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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42186/psn-pdf
    April 24, 2013 - High reliability: truly achieving healthcare quality and safety. April 24, 2013 Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety This commentary discusses how high reliability …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40997/psn-pdf
    December 14, 2011 - Psychosocial influences on safety climate: evidence from community pharmacies. December 14, 2011 Phipps D, Ashcroft DM. Psychosocial influences on safety climate: evidence from community pharmacies. BMJ Qual Saf. 2011;20(12):1062-8. doi:10.1136/bmjqs.2011.051912. https://psnet.ahrq.gov/issue/psychosocial-influence…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34595/psn-pdf
    January 04, 2017 - Mary Lanning Memorial Hospital: communication is key. January 4, 2017 Lindblad B, Chilcott J, Rolls L. Mary Lanning Memorial Hospital: communication is key. Joint Commission journal on quality and safety. 2004;30(10):551-8. https://psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key This rural ho…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43526/psn-pdf
    December 15, 2014 - Achieving a climate for patient safety by focusing on relationships. December 15, 2014 Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068. https://psnet.ahrq.gov/issue/achieving-climate-pa…
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
    June 01, 2021 - Four Moments of Antibiotic Decision Making Poster Does the resident have symptoms that suggest an infection? What type of infection is it? Have we collected appropriate cultures before starting antibiotics? What empiric therapy should be initiated? 1 What duration of antibiotic therapy is needed for the resident’…
  6. www.ahrq.gov/nursing-home/resources/best-mental-health.html
    June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37773/psn-pdf
    May 21, 2008 - Critical incident reporting system in emergency medicine. May 21, 2008 Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82. https://psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine This article expl…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38497/psn-pdf
    July 13, 2009 - Social aspects of clinical errors: a discussion paper. July 13, 2009 Richman J, Mason T, Mason-Whitehead E, et al. Social aspects of clinical errors. Int J Nurs Stud. 2009;46(8). doi:10.1016/j.ijnurstu.2009.01.006. https://psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper This article engages wi…
  9. digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision/citation/use
    January 01, 2023 - Use of human factors and ergonomics to disseminate health care quality improvement programs. Citation Xie A, Woods-Hill CZ, Berenholtz SM, Milstone AM. Use of human factors and ergonomics to disseminate health care quality improvement programs. Qual Manag Health Care. 2019 Apr/Jun;28(2):117-118. doi:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …
  11. www.ahrq.gov/evidencenow/evaluation/publications/supplement.html
    August 01, 2018 - EvidenceNOW Supplement in Annals of Family Medicine Early findings from the EvidenceNOW initiative are now available in a special Annals of Family Medicine journal supplement. Brief summaries of each paper are provided below. Early findings from the EvidenceNOW initiative are now available in a special Anna…
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
    November 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Treatment Challenges After Discharge * * Source and Credits This presentation is based on the November 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Chase Coffey, MD, Henry Ford Health System,…
  13. www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide References Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change …
  14. www.ahrq.gov/teamstepps-program/evidence-base/surgical.html
    July 01, 2023 - TeamSTEPPS Research/Evidence Base: Surgical Care and OR Aaberg OR, Ballangrud R, Husebo SIE, Hall-Lord ML. An interprofessional team training intervention with an implementation phase in a surgical ward: A controlled quasi-experimental study. J Interprof Care . 2019:1-10. Epub 2019/12/19. doi: 10.1080/13561820…
  15. www.ahrq.gov/sites/default/files/2024-09/sampselle-report.pdf
    January 01, 2024 - Final Progress Report: Health Care Policy and Practice: Promoting Environments for Quality Care Title of Project: Health Care Policy and Practice: Promoting Environments for Quality Care Principal Investigator: Carolyn M. Sampselle Organization: University of Michigan School of Nursing Inclusive Dates of Project:…
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Spotlight Case July 2008 Spotlight Case The Safety and Quality of Long Term Care * * Source and Credits This presentation is based on the September 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
  17. www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
    December 01, 2012 - Assemble the Team CUSP Toolkit The Assemble the Team module of the CUSP Toolkit addresses CUSP team composition for your quality improvement initiative.   Note : Slide content is presented below each of the images.  Contents Slide 1. Cover Slide . Slide 2. Learning Objectives . Slide 3. The Unit…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33777/psn-pdf
    January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care January 1, 2015 Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
    December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements Performing an SSI Investigation – Facilitator Notes Slide Title and Commentary Slide Number and Slide Performing an SSI Investigation SAY: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide …
  20. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
    December 01, 2017 - Performing an SSI Investigation: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Performing an SSI Investigation Say: In this module, you’ll learn about performing a surgical site infection or SSI investigation. Slide 2: Learning Objectives Say: Here are the objectives. We want to d…