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  1. www.ahrq.gov/nursing-home/learning-modules/vaccination-testing.html
    December 01, 2022 - Vaccination and Testing series This series of two learning modules focuses on considerations for when to test residents for COVID-19 and how the COVID-19 vaccine can protect nursing home staff and residents. The modules are about 5 minutes long. Module 1: When to Test It is important to know the signs and s…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38584/psn-pdf
    June 17, 2014 - Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. June 17, 2014 Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394. https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and- create-culture With insight from…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60924/psn-pdf
    September 16, 2020 - Avoid punitive approach to your safety event reporting, September 16, 2020 Cheney C. HealthLeaders. September 4, 2020. https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting A blameless approach to error and near miss reporting is foundational to the success of the effort. This article di…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39440/psn-pdf
    September 19, 2016 - Toward understanding errors in inpatient psychiatry: a qualitative inquiry. September 19, 2016 Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. https://psnet.ahrq.gov/issue/toward-understanding…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50826/psn-pdf
    January 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836832/psn-pdf
    March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60164/psn-pdf
    March 25, 2020 - Patient Safety, Spring 2019 Final CDP Report. March 25, 2020 Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020. https://psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report The development of effective measures to document and track patient safety…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36016/psn-pdf
    September 27, 2016 - Strategies used by nurses to recover medical errors in an academic emergency department setting. September 27, 2016 Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-7. https://psnet.ahrq.gov/iss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42376/psn-pdf
    December 18, 2013 - Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. December 18, 2013 Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):644-54. doi:10.1111/hsc.12053. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73383/psn-pdf
    January 01, 2020 - Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care January 1, 2020 Irvine, CA: The Patient Safety Movement; 2020. https://psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable- care Patient safety success requires leadership, …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35859/psn-pdf
    July 22, 2010 - A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. July 22, 2010 Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J Obstet Gynecol. 2006;194(4):1160-5; discu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45661/psn-pdf
    November 09, 2016 - Center for Diagnostic Excellence. November 9, 2016 Armstrong Institute for Patient Safety and Quality https://psnet.ahrq.gov/issue/center-diagnostic-excellence Diagnostic error has recently been recognized as a serious patient safety concern. Established within the Armstrong Center for Patient Safety and Quality, …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38418/psn-pdf
    February 18, 2009 - Using snowball sampling method with nurses to understand medication administration errors. February 18, 2009 Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1365-2702.2007.02048.x. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47817/psn-pdf
    February 27, 2019 - FactFinders. February 27, 2019 SIS Patient Safety Committee. Spine Intervention Society. https://psnet.ahrq.gov/issue/factfinders This resource provides newsletters that target concerns associated with spinal pain interventions and offers safety strategies. The collection focuses on three primary areas: procedural…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38546/psn-pdf
    June 16, 2009 - Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. June 16, 2009 Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage. 2009;37(6):1039-49. doi:10.1016/j.j…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38734/psn-pdf
    July 01, 2009 - Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. July 1, 2009 Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165- …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60850/psn-pdf
    August 26, 2020 - Beyond the corrective action hierarchy: a systems approach to organizational change. August 26, 2020 Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068. https://psnet.ahrq.gov/issue/beyond…
  19. www.ahrq.gov/nursing-home/resources/post-traumatic-stress-symptoms.html
    September 01, 2021 - Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review Resource:   Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs)…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841145/psn-pdf
    December 07, 2022 - Guidelines in Practice: prevention of unintentionally retained surgical items. December 7, 2022 Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. https://psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-…