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  1. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. | PSNet

    psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
    July 22, 2020 - Study With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. Citation Text: Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…

  2. Systems thinking for managing COVID-19 in health care systems: seven key messages. | PSNet

    psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
    October 21, 2015 - Commentary Systems thinking for managing COVID-19 in health care systems: seven key messages. Citation Text: Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-0…

  3. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
    September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

  4. 128-What-Are-4Es-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
    April 01, 2025 - The 4 Es framework identifies four important elements when implementing patient safety interventions: Engage, Educate, Execute, and Evaluate. This framework integrates well with the Comprehensive Unit-based Safety Program (CUSP) and addresses both the technical objectives of improving practices and the adaptive objecti…

  5. Association of patient photographs and reduced retract-and-reorder events. | PSNet

    psnet.ahrq.gov/issue/association-patient-photographs-and-reduced-retract-and-reorder-events
    February 24, 2021 - Study Association of patient photographs and reduced retract-and-reorder events. Citation Text: Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. Copy Cit…

  6. Patient safety assurance in the age of defensive medicine: a review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-assurance-age-defensive-medicine-review
    March 09, 2022 - Commentary Patient safety assurance in the age of defensive medicine: a review. Citation Text: Shenoy A, Shenoy GN, Shenoy GG. Patient safety assurance in the age of defensive medicine: a review. Patient Saf Surg. 2022;16(1):10. doi:10.1186/s13037-022-00319-8. Copy Citation Format:…

  7. Person- and Family-Centered Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care Person- and Family-Centered Care Previous Page Next Page Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communicat…

  8. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. | PSNet

    psnet.ahrq.gov/issue/pediatric-residents-decision-making-around-disclosing-and-reporting-adverse-events-importance
    January 25, 2017 - Study Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. Citation Text: Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social…

  9. Preventing-Cauti-Icu-Setting-Module 4-Speaker-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 4: Summary and Next Steps SAY: SLIDE 1 SAY: You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned that hos…

  10. Pfengagement-Material-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
    May 01, 2017 - Overview Defining Patient and Family Engagement and its Benefits · Slides 4-7 Patient and Family Expectations in the ASC · Slides 8-10 Barriers, Facilitators, and Motivators · Slides 11-18 General Communication Methods for Engaging Patients and Family Members · Slides 19-21 Opportunities for Patient and Family Engageme…

  11. Representative case series from public hospital admissions 1998 II: surgical adverse events. | PSNet

    psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
    June 07, 2023 - Study Representative case series from public hospital admissions 1998 II: surgical adverse events. Citation Text: Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591. Copy C…

  12. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet

    psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
    August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

  13. Strategies for Improving CAHPS Health Plan Survey Scores (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/edgman-levitan-intro.pdf
    April 13, 2016 - Strategies for Improving CAHPS Health Plan Survey Scores Strategies for Improving CAHPS Health Plan Survey Scores A Webcast Presented by the AHRQ CAHPS User Network April 13, 2016 12:00 – 1:00 pm ET www.cahps.ahrq.gov CAHPS Webcast Series • Consumer Assessment of Healthcare Providers and Systems (CAHPS®…

  14. What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
    October 04, 2023 - Commentary What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. Citation Text: Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillo…

  15. Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/disseminating-and-implementing-medsmart-families-emergency-departments
    September 30, 2024 - Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse Project Description Implementing a mobile game-based tool in emergency departments (EDs…

  16. Association of patient and family reports of hospital safety climate with language proficiency in the US. | PSNet

    psnet.ahrq.gov/issue/association-patient-and-family-reports-hospital-safety-climate-language-proficiency-us
    November 16, 2022 - Study Association of patient and family reports of hospital safety climate with language proficiency in the US. Citation Text: Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with language proficiency in the US. JAMA Pediatr. 2022;…

  17. How To Integrate a CUSP Approach | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/integrate-cusp-approach.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI How To Integrate a CUSP Approach Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Surveil…

  18. Checking all the boxes: a checklist for when and how to use checklists effectively. | PSNet

    psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
    June 29, 2022 - Commentary Checking all the boxes: a checklist for when and how to use checklists effectively. Citation Text: Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…

  19. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. | PSNet

    psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
    August 15, 2013 - Study A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Citation Text: Anderson O, Brodie A, Vincent CA, et al. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Ann Surg. 2012;255(6):1086-92. doi:10.1097…

  20. Jerome RN et al. 2008 "Exploring clinician adoption of a novel evidence request feature in an electronic medical record system." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jerome-rn-et-al-2008
    January 01, 2008 - Jerome RN et al. 2008 "Exploring clinician adoption of a novel evidence request feature in an electronic medical record system." Reference Jerome RN, Giuse NB, Rosenbloom ST, et al. Exploring clinician adoption of a novel evidence request feature in an electronic medical record system. J Med Libr Asso…
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