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  1. A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out. | PSNet

    psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occur-how-prevent-them-how-put-them-out
    March 12, 2025 - Commentary A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out. Citation Text: A clinician's guide to surgical fires. How they occur, how to prevent them, how to put them out. Health Devices. 2003;32(1):5-24. Copy Citation Format: …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851926/psn-pdf
    August 02, 2023 - Improving Patient Safety Culture – A Practical Guide. August 2, 2023 London, UK: NHS England; July 2023. https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide A strong patient safety culture needs nurturing to serve as a foundation for launching and sustaining improvements. This toolkit pro…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38330/psn-pdf
    September 24, 2010 - Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. September 24, 2010 Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Jt Comm J Qu…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44723/psn-pdf
    December 16, 2015 - Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. December 16, 2015 Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in the Emergency Department. Jour…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45971/psn-pdf
    April 21, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. April 21, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and- families Patient engagement i…

  6. Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. | PSNet

    psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-safety-and-quality
    October 23, 2019 - Toolkit Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Citation Text: Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Rockville, MD: Agency for Healthc…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46506/psn-pdf
    October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. October 11, 2017 Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving- surgical-car…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. October 6, 2016 Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847730/psn-pdf
    February 26, 2018 - “Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and gendered norms towards patients with chronic pain. February 26, 2018 Samulowitz A, Gremyr I, Eriksson E, et al. “Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care a…

  11. Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. | PSNet

    psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
    May 06, 2015 - Book/Report Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Citation Text: Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011. Copy Cita…

  12. The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. | PSNet

    psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
    December 24, 2008 - Toolkit The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. Citation Text: The Patient Education Materials Assessment Tool (PEMAT) and User's Guid…

  13. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | PSNet

    psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
    November 30, 2016 - Book/Report Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Citation Text: Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…

  14. Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. | PSNet

    psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
    June 04, 2014 - Study Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. Citation Text: Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41783/psn-pdf
    October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events. October 24, 2012 Cambridge, MA: Institute for Healthcare Improvement; 2012. https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care. https://ps…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42570/psn-pdf
    November 05, 2014 - Your safer-surgery survival guide. November 5, 2014 Your safer-surgery survival guide: our ratings of 2,463 U.S. hospitals can help you find the right one. Consumer reports. 2013;78(9):31-41. https://psnet.ahrq.gov/issue/your-safer-surgery-survival-guide This report analyzed Medicare claims data on 27 types of pro…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47118/psn-pdf
    August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018 Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008. https:/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35956/psn-pdf
    August 02, 2010 - Patient Guide: 10 Ways to Improve Communication with Your Doctor. August 2, 2010 Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50. https://psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor This article lis…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35141/psn-pdf
    April 12, 2011 - How to avoid paediatric medication errors: a user's guide to the literature. April 12, 2011 Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the literature. Arch Dis Child. 2005;90(7):698-702. https://psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-gu…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38223/psn-pdf
    October 14, 2015 - Patient-Centered Care Improvement Guide. October 14, 2015 Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide This guide contains comprehensive information about best practices and implementation tool…
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