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psnet.ahrq.gov/node/60660/psn-pdf
July 09, 2020 - Pharmacist-led program to improve transitions from acute
care to skilled nursing facility care.
July 9, 2020
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to
skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090.
https:/…
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psnet.ahrq.gov/node/849610/psn-pdf
May 31, 2023 - Implementation of ED I-PASS as a standardized handoff
tool in the pediatric emergency department.
May 31, 2023
Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the
pediatric emergency department. J Healthc Qual. 2023;45(3):140-147.
doi:10.1097/jhq.0000000000000374.…
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psnet.ahrq.gov/node/859301/psn-pdf
January 01, 2024 - Parents' understanding of medication at discharge and
potential harm in children with medical complexity.
December 20, 2023
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and
potential harm in children with medical complexity. Arch Dis Child. 2024;109(3):215-221.
…
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psnet.ahrq.gov/node/837029/psn-pdf
May 04, 2022 - Identifying patients whose symptoms are
underrecognized during treatment with breast
radiotherapy.
May 4, 2022
doi:10.1001/jamaoncol.2022.0114.
https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-
breast-radiotherapy
Concordance of patient-reported symptoms and p…
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psnet.ahrq.gov/node/853440/psn-pdf
September 13, 2023 - Radiographers' experience of preventing patient safety
incidents in the context of radiological examinations.
September 13, 2023
Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in
the context of radiological examinations. Scand J Caring Sci. 2023;37(2):414-423…
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psnet.ahrq.gov/node/38504/psn-pdf
September 06, 2011 - Safe Practices for Better Healthcare–2009 Update.
September 6, 2011
National Quality Forum. Washington, DC: National Quality Forum; 2009.
https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
The National Quality Forum's Safe Practices for Better Healthcare provide a blueprint for organizations …
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psnet.ahrq.gov/node/866158/psn-pdf
June 19, 2024 - Anesthesia-related closed claims in free-standing
ambulatory surgery centers.
June 19, 2024
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory
surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
https://psnet.ahrq.gov/issue/anesthes…
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psnet.ahrq.gov/node/837896/psn-pdf
January 01, 2023 - Helping healthcare teams to debrief effectively:
associations of debriefers' actions and participants'
reflections during team debriefings.
August 24, 2022
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively:
associations of debriefers’ actions and participants’ reflect…
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psnet.ahrq.gov/node/44851/psn-pdf
March 16, 2016 - Understanding psychological safety in health care and
education organizations: a comparative perspective.
March 16, 2016
Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and
Education Organizations: A Comparative Perspective. Res Hum Dev. 2016;13(1):65-83.
doi:10.1080/15…
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www.ahrq.gov/hai/tools/mvp/modules.html
January 01, 2017 - Toolkit Modules
The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture.
Module on How To Apply CUSP for Mechanically Ventilated Patients
The Comprehensive Unit…
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www.ahrq.gov/pqmp/measures/fecc-school-staff-communication.html
August 01, 2021 - Family Experiences with Coordination of Care (FECC) Measure: Healthcare Provider Communicated with School Staff About Child's Condition
Measure Domain: Management of Chronic Conditions
Measure Sub-Domain: Care Coordination
Subcategory: Family Experiences with Coordination of Care (FECC) Measurement Set
…
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www.ahrq.gov/talkingquality/translate/compare/choose/index.html
December 01, 2022 - Choosing a Comparator for Health Care Quality Scores
One of the most important decisions you will make is choosing the “comparator,” i.e., the level of performance against which you are assessing each health plan or provider in your report. When you set a comparator, you are essentially signaling to consumers…
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psnet.ahrq.gov/node/73710/psn-pdf
September 15, 2021 - Strengths and weaknesses in the diagnostic process of
endometriosis from the patients' perspective: a focus
group study.
September 15, 2021
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of
endometriosis from the patients’ perspective: a focus group study. Diagnos…
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www.ahrq.gov/teamstepps-program/evidence-base/behavior.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Disruptive Behavior
Rosenstein A. H., et al. (2002). Disruptive physician behavior contributions to nursing shortage. Study links bad behavior by doctors to nurses leaving the profession. Physician Executive 28(6), 8-11. Select to access the abstract .
Rosenstein, A. H., …
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www.ahrq.gov/hai/cauti-tools/ena-slides/index.html
February 01, 2023 - The Emergency Nurses Association Presents CAUTI Slides and Transcript
Next Page
Table of Contents
The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, Introduction, and Main Menu
Part One: Traditional Practice and Recommendations for Cha…
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psnet.ahrq.gov/node/74217/psn-pdf
December 22, 2021 - NPSD Data Spotlight, Patient Safety and COVID-19: A
Qualitative Analysis of Concerns During the Public Health
Emergency, 2021.
December 22, 2021
Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. No. 22-0005.
https://psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid…
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psnet.ahrq.gov/node/46505/psn-pdf
August 20, 2018 - Americans' Experiences With Medical Errors and Views
on Patient Safety.
August 20, 2018
Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017.
https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
Patient perspectives have been shown to identi…
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psnet.ahrq.gov/node/61120/psn-pdf
November 11, 2020 - Application of human factors methods to understand
missed follow-up of abnormal test results.
November 11, 2020
Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up
of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. doi:10.1055/s-0040-1716537.
http…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/measures.html
May 01, 2017 - Measures From the CAHPS Health Literacy Item Sets
Health Literacy Items for Clinicians & Groups
How Well Providers Communicate About Medicines
C-HL15. Provider gave easy to understand instructions about medicines
C-HL16. Provider gave easy to understand explanations about possible side effects of medicines…
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psnet.ahrq.gov/node/866938/psn-pdf
October 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence:
From Passive Reception towards Co-Design.
October 9, 2024
Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence:
From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality;
…