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  1. Report Organization | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Report Organization Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Executive Summary Report Organization Program Implementation Program Impact What We Le…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33576/psn-pdf
    December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…

  3. Closing Gaps in Research ~ Organizationsand Healthcare Diagnoses (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/goeschel-summit2016.pdf
    June 02, 2025 - Closing Gaps in Research ~ Organizationsand Healthcare Diagnoses Closing Gaps in Research ~ Organizations and Healthcare Diagnoses Pragmatic Considerations for Getting from Here to There 1 Presenter: Christine Goeschel ScD RN FAAN chris.a.goeschel@medstar.net Perspective MedStar Health ~ FY 2015 • 10 Acute C…

  4. Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
    February 01, 2024 - Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety We stand for a healthcare delivery system that is free from preventable harm, inspires continuous improvement in the delivery of care across the continuum, and promotes a culture of safety in an …

  5. Key Driver 4: Create and Support High Functioning Care Teams to Deliver High-Quality Evidence-Based Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/keydrivers/create-care-teams.html
    November 01, 2018 - Key Driver 4: Create and Support High Functioning Care Teams to Deliver High-Quality Evidence-Based Care Print this page to PDF Given the demands of primary care practice, no clinician can single-handedly incorporate new evidence into all aspects of practice. Care teams blend a complementary set of skills and…

  6. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
    January 01, 2024 - Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) Lambert, Bruce L. 5U18HS016973-04 FINAL REPORT UIC CENTER FOR EDUCATION AND RESEARCH ON THERAPEUTICS Tools for Optimizing Prescribing, Monitoring and Education (TOP-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73478/psn-pdf
    July 07, 2021 - Medical malpractice claims by members of the uniformed services. July 7, 2021 Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services Organizations with safety culture…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851060/psn-pdf
    June 28, 2023 - An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. June 28, 2023 Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring? Front Psychiatry. 2023;14:111579. doi:10.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60946/psn-pdf
    September 23, 2020 - Systems thinking for managing COVID-19 in health care systems: seven key messages. September 23, 2020 Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-05. https://psnet.ahrq.gov/issue/sy…

  10. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Human Factors and Sociotechnical Systems Group Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Human%20Factors%20and%20Sociotechnical%20Systems%20Group%20Report.pdf
    June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Human Factors and Sociotechnical Systems Group Report Breakout Group D Monday Afternoon Presentation Human Factors RESEARCH AREAS -Observational studies and research to optimize workflow in the medical work place. (hospit…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852460/psn-pdf
    August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. August 16, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage Obstetric hemorrhage and severe high blood pressure during pregna…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854254/psn-pdf
    October 04, 2023 - Implementing patient safety and quality improvement in dermatology. October 4, 2023 Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. https://psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology Patient safety in dermatology has received increasing …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60755/psn-pdf
    August 05, 2020 - Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. August 5, 2020 Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation. J Nurs Manag…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837739/psn-pdf
    July 27, 2022 - Support methods for healthcare professionals who are second victims: an integrative review. July 27, 2022 Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.  https://psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative- review Healthcare workers who ar…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73988/psn-pdf
    October 20, 2021 - The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative. October 20, 2021 Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for P…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867348/psn-pdf
    December 11, 2024 - Mind the sentinel - applying patient-safety paradigms to clinician well-being. December 11, 2024 Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. https://psnet.ahrq.gov/issue/mind-sentinel-applying-patient-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865528/psn-pdf
    April 10, 2024 - Should dignity preservation be a precondition for safety and a design priority for healing in inpatient psychiatry spaces? April 10, 2024 Should dignity preservation be a precondition for safety and a design priority for healing in inpatient psychiatry spaces? AMA J Ethics. 2024;26(3):e205-e211. doi:10.1001/amajet…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837696/psn-pdf
    July 20, 2022 - Communication disparities between nursing home team members. July 20, 2022 Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975. https://psnet.ahrq.gov/issue/communication-disparities-bet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46324/psn-pdf
    August 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847553/psn-pdf
    April 12, 2023 - Listening, Learning, Responding to Concerns. April 12, 2023 Newcastle Upon Tyne, UK: Care Quality Commission; March 2023. https://psnet.ahrq.gov/issue/listening-learning-responding-concerns The ability to raise patient safety concerns without fear of retribution is a core element of a safety culture. This pair of …
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