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5961. New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. | PSNet
      psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lecture
      November 02, 2014 - Commentary New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. Citation Text: Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78. Copy Citation Format: DOI Google Schola…

5962. Disseminating innovations in health care. | PSNet
      psnet.ahrq.gov/issue/disseminating-innovations-health-care
      August 04, 2021 - Commentary Classic Disseminating innovations in health care. Citation Text: Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

5963. PURSUIT Flyer (Birmingham) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/mui-flyer-sample.pdf
      June 02, 2025 - PURSUIT Flyer (Birmingham) NOTE: This is an example of a patient recruitment flyer for practices recruiting patients for the PURSUIT Managing Urinary Incontinence project. Do you have Bladder Trouble? If so, you may qualify for a program for wom…

5964. Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet
      psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
      August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

5965. Diagnostic error in pediatric cancer. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
      November 16, 2022 - Study Diagnostic error in pediatric cancer. Citation Text: Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

5966. Current pulse: can a production system reduce medical errors in health care? | PSNet
      psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
      September 09, 2011 - Commentary Current pulse: can a production system reduce medical errors in health care? Citation Text: Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238. Copy Citation Format: …

5967. Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet
      psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
      April 20, 2016 - Commentary Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Citation Text: Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…

5968. Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. | PSNet
      psnet.ahrq.gov/issue/action-research-simulation-team-communication-and-bringing-tacit-voice-society-simulation
      April 16, 2019 - Study Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. Citation Text: Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for simulation in healthcare. Simul Heal…

5969. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. | PSNet
      psnet.ahrq.gov/issue/pediatric-residents-decision-making-around-disclosing-and-reporting-adverse-events-importance
      January 25, 2017 - Study Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. Citation Text: Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social…

5970. Pfengagement-Material-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
      May 01, 2017 - Overview Defining Patient and Family Engagement and its Benefits · Slides 4-7 Patient and Family Expectations in the ASC · Slides 8-10 Barriers, Facilitators, and Motivators · Slides 11-18 General Communication Methods for Engaging Patients and Family Members · Slides 19-21 Opportunities for Patient and Family Engageme…

5971. Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
      March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident’s chart for a suspected catheter-associated urinary tract infection (CAUTI). The form combines the resident’s health asses…

5972. Best Practices for Web-based SOPS Surveys - Yount Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-bestpractices-web-sopssurveys-yount.pdf
      June 02, 2025 - Best Practices for Web-based SOPS Surveys - Yount Slides Fielding Your Survey Naomi Yount, Ph.D. Westat 41 Promoting the Survey • Publicize on flyers or posters • Send emails with a letter of support from leadership • Post information on your intranet • Discuss at staff meetings 42 Information to Inclu…

5973. Action Planning for the SOPS Surveys-Introducing SOPS (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
      June 02, 2025 - Action Planning for the SOPS Surveys-Introducing SOPS 10 Introducing the SOPS Action Planning Tool Laura Gray, MPH Senior Study Director, User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 11 AHRQ Surveys on Patient Safety Culture Surveys of clinicians and staff about the extent to w…

5974. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet
      psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
      May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

5975. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. | PSNet
      psnet.ahrq.gov/issue/evaluation-predevelopment-service-delivery-intervention-application-improve-clinical
      March 06, 2013 - Study Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. Citation Text: Yao GL, Novielli N, Manaseki-Holland S, et al. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. BMJ …

5976. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? | PSNet
      psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
      August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…

5977. Strategy 3: Nurse Bedside Shift Report (Tool 1) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
      June 02, 2025 - Strategy 3: Nurse Bedside Shift Report (Tool 1) Nurse Bedside Shift Report What is it? How can you get involved? Being a partner in your care helps you get the best care possible in the hospital. Taking part in nurse bedside shift report is one way you can be a partner. This brochure explains …

5978. A Patient's Guide to Teach-Back (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/PatientsGuideToTeachBack.pdf
      June 02, 2025 - A Patient's Guide to Teach-Back A Patient’s Guide to Teach-Back What is teach-back? Teach-back is a way for you to tell your provider (a doctor, nurse, or other person you see at your health care visit) in your own words what you understood. …

5979. MEPS Survey Interview Context Flow
      meps.ahrq.gov/survey_comp/hcquest_contextflow.shtml
      January 01, 2017 - MEPS Survey Interview Context Flow   Skip to main content An official website of the Department of Health & Human Services More Back Search ahrq.gov …

5980. New Study Shows Reductions in Antibiotic Use at Ambulatory Care Clinics Participating in HHS-funded Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
      July 01, 2022 - New Study Shows Reductions in Antibiotic Use at Ambulatory Care Clinics Participating in HHS-funded Program Press Release Date: July 6, 2022 Antibiotic prescribing at ambulatory care clinics was cut almost in half in clinics that participated in a safety program funded by the Department of Health and Human Servic…