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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43217/psn-pdf
    May 28, 2014 - Bullying: a hidden threat to patient safety. May 28, 2014 Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200. https://psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety This commentary relates how bullying and other disruptive behaviors remain a pervasi…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39626/psn-pdf
    June 23, 2010 - The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. June 23, 2010 Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4. https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867699/psn-pdf
    June 01, 2023 - Toolkit for Improving Surgical Care and Recovery. June 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery Improving patient experience fosters better communication, trust, and col…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853443/psn-pdf
    September 13, 2023 - Complications and Errors in Periodontal and Implant Therapy. September 13, 2023 Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398. https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy Patient safety in dentistry shares common challenges with medicine and t…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42843/psn-pdf
    January 22, 2014 - Patient safety in the obstetric and gynecologic office setting. January 22, 2014 Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am. 2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004. https://psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-set…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40560/psn-pdf
    June 22, 2011 - Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). June 22, 2011 MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011. https://psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-rispe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44550/psn-pdf
    September 30, 2015 - Infections associated with reprocessed flexible bronchoscopes. September 30, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes Use of incompletely cleaned medical devices has b…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41200/psn-pdf
    January 03, 2017 - Implementing a perioperative handoff tool to improve postprocedural patient transfers. January 3, 2017 Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. https://psnet.ahrq.gov/issue/implement…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73123/psn-pdf
    April 01, 2020 - Digital Healthcare Research. April 1, 2020 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/digital-healthcare-research An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and health system improvement is still emerging. This website hi…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43494/psn-pdf
    November 17, 2014 - Read-back improves information transfer in simulated clinical crises. November 17, 2014 Boyd M, Cumin D, Lombard B, et al. Read-back improves information transfer in simulated clinical crises. BMJ Qual Saf. 2014;23(12):989-93. doi:10.1136/bmjqs-2014-003096. https://psnet.ahrq.gov/issue/read-back-improves-informati…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850935/psn-pdf
    June 21, 2023 - Non–operating room anesthesia challenges. June 21, 2023 Smith MJ. Anesthesiology News. June 6, 2023. https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges The use of office-based anesthesia presents both care improvements and risks for patients and clinical teams. This article summarizes frontline …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…

  13. Key Driver Diagram | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/key-drivers.html
    July 01, 2021 - CAHPS Child Hospital Survey (Child HCAHPS) Toolkit Key Driver Diagram Previous Page Next Page Table of Contents CAHPS Child Hospital Survey (Child HCAHPS) Toolkit Introduction Overview About Measure Specifications and Reporting Key Driver Diagram Quality Improvement Strategies Improvemen…

  14. Exhibit 4.17. Key Facilitators and Barriers to Organizing and Implementing Lean at Suntown Hospital (From Conceptual Framework) | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-17.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.17. Key Facilitators and Barriers to Organizing and Implementing Lean at Suntown Hospital (From Conceptual Framework) Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studie…

  15. Exhibit 3.18. Key Facilitators and Barriers to Organizing and Implementing Lean at Grand Hospital Center (from Conceptual Framework) | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-18.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.18. Key Facilitators and Barriers to Organizing and Implementing Lean at Grand Hospital Center (from Conceptual Framework) Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case S…

  16. Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/workflow
    January 01, 2023 - Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project. Citation Cutting EM, Overby CL, Banchero M, et al. Using workflow modeling to identify areas to improve genetic test processes in the University of Marylan…

  17. 2015 | Digital Healthcare Research

    digital.ahrq.gov/year-survey/2015
    January 01, 2015 - 2015 Health Information Technology and Provider Communication Description This is a questionnaire designed to be completed by physicians, nurse practitioners, and physician assistants in a perioperative/operative and hospital setting. The tool includes questions to assess the …

  18. Medical Expenditure Panel Survey MEPSnet Household Component

    meps.ahrq.gov/mepsweb/data_stats/MEPSnetHC.jsp
    Medical Expenditure Panel Survey MEPSnet Household Component   Skip to main content An official website of the Department of Health & Human Services More Back Sea…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853976/psn-pdf
    September 27, 2023 - Disclosure of Medical Errors. September 27, 2023 Irving, TX: American College of Emergency Physicians; 2023. https://psnet.ahrq.gov/issue/disclosure-medical-errors Error disclosure is difficult yet important for patient and clinician psychological healing. This statement provides guidance to address barriers to em…

  20. Patient Involvement | Agency for Healthcare Research and Quality

    www.ahrq.gov/patients-consumers/patient-involvement/index.html
    November 01, 2016 - Patient Involvement Get more involved with your health care by asking questions, talking to your clinician, and understanding your condition. Patients and families who engage with health care providers ask good questions and help reduce the risk of errors and hospital admissions. Browse these resources to get s…
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