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321. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
     November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

322. 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:/…

323. Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. | PSNet
     psnet.ahrq.gov/issue/optimizing-medication-management-during-covid-19-pandemic-implementation-guide-post-acute-and
     August 16, 2023 - Study Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. Citation Text: Brandt N, Steinman MA. Optimizing Medication Management During the COVID‐19 Pandemic: An Implementation Guide for Post‐Acute and Long‐Term Care. J A…

324. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet
     psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
     July 24, 2019 - Book/Report Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Citation Text: Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…

325. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet
     psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
     September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

326. Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet
     psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
     August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

327. 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…

328. 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…

329. 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…

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33947/psn-pdf
     November 21, 2016 - Improving Health Care Quality: A Guide for Patients and Families. November 21, 2016 Agency for Healthcare Research and Quality (AHRQ) https://psnet.ahrq.gov/issue/improving-health-care-quality-guide-patients-and-families This guide offers information and resources to allow consumers to understand quality health ca…

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39737/psn-pdf
     November 30, 2016 - Physician's Guide to Patient Safety Organizations. November 30, 2016 Chicago, IL: American Medical Association; 2009. https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician knowledge of and p…

332. 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…

333. 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…

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40420/psn-pdf
     July 08, 2013 - Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. July 8, 2013 Chicago, IL: Health Research & Educational Trust; March 2011. https://psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable- mortality This report discusses steps hospita…

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39281/psn-pdf
     March 05, 2010 - Health Care Leader Action Guide to Reduce Avoidable Readmissions. March 5, 2010 Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010. https://psnet.ahrq.gov/issue/health-care-leader-action-gui…

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39191/psn-pdf
     February 08, 2011 - Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. February 8, 2011 Schyve PM. San Diego, CA: Governance Institute; 2009. https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership- standards This white paper provides comprehensive inf…

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41460/psn-pdf
     June 13, 2012 - Help your patient "get" what you just said: a health literacy guide. June 13, 2012 Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196. https://psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide This commentar…

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35514/psn-pdf
     April 03, 2009 - Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. April 3, 2009 Swayne T. London, UK: National Patient Safety Agency, The Helen Hamlyn Research Centre; 2007. https://psnet.ahrq.gov/issue/information-design-patient-safety-guide-graphic-design-medication-p…

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45663/psn-pdf
     November 09, 2016 - Nursing Home Antimicrobial Stewardship Guide. November 9, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2016. https://psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide Antimicrobial stewardship is one strategy to reduce health care–associated infections in a variety of set…

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39509/psn-pdf
     August 08, 2010 - Bad stars or guiding lights? Learning from disasters to improve patient safety. August 8, 2010 Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008.030148. https://psnet.ahrq.gov/issue/ba…