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Showing results for "focusing".

8701. Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. | PSNet
      psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
      April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…

8702. Effects of critical care nurses' work hours on vigilance and patients' safety. | PSNet
      psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vigilance-and-patients-safety
      February 19, 2010 - Study Effects of critical care nurses' work hours on vigilance and patients' safety. Citation Text: Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7. Copy Citation Format: …

8703. Fundamental Concepts for Understanding Probability | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
      September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Fundamental Concepts for Understanding Probability Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probabi…

8704. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
      July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

8705. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
      June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…

8706. A national survey of obstetric anaesthetic handovers. | PSNet
      psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
      July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…

8707. The pharmacist-physician relationship in the detection of ambulatory medication errors. | PSNet
      psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
      September 30, 2020 - Study The pharmacist-physician relationship in the detection of ambulatory medication errors. Citation Text: Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24. Copy Citation Fo…

8708. Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet
      psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
      April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …

8709. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet
      psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
      February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…

8710. Lessons Learned From Implementation Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Lessons Learned From Implementation Challenges Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability L…

8711. Learning from samples of one or fewer. | PSNet
      psnet.ahrq.gov/issue/learning-samples-one-or-fewer
      December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

8712. Insights into the climate of safety towards the prevention of falls among hospital staff. | PSNet
      psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
      February 14, 2017 - Study Insights into the climate of safety towards the prevention of falls among hospital staff. Citation Text: Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…

8713. Job Aid: Model for Improvement and PDSA Cycles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
      June 02, 2025 - Job Aid: Model for Improvement and PDSA Cycles Primary Care Practice Facilitator Training Series 1 Job Aid: Model for Improvement and PDSA Cycles Using the Model for Improvement The Model for Improvement (MFI) is a simple framework that many primary care practices use to help them organize their i…

8714. Using care bundles to reduce in-hospital mortality: quantitative survey. | PSNet
      psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey
      April 25, 2018 - Study Using care bundles to reduce in-hospital mortality: quantitative survey. Citation Text: Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234. Copy Citation Format: …

8715. Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
      November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey Search All Impact Case Studies November 2012 Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …

8716. Getting boards on board: engaging governing boards in quality and safety.  | PSNet
      psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
      February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety.  Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

8717. Material Use Guide - Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
      May 01, 2017 - Material Use Guide - Patient and Family Engagement in the Surgical Environment Module Overview Defining Patient and Family Engagement and its Benefits Slides 4-7 Patient and Family Expectations in the ASC Slides 8-10 Barriers, Facilitators, and Motivators Slides…

8718. Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet
      psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
      May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…

8719. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet
      psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
      August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

8720. Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet
      psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
      November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…