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Showing results for "developing".

  1. Personal Health Literacy | PSNet

    psnet.ahrq.gov/primer/personal-health-literacy
    October 31, 2023 - Developing and testing the health literacy universal precautions toolkit. 

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33599/psn-pdf
    August 30, 2023 - Developing and testing the health literacy universal precautions toolkit. 

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49829/psn-pdf
    May 01, 2018 - Explaining Michigan: developing an ex post theory of a quality improvement program.

  4. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
    October 01, 2008 - Spotlight Case July 2008 Spotlight Case Recurrent Hypoglycemia: A Care Transition Failure? * * Source and Credits This presentation is based on the October 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Ted Eytan, MD, MS, MPH Editor, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33612/psn-pdf
    May 01, 2005 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience May 1, 2005 Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33603/psn-pdf
    September 15, 2024 - Surgical Site Infections September 15, 2024 Surgical Site Infections. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/surgical-site-infections 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 …

  7. 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…

  8. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
    February 01, 2018 - PowerPoint Presentation Spotlight Signout Fallout 1 Source and Credits This presentation is based on the February 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…

  9. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
    February 01, 2013 - Spotlight Case July 2008 Spotlight Case Delay in Treatment: Failure to Contact Patient Leads to Significant Complications * * Source and Credits This presentation is based on the February 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61048/psn-pdf
    October 21, 2020 - Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. October 21, 2020 Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. 2020;21(5):1095-1101. doi:10.5811/we…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47698/psn-pdf
    April 03, 2019 - Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. April 3, 2019 Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation in 10 Steps. Jt Comm J Qual Patient Saf.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860717/psn-pdf
    January 17, 2024 - A combined assessment tool of teamwork, communication, and workload in hospital procedural units. January 17, 2024 Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. doi:10.1016/j.jcjq.2023.10.014. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34665/psn-pdf
    December 24, 2008 - Organizational learning: health care leaders need to design structures and processes that enhance collective learning. December 24, 2008 Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-d…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60014/psn-pdf
    March 04, 2020 - A radiation oncology-specific automated trigger indicator tool for high-risk near-miss safety events. March 4, 2020 Hartvigson PE, Gensheimer MF, Spady PK, et al. A Radiation Oncology–Specific Automated Trigger Indicator Tool for High-Risk, Near-Miss Safety Events. Pract Radiat Oncol. 2019;10(3):142-150. doi:10.10…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47553/psn-pdf
    July 10, 2019 - Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019 Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019. h…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48180/psn-pdf
    August 21, 2019 - Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. August 21, 2019 Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626. https://psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and- gynecology Obstetrics is a high-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854389/psn-pdf
    October 11, 2023 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. October 11, 2023 Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;142(3):481-492. doi:10.1097/aog.0000000000005304. https://…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43779/psn-pdf
    May 28, 2015 - Debriefing in the emergency department after clinical events: a practical guide. May 28, 2015 Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019. https://psnet.ahrq.gov/issue/debri…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839812/psn-pdf
    November 09, 2022 - Measuring psychological safety and local learning to enable high reliability organisational change. November 9, 2022 Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e001757. doi:10.1136/bmjoq-2021-00175…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45867/psn-pdf
    April 12, 2017 - The Economics of Patient Safety: Strengthening a Value- based Approach to Reducing Patient Harm at National Level. April 12, 2017 Slawomirski L, Auraaen A, Klazinga N. Organisation for Economic Co-operation and Development: Paris, France; 2017. https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-v…
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