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6301. Primary Care Quality Improvement (QI) Tracking Worksheet | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qi-tracking.html
      April 01, 2021 - Primary Care Quality Improvement (QI) Tracking Worksheet Resource: Clinic Intervention Tracking Sheet This quality improvement intervention tracking sheet helps primary care practices and practice facilitators assess and monitor efforts to improve heart health outcomes. Designed for tracking interventions u…

6302. Primary Care Quality Improvement (QI) Progress Tracker: Template | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/qi-report.html
      April 01, 2021 - Primary Care Quality Improvement (QI) Progress Tracker: Template Resource: Practice Progress Notes Template This reporting template can be used by practice facilitators to track progress on goals and measures for quality improvement projects. It can help facilitators plan their own work and keep the primary…

6303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45926/psn-pdf
      May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…

6304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866528/psn-pdf
      August 14, 2024 - First with Kids: Medication Errors. August 14, 2024 First L. NBC5. First with Kids: Medication Errors. August 1, 2024. https://psnet.ahrq.gov/issue/first-kids-medication-errors Medication mistakes involving children are common. This news segment provides suggestions for parents to help improve the safety of medica…

6305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41638/psn-pdf
      December 04, 2016 - A framework for encouraging patient engagement in medical decision making. December 4, 2016 Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. https://psnet.ahrq.gov/issue/framework-encou…

6306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44703/psn-pdf
      December 16, 2015 - Defining the Role of Social Sciences in Patient Safety. December 16, 2015 Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394. https://psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety Applying principles from other fields, such as aviation and nuclear pow…

6307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43389/psn-pdf
      July 30, 2014 - Simulation based adverse event reporting system: development and feasibility. July 30, 2014 Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. https://psnet.ahrq.gov/issue/simulation-based-adverse-event-repor…

6308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43864/psn-pdf
      January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…

6309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34773/psn-pdf
      March 08, 2017 - Medication Errors: The Nursing Experience. March 8, 2017 Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628. https://psnet.ahrq.gov/issue/medication-errors-nursing-experience In one of the first professional books to deal with medication error from the nursing perspective, Wolf provides a comprehensi…

6310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41931/psn-pdf
      December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red…

6311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43202/psn-pdf
      September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings Experience from the sharp end helps to inform safety improvement initiatives. The…

6312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45443/psn-pdf
      September 07, 2016 - Making health care safer. Think sepsis. Time matters. September 7, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-think-sepsis-time-matters Delayed diagnosis of sepsis can have serious consequences. This article and accompanying set of infographics spotl…

6313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37269/psn-pdf
      November 30, 2016 - ACOG Committee Opinion #681: disclosure and discussion of adverse events. November 30, 2016 Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. https://psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adv…

6314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48131/psn-pdf
      August 14, 2019 - Teaching nurses to make clinical judgments that ensure patient safety. August 14, 2019 Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. https://psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-e…

6315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41430/psn-pdf
      May 30, 2012 - Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. May 30, 2012 The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012. https://psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge- global-perspec…

6316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846765/psn-pdf
      March 29, 2023 - Addressing Medical Gaslighting to Improve Maternal Health—Together. March 29, 2023 Oregon Patient Safety Commission: 2023. https://psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together Gaslighting has been identified as a contributor to maternal mortality and morbidity. This toolkit …

6317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35056/psn-pdf
      February 09, 2011 - Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. February 9, 2011 Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9. https://psnet.ahrq.gov/issue/potential-role-ph…

6318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41683/psn-pdf
      September 19, 2012 - Techniques to improve patient safety in hospitals: what nurse administrators need to know. September 19, 2012 Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5. https://psnet.ahrq.gov/issue/technique…

6319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34627/psn-pdf
      December 08, 2015 - Patient & Worker Safety. December 8, 2015 Association of periOperative Registered Nurses. https://psnet.ahrq.gov/issue/patient-worker-safety This site hosts a guideline collection as a part of the Association of PeriOperative Registered Nurses' (AORN) patient safety initiative targeting the needs of perioperative …

6320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47621/psn-pdf
      May 11, 2019 - 2018 update on pediatric medical overuse: a review. May 11, 2019 Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550. https://psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review Overuse of …