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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 …
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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…
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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…
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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…
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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’…
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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…
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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…
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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…
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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:…
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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 …
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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…
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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,…
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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 …
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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…
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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:…
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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…
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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…
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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…
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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 …
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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…