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  1. Information to Help Hospitals Get Started (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
    February 08, 2018 - support” included highlighting the hospital’s focus on providing patient- and family-centered care in communications

  2. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
    March 27, 2008 - Emerging themes related to wrong procedure events included communications, team dynamics, patient identification

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73677/psn-pdf
    September 08, 2021 - Toolkit for Engaging Patients to Improve Diagnostic Safety. September 8, 2021 Rockville, MD: Agency for Healthcare Research and Quality; August 2021. AHRQ Publication No. 21-0047-2-EF. https://psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety Patient and family engagement is core to ef…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44174/psn-pdf
    January 06, 2016 - Team training for safer birth. January 6, 2016 Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol. 2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020. https://psnet.ahrq.gov/issue/team-training-safer-birth Obstetric care is considered a high-risk environm…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60574/psn-pdf
    June 10, 2020 - Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. June 10, 2020 Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well- being. N Engl J Med. 2020;383(6):513-515. doi:10.1056/nejmp2011027. https://psnet.ahrq.gov/issue/preven…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60990/psn-pdf
    October 07, 2020 - Tiered daily huddles: the power of teamwork in managing large healthcare organisations. October 7, 2020 Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. https://psnet.ahrq.gov/issue/tiered-daily…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43198/psn-pdf
    July 19, 2023 - TeamSTEPPS Core Curriculum. July 19, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/teamstepps-core-curriculum The TeamSTEPPS® program was developed to support effective communication and teamwork in health care. The curriculum offers training for participan…

  8. Icahn School Of Medicine At Mount Sinai | Digital Healthcare Research

    digital.ahrq.gov/organization/icahn-school-medicine-mount-sinai
    January 01, 2023 - Icahn School Of Medicine At Mount Sinai Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, m…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42171/psn-pdf
    April 17, 2013 - Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. April 17, 2013 Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. doi:10.1016/j.ssci.2012.09.009. http…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44656/psn-pdf
    November 11, 2015 - Making health care safer: what is the contribution of health psychology? November 11, 2015 Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166. https://psnet.ahrq.gov/issue/making-health-care-safer-…

  11. Compliance Patient Letter (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/James_Veline_IQHIT_Q6_Adherence_and_Compliance_Patient_Letter.pdf
    June 16, 2021 - Compliance Patient Letter [Date] [Recipient Name] [Street Address] [City, ST ZIP Code] Dear [Recipient Name]: With recent advancements in technology, our clinic is able to assist you with your blood pressure medication in more ways than ever before. Electronic prescribing gives our…

  12. USA, ME, Presque Isle | Digital Healthcare Research

    digital.ahrq.gov/location/usa-me-presque-isle
    January 01, 2023 - USA, ME, Presque Isle The Aroostook Medical Center Chronic Care Technology Project: Provider Questionnaire Description This is a questionnaire designed to be completed by clinical staff and administrators across a health care system. The tool includes questions to assess the c…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72591/psn-pdf
    December 23, 2020 - Bias and racism teaching rounds at an academic medical center. December 23, 2020 Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858325/psn-pdf
    December 13, 2023 - Patients with low health literacy make more errors interpreting instructions and warnings. December 13, 2023 ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3. https://psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and- warnings The inability to understand hea…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35650/psn-pdf
    June 25, 2010 - Am I safe here? Improving patients' perceptions of safety in hospitals. June 25, 2010 Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. https://psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-ho…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43761/psn-pdf
    July 01, 2016 - An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. July 1, 2016 Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. Anesth Analg. 2015;120(1):96-10…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44574/psn-pdf
    October 21, 2015 - Patient safety and quality improvement: reducing risk of harm. October 21, 2015 Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm T…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43150/psn-pdf
    April 30, 2014 - Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. April 30, 2014 Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1097/INF.0000000000000261. https://psnet.ahrq.gov/issue…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40790/psn-pdf
    January 01, 2012 - Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. December 1, 2011 Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. J Nurs Care Qual. 2…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47289/psn-pdf
    October 24, 2018 - ASHP guidelines on managing drug product shortages. October 24, 2018 Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages Drug shortages are a pe…
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