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  1. www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/qi-strategies.html
    August 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Introduction Overview …
  2. psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - The Different Count Contributions to Retention Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1 Enforcement Reports from 2007-2014 A NoThing Left Behin…
  3. psnet.ahrq.gov/toolkits
    March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…
  4. psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - SPOTLIGHT CASE Treatment Challenges After Discharge Citation Text: Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bib…
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Teamwork_in_QI_2012_02_01_Transcript.pdf
    January 01, 2012 - Teamwork in Quality Improvement Teamwork in Quality Improvement February 2012  Podcast Speaker Marjie Harbrecht, CEO, HealthTeamWorks Moderator Carla Zema, Consultant, CAHPS User Network; Assistant Professor of Economics and Health Policy, Saint Vincent College Presentation Available https://www.ca…
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
    December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk Slide Presentation Slide 1 Mohamad Fakih, MD, MPH Professor of Medicine Wayne State University School of Medicine Medical Director, Infection Prevention and Control St. John Hospital and Medical Center Barbara Lucas, MD, MHSA Project Consultant Mich…
  7. www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Patient Safety Tools The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print. Contents   Tools for H…
  8. psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - The Inside of a Time Out Citation Text: Feldman DL. The Inside of a Time Out. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
    January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1 COMMUNITY PHARMACY SURVEY ON PATIENT SAFETY CULTURE 2015 USER COMPARATIVE DATABASE REPORT PATIENT SAFETY Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Prepared for…
  10. digital.ahrq.gov/national-webinars/reducing-provider-burden-through-better-health-it-design
    January 01, 2023 - Reducing Provider Burden through Better Health IT Design Event Date: January 25, 2018 | 2:30pm – 4:00pm ET Event Materials: Presentation Slides ( PDF , 4.35 MB) Q&A ( PDF , 330 KB) Your browser does not support inline frames. Please go to https://youtu.be/nIynw5Oji…
  11. www.ahrq.gov/research/findings/evidence-based-reports/techbrief16.html
    July 01, 2014 - Decision Aids for Advance Care Planning Structured Abstract Background: Advance care planning (ACP) honors patients’ goals and preferences for future care by creating a plan for when illness or injury prevents adequate communication. ACP can also help patients assess their care options. Less than 50 percent …
  12. digital.ahrq.gov/principal-investigator/sakuda-christine-m
    January 01, 2023 - Sakuda, Christine M. Improving transitional care in Hawaii: opening communication between community-based and tertiary-care healthcare providers. Citation Chin BJ, Sakuda CM, Balaraman V. Improving transitional care in Hawaii: opening communication between community-based and …
  13. Eising_Panel_1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/eising_panel_1.pdf
    January 01, 2010 - Eising_Panel_1 Slide  1: White  Paper 1 Opening  Comments Scott W. Eising Director, Advanced  Market/Product Development Mayo Clinic Rochester, MN Slide  2: Mayo Clinic: Past and Present • Based on vision of founders: two brothers and their father, pract…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38524/psn-pdf
    July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? July 13, 2009 Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45314/psn-pdf
    September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. September 1, 2018 Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44266/psn-pdf
    May 19, 2019 - Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. May 19, 2019 Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160. doi:10…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39302/psn-pdf
    February 17, 2010 - Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. February 17, 2010 Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08-1732. https://psnet.ahrq.gov/i…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43207/psn-pdf
    April 25, 2016 - Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. April 25, 2016 Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2014;40(6):253-62. https://…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. February 15, 2011 Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care W…