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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46243/psn-pdfJune 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44782/psn-pdfJanuary 13, 2016 - The Swiss cheese model of adverse event occurrence—closing the holes. January 13, 2016 Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45915/psn-pdfJuly 19, 2017 - Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. July 19, 2017 Rau J. Kaiser Health News. July 6, 2017. https://psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous System failures contribute to recurring problems in health care environ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34770/psn-pdfApril 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46540/psn-pdfAugust 08, 2018 - Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. August 8, 2018 Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-1547. doi:10.1213/ANE.00000000000… -
www.ahrq.gov/evidencenow/tools/oars-model.htmlNovember 01, 2018 - Building Rapport with Patients: OARS Communication Skills Resource: The OARS Model: Essential Communication Skills This short tool describes OARS—a set of verbal and non-verbal communication skills that helps clinicians and educators in primary care practices to engage and build rapport with patients and a…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44889/psn-pdfApril 13, 2017 - An organizational learning framework for patient safety. April 13, 2017 Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148- 155. doi:10.1177/1062860616632295. https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety Organizations are encouraged t… -
Spreadnotes (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docxJune 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i… -
PowerPoint Presentation (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.pptMay 01, 2015 - PowerPoint Presentation Spotlight Errors in Sepsis Management This presentation is based on the May 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: David Shimabukuro, MD, University of California, San Francisco (UCSF) Editor, AHRQ WebM&M: Rober… -
Acknowledging Our Track Chairs (pdf file)
digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdfJune 16, 2021 - Acknowledging Our Track Chairs Acknowledging Our Track Chairs Steve Simon, Harvard Medical School Jack Starmer, Vanderbilt University Atif Zafar, Indiana University Marc Overhage, Regenstrief Institute Mark Frisse, Vanderbilt University Jan Walker, Partners Health Care and Cntr for Health IT Leadership … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33700/psn-pdfOctober 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD October 1, 2010 In Conversation with..Peter J. Pronovost, MD, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0 Editor's note: Peter J. Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and He… -
Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdfJanuary 01, 2010 - Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories from Hospital PSO Members Webcast June 10, 2015 2:00 – 3:00 pm ET Need Help? • No sound from computer speakers? ► Join us by phone: (855)… -
psnet.ahrq.gov/web-mm/collegiality-vs-competenceAugust 28, 2024 - Collegiality vs. Competence Citation Text: Sagin T. Collegiality vs. Competence. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2024 User Database Report Part II (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-appendix.pdfJanuary 01, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2024 User Database Report Part II Surveys on Patient Safety Culture® (SOPS®) Hospital Survey 2.0: 2024 User Database Report Part II: Appendix A—Results by Hospital Characteristics Appendix B—Results by Respondent Characteristics Prepared for: Age… -
Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-appendixes.pdfJanuary 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2022 User Database Report Part II Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey 2.0: 2022 User Database Report Part II: Appendix A—Results by Hospital Characteristics Appendix B—Results by Respondent Characteristics Prepared for: Agen… -
Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2021-HSOPS2-Database-Report-Part-II-508.pdfJanuary 01, 2021 - Surveys on Patient Safety Culture (SOPS) Hospital 2.0 Survey: 2021 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Hospital 2.0 Survey: 2021 User Database Report Part II: Appendix A—Results by Hospital Characteristics Appendix B—Results by Respondent Characteristics Prepared for: Ag… -
Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdfMarch 01, 2021 - Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I Surveys on Patient Safety CultureTM Hospital Survey 1.0: 2021 User Database Report PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®) Hospital Survey 1.0: 2021 Us… -
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdfJanuary 01, 2020 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II Surveys on Patient Safety CultureTM (SOPSTM) Medical Office Survey: 2020 User Database Report Part II Appendix A—Results by Medical Office Characteristics Appendix B—Results by Respondent Characteristics Prepa… -
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdfJanuary 01, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II Surveys on Patient Safety CultureTM (SOPS®) Medical Office Survey: 2022 User Database Report Part II: Appendix A – Results by Medical Office Characteristics Appendix B – Results by Respondent Characteristics Pre… -
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdfJanuary 01, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II Surveys on Patient Safety Culture® (SOPS®) Medical Office Survey: 2024 User Database Report Part II: Appendix A – Results by Medical Office Characteristics Appendix B – Results by Respondent Characteristics Prepa…
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