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  1. 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/impguide.html
    December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Instructor Guide—Implementation of the Prevention Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Introduction Say: Yesterday you were introdu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73153/psn-pdf
    April 28, 2021 - Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April 28, 2021 Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough Disclosure of Relev…

  3. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
    June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…

  4. Journey of Mr. Kane

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
    June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

  6. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet

    psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg | March 27, 2024  View more articles from the same authors. Citation Text: Murray J, Sorra J, Gale B, et al. Ensuring Patient…

  7. Monitoring Fetal Health | PSNet

    psnet.ahrq.gov/web-mm/monitoring-fetal-health
    September 08, 2010 - SPOTLIGHT CASE Monitoring Fetal Health Citation Text: Scerbo MW, Abuhamad AZ. Monitoring Fetal Health . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNot…

  8. Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
    June 01, 2010 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers Prepared for: Agency …

  9. Slide 1 (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/module_i1.ppt
    May 29, 2025 - Slide 1 Engaging Stakeholders in the Effective Health Care Program Information and tools for researchers and investigators Numeric

  10. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

  11. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet

    psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
    May 20, 2019 - Special or Theme Issue Acting Locally: Working in Clinical Microsystems CD-ROM. Citation Text: Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. Copy Citation Save Save to yo…

  12. Improving Electronic Health Records Patient Education Materials - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2012
    January 01, 2012 - Improving Electronic Health Records Patient Education Materials - 2012 Project Name Improving Electronic Health Records Patient Education Materials Principal Investigator Shoemaker, Sarah Organization Abt Associates, Inc. Funding Mechanism National Resource Center T…

  13. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

    psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

  14. AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. | PSNet

    psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care
    August 07, 2024 - Book/Report AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Citation Text: AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…

  15. EU to tackle issue of patient safety. | PSNet

    psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
    September 06, 2023 - Newspaper/Magazine Article EU to tackle issue of patient safety. Citation Text: Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  16. Evaluation of postoperative handover using a tool to assess information transfer and teamwork. | PSNet

    psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
    April 30, 2014 - Study Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Citation Text: Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837. Co…

  17. Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. | PSNet

    psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
    September 12, 2018 - Book/Report Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. Citation Text: Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…

  18. Promoting psychosocial well-being of health care staff during crisis. | PSNet

    psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis
    October 21, 2020 - Newspaper/Magazine Article Promoting psychosocial well-being of health care staff during crisis. Citation Text: Promoting psychosocial well-being of health care staff during crisis. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  19. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. | PSNet

    psnet.ahrq.gov/issue/condition-concern-innovative-response-system-enhancing-hospitalized-patient-care-and-safety
    April 24, 2018 - Commentary Condition concern: an innovative response system for enhancing hospitalized patient care and safety. Citation Text: Baird SK, Turbin LB. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. J Nurs Care Qual. 2011;26(3):199-207. d…

  20. Improving patient safety by shifting power from health professionals to patients. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
    June 01, 2014 - Special or Theme Issue Improving patient safety by shifting power from health professionals to patients. Citation Text: Improving patient safety by shifting power from health professionals to patients. BMJ. 2023(383):2219, 2278, 2319, 2331. Copy Citation Save Save…
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