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  1. Beyond the Quick Fix: Strategies for Improving Patient Safety. | PSNet

    psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
    March 14, 2018 - Book/Report Beyond the Quick Fix: Strategies for Improving Patient Safety. Citation Text: Beyond the Quick Fix: Strategies for Improving Patient Safety. Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. Copy Citation …

  2. Clinician mindfulness and patient safety. | PSNet

    psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
    November 10, 2010 - Commentary Clinician mindfulness and patient safety. Citation Text: Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  3. Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. | PSNet

    psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
    January 18, 2023 - Newspaper/Magazine Article Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. Citation Text: Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. Westwood R. Kaiser Health News. January 12, 2023. Copy Citation Save Sav…

  4. Blaming others for threatening events. | PSNet

    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - Review Classic Blaming others for threatening events. Citation Text: Blaming others for threatening events. Tennen H; Affleck G. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  5. If safety is your yardstick, measuring culture from the top down must be a priority. | PSNet

    psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
    April 29, 2018 - Newspaper/Magazine Article If safety is your yardstick, measuring culture from the top down must be a priority. Citation Text: If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007. Copy Cit…

  6. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet

    psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
    July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…

  7. Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. | PSNet

    psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
    September 06, 2023 - Newspaper/Magazine Article Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. Citation Text: Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. West S. Kaiser Health News. August 5, 2022. Co…

  8. Learning from errors with the new COVID-19 vaccines. | PSNet

    psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
    October 21, 2021 - Newspaper/Magazine Article Learning from errors with the new COVID-19 vaccines. Citation Text: Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   Copy Citation Save Save to…

  9. ‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? | PSNet

    psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
    September 02, 2020 - Newspaper/Magazine Article ‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? Citation Text: ‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessa…

  10. Federal speech rulings may embolden health care workers to call out safety issues. | PSNet

    psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-issues
    July 24, 2013 - Newspaper/Magazine Article Federal speech rulings may embolden health care workers to call out safety issues. Citation Text: Federal speech rulings may embolden health care workers to call out safety issues. Meyer H. Kaiser Health News. July 9, 2021. Copy Citation Sav…

  11. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet

    psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
    October 11, 2017 - Newspaper/Magazine Article How DeKalb Medical fixed drug safety problems after fatal error. Citation Text: How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018. Copy Citation Save Save to your library …

  12. Racism derails black men’s health, even as education levels rise. | PSNet

    psnet.ahrq.gov/issue/racism-derails-black-mens-health-even-education-levels-rise
    May 28, 2014 - Newspaper/Magazine Article Racism derails black men’s health, even as education levels rise. Citation Text: Racism derails black men’s health, even as education levels rise. Anderson V. Kaiser Health News. May 19, 2021 Copy Citation Save Save to your library …

  13. MRI safety: prepare for new guidance. | PSNet

    psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
    September 12, 2016 - Commentary MRI safety: prepare for new guidance. Citation Text: MRI safety: prepare for new guidance. Gilk T. Appl Radiol. 2023;52(6):24-26. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  14. Correct use of inhalers: help patients breathe easier. | PSNet

    psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
    August 10, 2016 - Newspaper/Magazine Article Correct use of inhalers: help patients breathe easier. Citation Text: Correct use of inhalers: help patients breathe easier. ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6. Copy Citation Save Save to your library …

  15. Accidental IV infusion of heparinized irrigation in the OR. | PSNet

    psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

  16. Chsp-Compendium-2023

    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2023.csv
    January 01, 2023 - 0 0 3 808 31269 99.14 0 1 0 1 1 1 1 0 0 0 0 5 627096517 3751346831 HSI00000068 Avera Health Sioux Falls … 0 2 1 1 97 4031 0 0 0 0 0 0 0 0 1 264956041 1161300655 HSI00000107 Benefis Health System Great Falls … 9 22 19 1 1 0 0 0 0 1 66 3164 5.07 0 0 0 1 0 1 0 0 0 0 0 1 245946571 1340915213 HSI00000401 Glens Falls … Hospital Glens Falls NY 1 0 18156853 99 22 33 42 22 20 1 1 0 0 0 0 1 391 10963 0 0 0 0 0 0 1 0 0 0 … Memorial Medical Center Niagara Falls NY 1 0 18407987 54 21 25 14 13 13 1 1 1 1 0 0 1 133 3604 11.05

  17. Chsp-Compendium-2023 (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2023.xlsx
    January 01, 2023 - 0 0 3 808 31269 99.14 0 1 0 1 1 1 1 0 0 0 0 5 627096517 3751346831 HSI00000068 Avera Health Sioux Falls … 0 2 1 1 97 4031 0 0 0 0 0 0 0 0 1 264956041 1161300655 HSI00000107 Benefis Health System Great Falls … 9 22 19 1 1 0 0 0 0 1 66 3164 5.07 0 0 0 1 0 1 0 0 0 0 0 1 245946571 1340915213 HSI00000401 Glens Falls … Hospital Glens Falls NY 1 0 18156853 99 22 33 42 22 20 1 1 0 0 0 0 1 391 10963 0 0 0 0 0 0 1 0 0 0 … Memorial Medical Center Niagara Falls NY 1 0 18407987 54 21 25 14 13 13 1 1 1 1 0 0 1 133 3604 11.05

  18. Early-Mobility-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
    January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients Daily Early Mobility Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Mobility Data Tool 14 Hospital ID# ___________ Unit ID#___________ Date (mm/dd/yyyy) ___________ Fill out for all beds Fill o…

  19. Daily Early Mobility Data Collection Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-tool.html
    January 01, 2017 - Daily Early Mobility Data Collection Tool AHRQ Safety Program for Mechanically Ventilated Patients Hospital ID# ___________    Unit ID# ___________     Date (mm/dd/yyyy) ___________ Fill out for all beds Fill out if patient is intubated or has tracheostomy (trached) and is mechanically v…

  20. Efficacy and Safety of Screening for Postpartum Depression | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/depression-postpartum-screening/research-protocol
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