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  1. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. Slide 1 Say: Obje…

  2. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-slides.pptx
    January 01, 2017 - Presentation: Program Overview Patient and Family Involvement in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-37-EF January 2017 Patient/Family Involvement ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Obje…

  3. Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
    January 01, 2024 - Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities Final Report Patient Safety: Physician Assistant Responsibilities and Opportunities An educational conference program of the American Academy of Physician Assistants This program was funded by a grant from the Agency fo…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - When the Indications for Drug Administration Blur June 24, 2020 Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

  6. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet

    psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
    April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps Citation Text: Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy …

  7. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
    January 24, 2008 - by the hospital-based research and compliance office, we initiated and maintained open and ongoing communications

  8. Chapter 4: Defining Language Need and Categories for Collection, cont. | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
    August 01, 2021 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 4: Defining Language Need and Categories for Collection, cont. Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary …

  9. Final Progress Report: Patient Safety and the Primary Care Testing Process (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
    January 01, 2025 - Final Progress Report: Patient Safety and the Primary Care Testing Process Final Report 1. Title page Patient Safety and the Primary Care Testing Process PI: Nancy C. Elder, MD, MSPH Department of Family and Community Medicine University of Cincinnati PO Box 670582 3235 Eden Ave, 142 HPB Cincinnati, OH 45267…

  10. A total of 1,364 patients were treated with a neurothrombectomy device as part of X reports (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/advanced-care-decision-aids_technical-brief.pdf
    July 01, 2014 - , education of physicians), economic incentives, or ethical considerations affect the end-of-life communications

  11. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
    January 01, 2016 - 2016 Hospital Survey on Patient Safety Culture Part I PATIENT SAFETY HOSPITAL SURVEY ON PATIENT SAFETY CULTURE 2016 User Comparative Database Report Surveys on Patient Safety Culture™ The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840140/psn-pdf
    January 01, 2023 - Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I?PASS handoff program in diverse clinical environments: a multicenter prospective effectiv…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867383/psn-pdf
    December 18, 2024 - Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. December 18, 2024 Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. Leadership H…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73091/psn-pdf
    March 31, 2021 - Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. March 31, 2021 Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141. doi:10.1097…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867591/psn-pdf
    January 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42503/psn-pdf
    September 18, 2013 - The patient is in: patient involvement strategies for diagnostic error mitigation. September 18, 2013 McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623. https://psnet.ahrq.gov/i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847531/psn-pdf
    April 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023 Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. BMC Health Serv Res.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60763/psn-pdf
    August 05, 2020 - Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020 Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93-96. doi:10.1177/2516043520931971. https://psnet.a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36167/psn-pdf
    June 29, 2011 - Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. June 29, 2011 Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. https://psnet.ahrq.gov/issue/nurses-and-nursing-assistants-per…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851189/psn-pdf
    July 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023 Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…
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