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  1. Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-0
    August 03, 2016 - Special or Theme Issue Quality and Safety. Citation Text: Quality and Safety. Albarran J, Scholes J, eds. Nurs Crit Care. 2015;20(4):167-220. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  2. Problem Solving | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/problem
    January 01, 2023 - Problem Solving Kepner-Tregoe Matrix Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and eliminating the elements tha…

  3. Delivery of Preventive Services in Primary Care | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/delivery-preventive-services-primary-care
    January 01, 2023 - Delivery of Preventive Services in Primary Care Project Description Publications Project Details - Completed Grant Number R21 HS014850 Funding Mechanism(s) Health IT Grant AHRQ Funded Amount $439,500 funded jointly w…

  4. Nursing Care Quality at NQF. | PSNet

    psnet.ahrq.gov/issue/nursing-care-quality-nqf
    September 06, 2011 - Multi-use Website Nursing Care Quality at NQF. Citation Text: Nursing Care Quality at NQF. National Quality Forum Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  5. Bridging the gap between work-as-imagined and work-as-done. | PSNet

    psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
    July 18, 2018 - Newspaper/Magazine Article Bridging the gap between work-as-imagined and work-as-done. Citation Text: Bridging the gap between work-as-imagined and work-as-done. Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. Copy Citation Save Save to your library …

  6. Fallible medicine: responding to errors in emergency care. | PSNet

    psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
    July 01, 2015 - Newspaper/Magazine Article Fallible medicine: responding to errors in emergency care. Citation Text: Fallible medicine: responding to errors in emergency care. Whitehead S. Copy Citation Save Save to your library Print Download PDF Share …

  7. Use barcode scanning to prevent errors with enteral nutrition feedings. | PSNet

    psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
    December 04, 2024 - Newspaper/Magazine Article Use barcode scanning to prevent errors with enteral nutrition feedings. Citation Text: Use barcode scanning to prevent errors with enteral nutrition feedings. ISMP Medication Safety Alert! Acute Care. August 08, 2024;29(16). Copy Citation Format: …

  8. Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. | PSNet

    psnet.ahrq.gov/issue/do-you-know-what-doses-are-being-programmed-or-make-it-expectation-use-smart-infusion-pumps
    February 26, 2025 - Newspaper/Magazine Article Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. Citation Text: Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. ISMP Medicat…

  9. New Approaches to Researching Patient Safety. | PSNet

    psnet.ahrq.gov/issue/new-approaches-researching-patient-safety
    July 15, 2020 - Special or Theme Issue New Approaches to Researching Patient Safety. Citation Text: New Approaches to Researching Patient Safety. Iedema R, ed. Soc Sci Med. 2009;69(12):1701-1783. Copy Citation Save Save to your library Print Download PDF Share…

  10. ARRA Delivery System Initiative | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-holtrop.html
    December 01, 2017 - ARRA Delivery System Initiative Presentations and Publications by Recipients of ARRA Delivery System Grants A Comparison of Provider Versus Health Plan Delivered Care Management in Michigan Principal Investigator: Jodi Summers Holtrop Holtrop JS. Care Management in Primary Care Practice. 12th Annual Intern…

  11. Video games can help cut surgical errors. | PSNet

    psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
    January 23, 2008 - Newspaper/Magazine Article Video games can help cut surgical errors. Citation Text: Video games can help cut surgical errors. Baertlein L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  12. At VA hospital, a rogue cancer unit. | PSNet

    psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
    March 09, 2011 - Newspaper/Magazine Article At VA hospital, a rogue cancer unit. Citation Text: At VA hospital, a rogue cancer unit. Bogdanich W. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  13. Managing the aftermath of iatrogenic injury. | PSNet

    psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
    January 02, 2008 - Commentary Managing the aftermath of iatrogenic injury. Citation Text: Managing the aftermath of iatrogenic injury. Vincent C; Saunders A. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  14. Strategies for Addressing Health Care Worker Fatigue. | PSNet

    psnet.ahrq.gov/issue/strategies-addressing-health-care-worker-fatigue
    March 28, 2012 - Book/Report Strategies for Addressing Health Care Worker Fatigue. Citation Text: Strategies for Addressing Health Care Worker Fatigue. Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.   Copy Citation Save Save to your library…

  15. Prevention of perioperative medication errors. | PSNet

    psnet.ahrq.gov/issue/prevention-perioperative-medication-errors
    March 22, 2023 - Review Prevention of perioperative medication errors. Citation Text: Prevention of perioperative medication errors. Nanji K. UpToDate. March 7, 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  16. CRICO. | PSNet

    psnet.ahrq.gov/issue/crico
    June 24, 2019 - Multi-use Website CRICO. Citation Text: CRICO. 1325 Boylston Street, Boston, MA 02215 Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 1…

  17. Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion pumps. | PSNet

    psnet.ahrq.gov/issue/applying-multidisciplinary-approach-selection-evaluation-and-acquisition-smart-infusion-pumps
    October 12, 2022 - Study Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion pumps. Citation Text: Namshirin P. Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion pumps. . J Med Bio Eng. 2011;31(2):93-98…

  18. Patient safety in the OR. | PSNet

    psnet.ahrq.gov/issue/patient-safety-or-0
    October 23, 2024 - Newspaper/Magazine Article Patient safety in the OR. Citation Text: Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. | PSNet

    psnet.ahrq.gov/issue/mind-power-gap-how-hierarchical-leadership-healthcare-risk-patient-safety
    February 26, 2025 - Commentary Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. Citation Text: Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/1367493523119619…

  20. Quality and Safety Education for Nurses. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-education-nurses
    November 26, 2014 - Special or Theme Issue Quality and Safety Education for Nurses. Citation Text: Quality and Safety Education for Nurses. Cronenwett L, ed. Nurs Outlook. 2007;55(3):117-162. Copy Citation Save Save to your library Print Download PDF Share …
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