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  1. www.ahrq.gov/patient-safety/reports/advances/planning.html
    July 01, 2022 - Advances in Patient Safety Dissemination Planning Tool: Exhibit A from Volume 4 Previous Page   Table of Contents Advances in Patient Safety Acknowledgments Preface Peer Reviewers for Volume 1. Research Findings Peer Reviewers for Volume 2. Concepts and Methodology Peer Reviewers for Volum…
  2. psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
    May 01, 2012 - Situational Awareness and Patient Safety Citation Text: Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…
  3. digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-current-state-and
    January 01, 2024 - Patient-Centered Outcomes Research Clinical Decision Support: Current State and Future Directions Project Description Publications Research Story Trust, interoperability, and ease of implementation are important factors that can increase uptake of evidence into prac…
  4. psnet.ahrq.gov/primer/patient-safety-101
    January 16, 2025 - Patient Safety 101 Citation Text: Patient Safety 101. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Selected …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count Why Focus on Retained Fore…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
    November 01, 2012 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4q Selected Best Practices and Suggestions for Improvement PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count Why focus on retained forei…
  8. psnet.ahrq.gov/web-mm/turn-other-cheek
    October 26, 2010 - Turn the Other Cheek Citation Text: Starling J. Turn the Other Cheek. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
    April 01, 2025 - PowerPoint Presentation Why Choose a CUSP Approach? Surgical Services AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services AHRQ Safety Program for MRSA Prevention | Why Choose a CUSP Approach? 1 Educational Objectives D…
  10. psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
    February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 30, 2021 Innovat…
  11. 110-Ss-Lfd-Sample (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool—Sample Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
    October 01, 2013 - PowerPoint Presentation Spotlight Case It's Sarah, not Stephen! 1 This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco Editor, AHRQ WebM&…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. October 24, 2018 Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36667/psn-pdf
    April 14, 2011 - Effective healthcare teams require effective team members: defining teamwork competencies. April 14, 2011 Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17. https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39246/psn-pdf
    April 11, 2018 - How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. April 11, 2018 Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028. https://psnet.ahrq.gov/issue/how-per…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47309/psn-pdf
    August 22, 2018 - Defining patient safety events in inpatient psychiatry. August 22, 2018 Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520. https://psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36622/psn-pdf
    January 14, 2011 - Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. January 14, 2011 Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. https://psnet.ahrq.gov/issue/measu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41727/psn-pdf
    October 10, 2012 - Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. October 10, 2012 Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of pract…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44262/psn-pdf
    November 17, 2016 - The challenges in defining and measuring diagnostic error. November 17, 2016 Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069. https://psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error Although diagnosti…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41489/psn-pdf
    October 12, 2012 - Defining patient safety in hospice: principles to guide measurement and public reporting. October 12, 2012 Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10.1089/jpm.2011.0530. https://psnet.ahr…