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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…
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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…
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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…
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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…
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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-…
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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…
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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…
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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 …
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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…
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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.
…
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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, …
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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…
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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, …
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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…
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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…
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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…
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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-
…
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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…
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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)…
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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-…