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5181. 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…

5182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44912/psn-pdf
      November 18, 2016 - Patient safety in genomic medicine: an exploratory study. November 18, 2016 Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16. https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study This …

5183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40584/psn-pdf
      July 25, 2011 - Crisis checklists for the operating room: development and pilot testing. July 25, 2011 Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031. https://psnet.ahrq.gov/issue/crisi…

5184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43356/psn-pdf
      July 16, 2014 - Introducing the safety score audit for staff member and patient safety. July 16, 2014 Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…

5185. 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…

5186. 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…

5187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42978/psn-pdf
      February 26, 2014 - The Francis Report: One Year On. February 26, 2014 Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.  https://psnet.ahrq.gov/issue/francis-report-one-year This publication offers insights from acute care hospital staff in England regarding recommendations from the Francis rep…

5188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47354/psn-pdf
      November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …

5189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44550/psn-pdf
      September 30, 2015 - Infections associated with reprocessed flexible bronchoscopes. September 30, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes Use of incompletely cleaned medical devices has b…

5190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46055/psn-pdf
      July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …

5191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42595/psn-pdf
      November 25, 2013 - Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request. November 25, 2013 Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929. https://psnet.ahrq.gov/issue/agency-information-colle…

5192. 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 …

5193. 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…

5194. 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 …

5195. University of Georgia | Digital Healthcare Research
      digital.ahrq.gov/organization/university-georgia
      January 01, 2023 - University of Georgia Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction Description This research will develop and validate machine learning enhanced predictive models improving the allocation of critical care pharmac…

5196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45005/psn-pdf
      May 04, 2016 - Leading High-Reliability Organizations in Healthcare. May 4, 2016 Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883. https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare High reliability has been recently adopted as a goal for health care. This book reviews the primar…

5197. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43371/psn-pdf
      June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…

5198. 164. Treatment Recommendations: Intensive Treatment (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide164.html
      October 01, 2014 - 164. Treatment Recommendations: Intensive Treatment (continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Intensive counseling is especially effective. There is a strong dose-response relation between counseling intensity and quitting success. In general, the m…

5199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73523/psn-pdf
      July 21, 2021 - TeamSTEPPS Video Toolkit. July 21, 2021 AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021. https://psnet.ahrq.gov/issue/teamstepps-video-toolkit Problems in communication are common contributors to patient care mistakes. This t…

5200. National Association of Health Care Assistants (NAHCA) Website | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/nahca-resources.html
      February 01, 2021 - National Association of Health Care Assistants (NAHCA) Website Resource:  National Association of Health Care Assistants (NAHCA) website   The National Association of Health Care Assistants works to elevate the professional standing and performance of caregivers through recognition, advocacy, education and e…