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  1. Noise: a distraction, interruption, and safety hazard. | PSNet

    psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
    February 01, 2014 - Commentary Noise: a distraction, interruption, and safety hazard. Citation Text: Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  2. Distractions, interruptions, and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
    February 01, 2014 - Commentary Distractions, interruptions, and patient safety. Citation Text: Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  3. Awareness of patient safety grows with increased outpatient surgeries. | PSNet

    psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
    June 17, 2014 - Newspaper/Magazine Article Awareness of patient safety grows with increased outpatient surgeries. Citation Text: Awareness of patient safety grows with increased outpatient surgeries. Aston G. Hosp Health Netw. September 9, 2014. Copy Citation Save Save to your li…

  4. An interview with Audrey Nelson. Interviewed by Steven Berman. | PSNet

    psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
    January 19, 2022 - Commentary An interview with Audrey Nelson. Interviewed by Steven Berman. Citation Text: Nelson AL. An interview with Audrey Nelson. Interviewed by Steven Berman. Jt Comm J Qual Patient Saf. 2005;31(12):665-670. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  5. Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
    July 27, 2022 - Special or Theme Issue Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. Citation Text: Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158. Copy Citation Save Sa…

  6. Abortion bans have consequences for wanted pregnancies, too. | PSNet

    psnet.ahrq.gov/issue/abortion-bans-have-consequences-wanted-pregnancies-too
    August 16, 2023 - Audiovisual Presentation Abortion bans have consequences for wanted pregnancies, too. Citation Text: Abortion bans have consequences for wanted pregnancies, too. Feibel C. Consider This. National Public Radio. August 3, 2022.  Copy Citation Save Save to you…

  7. Survey shows recession has weakened patient safety net. | PSNet

    psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
    June 10, 2018 - Newspaper/Magazine Article Survey shows recession has weakened patient safety net. Citation Text: Survey shows recession has weakened patient safety net. ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4. Copy Citation Save Save to your lib…

  8. Selection of incorrect medication pump leads to chemotherapy overdose. | PSNet

    psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
    September 09, 2015 - Newspaper/Magazine Article Selection of incorrect medication pump leads to chemotherapy overdose. Citation Text: Selection of incorrect medication pump leads to chemotherapy overdose. ISMP Canada. August 26, 2015;15:1-4. Copy Citation Save Save to your library …

  9. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-intro.html
    April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Introduction Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qual…

  10. Introducing the Child HCAHPS® Survey Database webcast-Shaller (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-introducing-survey-database.pdf
    January 01, 2021 - Introducing the Child HCAHPS® Survey Database webcast-Shaller INTRODUCING THE CHILD HCAHPS SURVEY DATABASE Dale Shaller, MPA Senior Advisor, CAHPS Database CAHPS Database Overview • Participation is voluntary and open to all users of surveys supported by the Database • Annual cycle of submissions and reportin…

  11. 4 Tk1 T3-Not All Infections Need Antibiotics- Final (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
    May 01, 2014 - How to enter Data Manually Into an Antibiogram Template Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality Not All “Infections” Need Antibiotics! What is the UTI SBAR form? What does it include? • The Suspected Urinary Tract Infection (UTI) Situation, Background, Ass…

  12. Exhibit 1.5. Chronology of Quality Improvement and Lean at LHC | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-5.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.5. Chronology of Quality Improvement and Lean at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcar…

  13. Evaluating a Campaign to Promote CalHospitalCompare.org | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/assess/what-you-evaluate/chcf-example.html
    March 01, 2016 - Evaluating a Campaign to Promote CalHospitalCompare.org In 2008, the California HealthCare Foundation (CHCF) released an update to a periodic survey of Californians on how consumers use the Internet to manage their health care. CHCF found that in 2007: Of those surveyed, 23 percent had seen hospital rating …

  14. Will saying "I'm sorry" prevent a malpractice lawsuit? | PSNet

    psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
    October 23, 2018 - Commentary Will saying "I'm sorry" prevent a malpractice lawsuit? Citation Text: Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  15. Tenfold errors can lead to tragedy. | PSNet

    psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
    February 21, 2007 - Newspaper/Magazine Article Tenfold errors can lead to tragedy. Citation Text: Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  16. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix D. PDSA Worksheet The purpose of this worksheet is to develop, document, and test small changes, through the use of the Plan-Do-Study-Act (PDSA) cycle, that lead to impr…

  17. Exhibit 2. Categories and Questions in the Environmental Scan | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex2.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 2. Categories and Questions in the Environmental Scan Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next S…

  18. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet

    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …

  19. Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
    March 25, 2020 - Book/Report Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Citation Text: Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Washington DC; National Quality Forum: Octobe…

  20. Microsoft PowerPoint - Updated Handouts - Read-Only (pdf file)

    cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
    January 01, 2018 - linked to dementia and falls HOW TO SAFELY REDUCE OR STOP A BZRA: • Ask your health care provider to find
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