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psnet.ahrq.gov/node/41578/psn-pdf
October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities:
Training Modules.
October 9, 2013
Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ
Publication No. 12-0001.
https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
This se…
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psnet.ahrq.gov/node/50665/psn-pdf
November 13, 2019 - The SECOND Trial
November 13, 2019
Northwestern University Feinberg School of Medicine
https://psnet.ahrq.gov/issue/second-trial
Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This
website shares information on the Surgical Education Culture Optimization through t…
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psnet.ahrq.gov/node/50668/psn-pdf
November 13, 2019 - Case Study Webinar Series on Clinician Burnout: The
Ohio State University
November 13, 2019
NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician
Burnout: The Ohio State University. National Academies of Medicine.
https://psnet.ahrq.gov/issue/case-study-webinar-ser…
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psnet.ahrq.gov/node/43476/psn-pdf
June 27, 2018 - Looking to the future of patient safety.
June 27, 2018
Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
https://psnet.ahrq.gov/issue/looking-future-patient-safety
This magazine article summarizes experts' projections for the patient safety movement in the next 5 years.
Areas discussed include expanding…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-12.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.12. 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…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-12.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.12. 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…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.16. 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…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-16.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.16. 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…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-17.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.17. 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…
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psnet.ahrq.gov/node/50407/psn-pdf
October 02, 2019 - Patient Safety in the Traditional and Evolving
Nontraditional Office Setting
October 2, 2019
Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin
Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471.
https://psnet.ahrq.gov/issue/patient-safety-tra…
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www.ahrq.gov/patient-safety/quality-measures/index.html
August 01, 2023 - Patient Safety and Quality Measures
Quality improvement measurement tools and information, including AHRQ Quality Indicators Hospital Toolkit, ambulatory clinical performance measures, and TalkingQuality.
National Scorecard on Hospital-Acquired Conditions
Surveys on Patient Safety Culture
Quality and Sa…
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psnet.ahrq.gov/node/34583/psn-pdf
July 03, 2015 - Patient Safety Challenge Grants.
July 3, 2015
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/patient-safety-challenge-grants
In fiscal year 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded nearly $4 million in
Patient Safety Challenge Grants to support 13 new prac…
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www.ahrq.gov/evidencenow/tools/podcast-business-case.html
February 01, 2025 - Podcast: Building Your Business Case for Your Quality Improvement Project
Resource: Building Your Business Case for Your Quality Improvement Project: Why It's Important (mp3, 32:16 minutes)
In this podcast, Jim Campbell, MD, explores practical tools for implementing quality improvement activities and creati…
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psnet.ahrq.gov/node/41353/psn-pdf
May 09, 2012 - Speaking up, being heard: registered nurses' perceptions
of workplace communication.
May 9, 2012
Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs
Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x.
https://psnet.ahrq.gov/issue/speaking-being-heard-reg…
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - error include:
– Reimbursement structures that discourage consultation
– Incomplete medical records
– Cultural
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Cultural Competence and Patient Safety. PSNet Patient Safety Network. Published December 27, 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
October 01, 2009 - Spanish Translation of AHRQ's Hospital Survey on Patient Safety
SOPSTM Hospital Survey Items and Composites
Version: 1.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection methods,
establishing data collection procedures, conducting a Web-based s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - Presentation: Program Overview
Learn From Defects in Care of Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-34-EF
January 2017
Learn From Defects ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
1
Learning Objectives
After this ses…
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Bowel Injury After Laparoscopic Surgery
January 1, 2015
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
The Case
A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…