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  1. Making It Work Tip Sheet: Engaging Staff Beyond the CUSP Team (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-staff.pdf
    April 01, 2022 - Making It Work Tip Sheet: Engaging Staff Beyond the CUSP Team AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Engaging Staff Beyond the CUSP Team This “Making It Work” tip sheet provides additional information to help intensive care unit (ICU) team le…

  2. Silence A Commentary | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Silence A Commentary Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System in Massachusetts: Communication, Apo…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33587/psn-pdf
    June 15, 2024 - Missed Nursing Care June 15, 2024 Missed Nursing Care. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/missed-nursing-care PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837344/psn-pdf
    June 08, 2022 - Antifatness in the surgical setting. June 8, 2022 Andreou A. Scientific American. May 26, 2022. https://psnet.ahrq.gov/issue/antifatness-surgical-setting Negative comments and attitudes indicate a lack of professionalism that can affect patient care. This article shares concerns about surgeon biases toward pa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35379/psn-pdf
    June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. June 15, 2011 Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005. https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families This…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39191/psn-pdf
    February 08, 2011 - Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. February 8, 2011 Schyve PM. San Diego, CA: Governance Institute; 2009. https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership- standards This white paper provides comprehensive inf…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42034/psn-pdf
    February 13, 2013 - Why doctors should own up to their medical mistakes. February 13, 2013 Miller K; Goldman B; Goldhill D. https://psnet.ahrq.gov/issue/why-doctors-should-own-their-medical-mistakes Reporting on clinicians' reluctance to discuss their errors and how transparency and safety culture affect safety improvement, this radi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46644/psn-pdf
    June 20, 2018 - The Science of Teamwork. June 20, 2018 McDaniel SH, Salas E, eds. Am Psychol. 2018;73:305-600. https://psnet.ahrq.gov/issue/science-teamwork Effective teams are core to safe practice in a wide range of work environments. This special issue explores team psychology with an emphasis on high-risk industries such as s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38126/psn-pdf
    December 23, 2012 - The MacArthur Fellows Program: Peter Pronovost. December 23, 2012 The John D. and Catherine T. MacArthur Foundation. https://psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost Through his work, Peter Pronovost, a critical care physician and professor at Johns Hopkins University School of Medicine, has …

  10. Exhibit 5.15. Outcomes by Category | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-15.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.15. Outcomes by Category Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital…

  11. Toolkit To Improve Antibiotic Use in Long-Term Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/antibiotic-ltc-toolkit.html
    September 01, 2021 - Toolkit To Improve Antibiotic Use in Long-Term Care Resource:   Toolkit To Improve Antibiotic Use in Long-Term Care The Long-Term Care Toolkit explains the Four Moments of Antibiotic Decision Making, and has tools to support their implementation and improve prescribing in three areas: developing and improving…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40905/psn-pdf
    November 09, 2011 - A relational leadership perspective on unit-level safety climate. November 9, 2011 Thompson DN, Hoffman LA, Sereika SM, et al. A relational leadership perspective on unit-level safety climate. J Nurs Adm. 2011;41(11):479-87. doi:10.1097/NNA.0b013e3182346e31. https://psnet.ahrq.gov/issue/relational-leadership-persp…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42335/psn-pdf
    June 05, 2013 - The technologist's role in patient safety and quality in medical imaging. June 5, 2013 Watson L, Odle TG. The technologist's role in patient safety and quality in medical imaging. Radiol Technol. 2013;84(5):536-41. https://psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging This com…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35438/psn-pdf
    September 15, 2009 - Patient safety: what is really at issue? September 15, 2009 Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16. https://psnet.ahrq.gov/issue/patient-safety-what-really-issue Dr. Bagian, director of the National Center for Patient Safety (NCPS), reviews elements of a succes…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47472/psn-pdf
    October 24, 2018 - Patient Safety Certificate Course. October 24, 2018 American Board of Quality Assurance and Utilization Review Physicians; ABQAURP. https://psnet.ahrq.gov/issue/patient-safety-certificate-course This online course offers three modules designed to build awareness of key patient safety topics, including how to ident…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74711/psn-pdf
    April 14, 2023 - World Patient Safety, Science & Technology Summit. April 14, 2023 Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023. https://psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit Multidisciplinary educational opportunities promote cross-industry learning to impro…

  17. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
    March 01, 2017 - perspectives and choices, resident and family makeup, knowledge, values, beliefs, and religious and cultural

  18. Designing consumer health IT to enhance usability among different racial and ethnic groups within the United States. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/citation/designing
    January 01, 2023 - Designing consumer health IT to enhance usability among different racial and ethnic groups within the United States. Citation Valdez RS, Gibbons MC, Siegel ER, et al. Designing consumer health IT to enhance usability among different racial and ethnic groups within the United States. Health Techno 2012…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44287/psn-pdf
    September 21, 2023 - Patient safety in the operating room. September 21, 2023 Wahr JA. UpToDate. September 21, 2023. https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety The operating room is a high-risk environment influenced by culture, teamwork, and task complexity. This review provides an overv…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42613/psn-pdf
    September 25, 2013 - Approaches to decreasing medication and other care errors in the ICU. September 25, 2013 Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…
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