn-pdf
    March 30, 2016 - Most dangerous time at the hospital? It may be when you leave. March 30, 2016 Khullar D. New York Times. March 17, 2016. https://psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave Preventing readmissions after hospital discharge is a national policy priority. This newspaper article discuss…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861762/psn-pdf
    January 31, 2024 - Responding to medical errors — implementing the modern ethical paradigm. January 31, 2024 Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. https://psnet.ahrq.gov/issue/responding-medical-errors-implemen…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39237/psn-pdf
    April 14, 2011 - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. April 14, 2011 Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. BMC Med Inform…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866406/psn-pdf
    July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46374/psn-pdf
    August 30, 2017 - Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. August 30, 2017 Hamilton WL. https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction- perioperative-unit Miscommunication during care transitions can contribute to medical e…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74006/psn-pdf
    October 27, 2021 - Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021 Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm J Qual Patient Saf. 2021;47(12…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74693/psn-pdf
    January 26, 2022 - Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. https://psnet.ahrq.gov/issue/including-re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38143/psn-pdf
    February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72472/psn-pdf
    November 18, 2020 - Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. November 18, 2020 Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:103636. doi:10.1016/j.ijnurstu.2…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72852/psn-pdf
    March 17, 2021 - Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. March 17, 2021 Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020- 000174.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44326/psn-pdf
    October 21, 2015 - Safety first! Using a checklist for intrafacility transport of adult intensive care patients. October 21, 2015 Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16-25. doi:10.4037/ccn2015991. https:/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41852/psn-pdf
    June 03, 2013 - Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. June 3, 2013 Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. J Nurs Care Qual. 2013;28(3):257-64. …

  19. Exhibit 3.19. Major Factors that Facilitate Lean Success | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.19. Major Factors that Facilitate Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Ca…

  20. 173. Systems Strategy 3. Dedicate staff to provide tobacco dependence treatment and assess the delivery of this treatment in staff performance evaluations | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide173.html
    October 01, 2014 - 173. Systems Strategy 3. Dedicate staff to provide tobacco dependence treatment and assess the delivery of this treatment in staff performance evaluations Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Action Strategies for implementation Clinical sites …
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