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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72741/psn-pdf
    February 17, 2021 - The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. February 17, 2021 Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to airway complications in mechanically…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39123/psn-pdf
    April 30, 2014 - Incorrect surgical procedures within and outside of the operating room. April 30, 2014 Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. https://psnet.ahrq.gov/issue/incorrect-surgical-proced…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40252/psn-pdf
    March 02, 2011 - Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. March 2, 2011 Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship With Adverse Outcomes. J Patient Saf. 2…

  4. TeamSTEPPS Research/Evidence Base: Physician/Nurse Collaboration | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/collaboration.html
    May 01, 2023 - TeamSTEPPS Research/Evidence Base: Physician/Nurse Collaboration Dechairo-Marino, A., Jordan-Marsh, M., Traiger, G., & Saulo, M. (2001). Nurse/physician collaboration: action research and the lessons learned.  The Journal of Nursing Administration  31(5), 223-232. Select to access the  abstract . Lingard, L.,…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era Missed an…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74159/psn-pdf
    December 08, 2021 - Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. . Jt Comm J Qu…

  7. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
    February 01, 2023 - Module 3: Conversations Around Device Necessity Preventing CAUTI in the ICU Setting Slide Presentation Slide 1 AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 3: Conversations Around Device Necessity AHRQ Pub No. 15-0073-4-EF September 2015 Slide 2 …

  8. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality

    www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Develop a Culture of Safety Around Antibiotic Prescribing For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs  (PDF, 328 KB). Presentations Improving …

  9. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)

    www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
    July 01, 2024 - Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act PATIENT SAFETY e Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act This page intentionally left blank. e Issue Brief 19 Electronic Test Result Communication …

  10. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Handouts: Pressure Ulcer Prevention Implementation   Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Nursing Home's Pressure Ulcer Prevention Implementation Scripted Exercise #…

  11. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…

  12. Chapter 4, Emerging Trends in Care Coordination Measurement | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 4, Emerging Trends in Care Coordination Measurement Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework …

  13. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Effective Patient-Doctor Communications. VeryWell. … November 25, 2014. https://www.verywell.com/effective-patient-doctor-communications-2615472.

  14. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
    June 18, 2024 - Significant Impact 9 Learning System Leverage Use of the Ascension PSO - Safe Tables - Standardized Communications

  15. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
    August 01, 2022 - Planning Grants Final Evaluation Report Appendix A. Grantee Profiles Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References Carilion Medical …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49813/psn-pdf
    January 01, 2018 - Dying in the Hospital With Advanced Dementia December 1, 2017 Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia Case Objectives Recognize the importance of eliciting patient preferences and go…

  17. Building an Engaged CUSP Team Facilitator Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
    April 01, 2022 - Building an Engaged CUSP Team Facilitator Guide CUSP Module: Building an Engaged CUSP Team Facilitator Guide Slide Number and Image This module, titled “Building an Engaged CUSP Team,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…

  18. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …

  19. Patient as a Team Member in Clinical Care | PSNet

    psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
    March 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient as a Team Member in Clinical Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybraria…

  20. Quality Improvement Change Assessment (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/qica-healthy-hearts.pdf
    June 02, 2025 - Quality Improvement Change Assessment Quality Improvement Change Assessment © 2016 Healthy Hearts Northwest. This project is supported by grant number R18HS023908 from the Agency for Healthcare Research and Quality. This is an abbreviated version of the Safety Net Medical Home Initiative, Patient-Centered Medical H…
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