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  1. Graduate Programs in Healthcare Quality and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety
    September 21, 2005 - Course Material/Curriculum Graduate Programs in Healthcare Quality and Patient Safety. Citation Text: Graduate Programs in Healthcare Quality and Patient Safety. Center for Education in the Health Sciences, Northwestern University, Chicago, IL. Copy Citation Save …

  2. Hospital Safety Grade. | PSNet

    psnet.ahrq.gov/issue/hospital-safety-grade
    June 21, 2023 - Multi-use Website Hospital Safety Grade. Citation Text: Hospital Safety Grade. Leapfrog Group Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 15, 2…

  3. Your new medical team: algorithms and physicians. | PSNet

    psnet.ahrq.gov/issue/your-new-medical-team-algorithms-and-physicians
    July 20, 2016 - Newspaper/Magazine Article Your new medical team: algorithms and physicians. Citation Text: Your new medical team: algorithms and physicians. Frakt A. New York Times. December 7, 2015. Copy Citation Save Save to your library Print Download PDF Sh…

  4. Patient Safety Papers. | PSNet

    psnet.ahrq.gov/issue/patient-safety-papers
    July 03, 2013 - Special or Theme Issue Patient Safety Papers. Citation Text: Patient Safety Papers. Baker RG, ed. Healthc Q. 2005;8 Spec No:1-156. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  5. Quality and Safety Education for Nurses. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
    June 01, 2016 - Course Material/Curriculum Quality and Safety Education for Nurses. Citation Text: Quality and Safety Education for Nurses. University of North Carolina at Chapel Hill School of Nursing. Copy Citation Save Save to your library Print Download PDF …

  6. Avoidable mistakes rise despite hospital efforts. | PSNet

    psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts
    September 27, 2016 - Newspaper/Magazine Article Avoidable mistakes rise despite hospital efforts. Citation Text: Avoidable mistakes rise despite hospital efforts. Colliver V. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  7. 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 …

  8. Center for Diagnostic Excellence. | PSNet

    psnet.ahrq.gov/issue/center-diagnostic-excellence
    July 09, 2019 - Multi-use Website Center for Diagnostic Excellence. Citation Text: Center for Diagnostic Excellence. Armstrong Institute for Patient Safety and Quality Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  9. Strategic Alliance For Error Reduction in California Healthcare (SAFER). | PSNet

    psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer
    July 01, 2022 - Multi-use Website Strategic Alliance For Error Reduction in California Healthcare (SAFER). Citation Text: Strategic Alliance For Error Reduction in California Healthcare (SAFER). University of California Medical Centers at San Francisco; University of California Medical Centers at Davis.…

  10. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - suicides • Transfusion related events • Correct tube-correct connector-correct hole • Patient falls … when the patient attempts to get out of bed, are being considered to reduce the potential for patient falls … Other design considerations to reduce patient falls are bathrooms at the head of the bed with a handrail … from the bed to the bathroom, beds that lower to reduce the harm to patients falling and rubber flooring

  11. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - together, high reliability principles are associated with lower levels of medication errors and patient falls … (measured on a 1-to-7 scale) was associated with 25% fewer medication errors and 37% fewer patient falls … high reliability approaches are associated with things like fewer medication errors, fewer patient falls … And the source of both becoming highly reliable and falling apart was leadership.

  12. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - high reliability approaches are associated with things like fewer medication errors, fewer patient falls … And the source of both becoming highly reliable and falling apart was leadership. … together, high reliability principles are associated with lower levels of medication errors and patient falls … (measured on a 1-to-7 scale) was associated with 25% fewer medication errors and 37% fewer patient falls

  13. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - For example, they might discuss the resident's decreasing mobility and the risk for falls. … The team could then make a plan to keep the resident from falling by providing a walker and teaching … response to treatment S Safety Concerns— Provide critical lab values/reports, allergies, alerts (falls

  14. Patient Safety in Ambulatory Settings | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/ambulatory-safety/research-protocol

  15. Comparative Safety of NSAIDs with Gastroprotective Therapy | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/nsaids-gastroprotective-therapy/research

  16. Patient Safety in Ambulatory Settings | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/ambulatory-safety/technical-brief

  17. Hiring a Vendor for a CAHPS Survey | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/helpful-resources/hiring/index.html
    December 01, 2018 - incentives for meeting goals or targets; Any penalties for missed deadlines; and Any penalties for falling

  18. CER 215 Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-comments.pdf
    March 28, 2019 - Peer reviewer #6 Results page 53, lines 12 and paragraph "Risk Factors for Falling..." … although adjustments were made for dementia, antihypertensives, sedatives and hypnotics, and prior falls … no more information on the treatment of depression in older adults with dementia, frailty, risk of falls … For example, depression in an of itself in older adults a risk for falls. … or powered to detect harm, further statements that balances the risks of untreated depression on falls

  19. Central Venous Catheter Indications and Alternatives

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
    April 01, 2022 - incontinence when nurses can turn/provide skin care Routine use to manage incontinence To reduce risk of falls

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - While this intervention did not reduce safety incidents like pressure ulcers or falls, it did identify
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