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  1. Patient and family advisory councils. The Massachusetts experience. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
    December 19, 2012 - Newspaper/Magazine Article Patient and family advisory councils. The Massachusetts experience. Citation Text: Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. Copy Citation Save Save to y…

  2. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet

    psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
    November 01, 2023 - Newspaper/Magazine Article Patient death tied to lack of proper escalation process for barcode scanning failures. Citation Text: Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3. Cop…

  3. Perioperative Handoffs. | PSNet

    psnet.ahrq.gov/issue/perioperative-handoffs
    October 04, 2017 - Special or Theme Issue Perioperative Handoffs. Citation Text: Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434. Copy Citation Save Save to your library Print Download PDF Share Face…

  4. Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. | PSNet

    psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
    December 18, 2013 - Book/Report Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Citation Text: Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…

  5. The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet

    psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
    September 09, 2015 - Book/Report The Report of the Short Life Working Group on Reducing Medication-related Harm. Citation Text: The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018. Copy Citati…

  6. APSF Stoelting Conference. | PSNet

    psnet.ahrq.gov/issue/apsf-stoelting-conference
    September 19, 2024 - Audiovisual Presentation APSF Stoelting Conference. Citation Text: APSF Stoelting Conference. Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024. Copy Citation Save Save to your library Print Download PDF…

  7. To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. | PSNet

    psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
    June 28, 2013 - Image/Poster To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. Citation Text: To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…

  8. Drug shortages amid the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-amid-covid-19-pandemic
    July 10, 2019 - Newspaper/Magazine Article Drug shortages amid the COVID-19 pandemic. Citation Text: Drug shortages amid the COVID-19 pandemic. Bookwalter CM. US Pharmacist. 2021;46(2):25-28.    Copy Citation Save Save to your library Print Download …

  9. Encouraging patients to ask questions: how to overcome "white-coat silence." | PSNet

    psnet.ahrq.gov/issue/encouraging-patients-ask-questions-how-overcome-white-coat-silence
    April 17, 2019 - Commentary Encouraging patients to ask questions: how to overcome "white-coat silence." Citation Text: Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797. Copy Citation F…

  10. Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care | PSNet

    psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
    June 01, 2023 - Book/Report Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Citation Text: Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020. Copy Citation …

  11. The Ethics of Using QI Methods to Improve Health Care Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
    August 11, 2008 - Book/Report The Ethics of Using QI Methods to Improve Health Care Quality and Safety. Citation Text: The Ethics of Using QI Methods to Improve Health Care Quality and Safety. Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40. Copy Citation…

  12. Safety still compromised by computer weaknesses. | PSNet

    psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
    September 14, 2016 - Newspaper/Magazine Article Safety still compromised by computer weaknesses. Citation Text: Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3. Copy Citation Save Save to your library Prin…

  13. Preventing diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
    July 02, 2014 - Commentary Preventing diagnostic errors in primary care. Citation Text: Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  14. Teamwork and communication in surgical teams: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
    March 25, 2020 - Study Teamwork and communication in surgical teams: implications for patient safety. Citation Text: Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E. Copy Citation Save Save to your library Print…

  15. Understanding And Addressing Pre-Hospital Diagnostic Delays. | PSNet

    psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
    May 15, 2024 - Special or Theme Issue Understanding And Addressing Pre-Hospital Diagnostic Delays. Citation Text: Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023. Copy Citation Save Save to your library Print …

  16. Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. | PSNet

    psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
    August 29, 2017 - Book/Report Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Citation Text: Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…

  17. First, Do No Harm Part 1: A Case Study of Systems Failure. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
    September 07, 2022 - Audiovisual Presentation First, Do No Harm Part 1: A Case Study of Systems Failure. Citation Text: First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. Copy Citation Save Save…

  18. Using telehealth to revolutionize the speed of making rare disease diagnoses. | PSNet

    psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
    November 04, 2020 - Newspaper/Magazine Article Using telehealth to revolutionize the speed of making rare disease diagnoses. Citation Text: Using telehealth to revolutionize the speed of making rare disease diagnoses. Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020. Copy Citation Sav…

  19. 060-Nursing-Protocol-Nasal-Iodophor (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/060-nursing-protocol-nasal-iodophor.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Nursing Decolonization Protocol: Nasal Iodophor Note: Mupirocin should generally be chosen over iodophor when possible. A recent study showed a mupirocin & CHG decolonization strategy to be more effective at reducing Staphylococcus aureus isolates in the ICU compared to iodoph…

  20. 055-Guide-Nursing-Practice (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization Nursing Practice Guide Use this guide to help ensure that all nursing practice procedures and leadership support are in place to actively support the decolonization intervention. Engagement & Collaboration Determine Which Patients Need Treatment CHG Bath Docume…
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