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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73572/psn-pdf
    August 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX:  Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851927/psn-pdf
    August 02, 2023 - Perioperative Handoffs. August 2, 2023 Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434. https://psnet.ahrq.gov/issue/perioperative-handoffs Handoffs occur several times during a surgical procedure, increasing the risk of communication mistakes and misunderstandings. This special…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43561/psn-pdf
    September 24, 2014 - At surgery clinic, rush to save Joan Rivers's life. September 24, 2014 Hartocollis A, Goodman JD. New York Times. September 9, 2014. https://psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life Office-based anesthesia is becoming more common despite concerns regarding its safety. This newspaper article …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42279/psn-pdf
    May 15, 2013 - Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. May 15, 2013 Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5. doi:10.1097/JPN.0b013…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39863/psn-pdf
    January 04, 2011 - Improving the quality of drug error reporting. January 4, 2011 Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting This analysis of voluntarily…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850935/psn-pdf
    June 21, 2023 - Non–operating room anesthesia challenges. June 21, 2023 Smith MJ. Anesthesiology News. June 6, 2023. https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges The use of office-based anesthesia presents both care improvements and risks for patients and clinical teams. This article summarizes frontline …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37934/psn-pdf
    July 23, 2008 - Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. July 23, 2008 Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. J Nurs Care Qual. 2008;23(3):189-194. doi:10.1097/01.NCQ.000…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36799/psn-pdf
    November 28, 2016 - The evolving role of health educators in advancing patient safety: forging partnerships and leading change. November 28, 2016 Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Health Promot Pract. 2007;8(2):119-27. https://psnet.ahrq.gov/issue/e…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45093/psn-pdf
    September 04, 2016 - Radically redesigning patient safety. September 4, 2016 Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
  10. digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
    January 01, 2022 - does not function appropriately because it is not designed for a chaotic ED setting.16 EQUIPPED (EnhancingEnhancing the Quality of Prescribing Practices for Older Veterans Discharged from the Emergency Department … (EQUiPPED): Preliminary Results from Enhancing Quality of Prescribing Practices for Older Veterans … Enhancing Quality of Provider Practices for Older Adults in the Emergency Department (EQUiPPED). … Enhancing the quality of prescribing practices for older adults discharged from the emergency department
  11. digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-enabling-patient-centered-care-through-health-it.pdf
    January 01, 2013 - Access to Medical Information, Patient Self-Management Burns, Edith Medical College of Wisconsin Enhancing
  12. cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
    January 01, 2023 - framework, scales) to help inform and educate patient and caregiver end-users of CDS products and enhancing
  13. digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
    October 01, 2022 - framework, scales) to help inform and educate patient and caregiver end-users of CDS products and enhancing
  14. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.html
    March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Executive Summary Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3. Outline the…
  15. psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
    September 30, 2012 - Review Defining a high-quality and effective morbidity and mortality conference: a systematic review. Citation Text: Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
  16. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guidesum.html
    March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Executive Summary Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter 3. Outline the…
  17. www.ahrq.gov/teamstepps-program/evidence-base/education.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Inter-Professional Education Andersen P, Coverdale S, Kelly M, Forster S. Interprofessional simulation: Developing teamwork using a two-tiered debriefing approach. Clin Simul Nurs. 2018;20:15-23. doi: 10.1016/j.ecns.2018.04.003. PMID: 130262697. Baker, M. J., & Durham, C. …
  18. www.ahrq.gov/cahps/about-cahps/patient-experience/prems-proms/index.html
    February 01, 2025 - What Are Patient-Reported Measures? Patient-Reported Experience Measures (PREMs) and Patient-Reported Outcome Measures (PROMs) are both important tools for measuring and improving quality of care.  PREMs focus on patients’ experiences with healthcare services.  PROMs focus on patients’ self-reported health stat…
  19. www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    April 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety  Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error firsthand. Research suggests that communication breakdowns during the patient-provider encounter are a leading contributor to diagnostic errors. …
  20. www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Ke…