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4681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36584/psn-pdf
      January 12, 2011 - Will my patient fall? January 12, 2011 Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86. https://psnet.ahrq.gov/issue/will-my-patient-fall The authors assessed the literature to determine risk factors for falls that can be identified to help prevent such injuries. https://psnet.ah…

4682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35814/psn-pdf
      April 05, 2006 - Patient-safety and quality initiatives in the intensive-care unit. April 5, 2006 Winters B; Dorman T. https://psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit The authors summarize several initiatives being implemented in intensive care units to help ensure patient safety. https://…

4683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38703/psn-pdf
      June 10, 2009 - Reduce medication errors through following metrics. June 10, 2009 Drug Formulary Review. June 1, 2009.  https://psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics This news piece discusses how using measurement tools in the pharmacy setting could help reduce medication errors. https://psnet.a…

4684. TeamSTEPPS Additional Video: Good Teamwork in Office-Based Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/resources/additional/good-teamwork.html
      July 01, 2023 - TeamSTEPPS Additional Video: Good Teamwork in Office-Based Care   YouTube embedded video: https://www.youtube-nocookie.com/embed/kEskfb2yUY4 Good Teamwork in Office-Based Care (3:33) Good teamwork helps office staff get to the bottom of questions without placing blame. See how teamwork, a key TeamSTEPPS t…

4685. CDC Project First Line Facilitator Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/cdc-project.html
      May 01, 2021 - CDC Project First Line Facilitator Toolkit Resource: CDC Project First Line Facilitator Toolkit This toolkit has resources and strategies designed to support leaders as they deliver training sessions and help to build a culture of providing safer, higher quality of care. Source: CDC Topic(s): Safe Ope…

4686. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
      January 09, 2018 - And so, helping them see how important the work that they do and what they do in terms of monitoring

4687. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
      October 01, 2015 - Learning collaboratives were used in the 12 States that had projects focused on helping practices or

4688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40197/psn-pdf
      February 09, 2011 - Professional Conduct Toolkit. February 9, 2011 Washington, DC: US Department of Defense, Patient Safety Program.   https://psnet.ahrq.gov/issue/professional-conduct-toolkit This toolkit provides a checklist, a planning guide, and other tools to help address disruptive staff behavior. https://psnet.ahrq.gov/is…

4689. TeamSTEPPS | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/teamstepps.html
      Topic: TeamSTEPPS TeamSTEPPS ® is a teamwork system designed for health care professionals to help them provide higher quality, safer patient care and to create and sustain a culture of safety. HHS Announces New Challenge Competition to Create Innovative Training Videos to…

4690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41757/psn-pdf
      January 25, 2018 - BeSafeRx: Know Your Online Pharmacy. January 25, 2018 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/besaferx-know-your-online-pharmacy This Web site raises awareness of risks associated with buying medications from online pharmacies and offers resources to help identify whether an online pharm…

4691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35183/psn-pdf
      August 08, 2007 - Safety leadership: managing the paradox. August 8, 2007 Carrillo RA. Professional Safety. July 2005;31-34. https://psnet.ahrq.gov/issue/safety-leadership-managing-paradox The author discusses how leaders can help manage the conflicting priorities involved in safety efforts and uses two case histories to illustrate…

4692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35423/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-0 This monthly selection of medication error reports discusses helpful tips for how to avoid similar mistakes. The primary focus of this segment is safety issues associated with the dia…

4693. What Happened? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/videos/05g-what-happened/index.html
      June 01, 2018 - What Happened? CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. CUSP Helps Find Out What Hap…

4694. Heart Disease and Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/heart-disease-and-health.html
      Topic: Heart Disease and Health Medical conditions involving the cardiovascular system including the heart, the blood vessels, or the pericardium. AHRQ has research, tools, and resources on cardiovascular conditions and how clinicians can help their patients manage these conditions. …

4695. Conversation Guide to Improve COVID-19 Vaccine Uptake | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/improve-covid19-vaccine-uptake.html
      July 01, 2021 - Conversation Guide to Improve COVID-19 Vaccine Uptake Resource:   Conversation Guide to Improve COVID-19 Vaccine Uptake The guide helps healthcare staff and leaders engage in effective conversations about COVID-19 vaccination. ​ Source:  Institute for Healthcare Improvement Topic(s):  Vaccination Aud…

4696. Updated Testing Requirements in Nursing Homes & Laboratories | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/updated-testing-requirements.html
      June 01, 2022 - Updated Testing Requirements in Nursing Homes & Laboratories Resource: Updated Testing Requirements in Nursing Homes & Laboratories This presentation provides guidance for nursing homes and clinical laboratories, including staff and resident testing, reporting requirements, and considerations for use of SAR…

4697. Post-Vaccination Practices series | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/post-vaccination-practices.html
      August 01, 2022 - Post-Vaccination Practices series Resource: Post-Vaccination Practices series This series of two learning modules features strategies to help nursing home teams minimize infection risk in their facility. Source: AHRQ Topic(s):  Vaccination; Infection Control & Prevention Audience(s):  Managers, Clinic…

4698. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Issue Brief 15 Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error PATIENT SAFETY e This page intentionally left blank. e Issue Brief 15 Strategies for I…

4699. Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
      January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change 383 Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change Dwight McNeill, Howard Holland, Kerm Henriksen Abstract This paper addresses how to make happen the improvements in the quality of health care that have been identified from si…

4700. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
      September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…