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4801. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
      December 01, 2017 - Sustaining Change Webinar Transcript April 14, 2015 Operator: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National Conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. Central Time. Excuse me everyone. We now have all of …

4802. Sustaining-Change-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
      April 14, 2015 - April 14, 2015 Sustaining Change Speaker 1: The following is a recording for [Cathy Drury 00:00:02], with the American Hospital Association in Chicago, for the April National conference 00:00:06 call on Tuesday, April 14, 2015 at 11 a.m. central time. Excuse me everyone. We now have all of our speakers in conference. P…

4803. Worcester Polytechnic Institute | Digital Healthcare Research
      digital.ahrq.gov/organization/worcester-polytechnic-institute
      January 01, 2023 - Worcester Polytechnic Institute TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery Description This project developed and pilot-tested TJR App, a mobile application designed to help patients with osteoarthritis track their pain and act…

4804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33976/psn-pdf
      December 18, 2008 - Medical errors: overcoming the challenges. December 18, 2008 Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71. https://psnet.ahrq.gov/issue/medical-errors-overcoming-challenges This commentary introduces several initiatives intended to help reduce medical error, such as developm…

4805. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40901/psn-pdf
      November 02, 2011 - Complexity and safety. November 2, 2011 Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003. https://psnet.ahrq.gov/issue/complexity-and-safety Exploring how safety and complexity science intersect, this commentary makes recommendations to help drive safety improveme…

4806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36546/psn-pdf
      January 10, 2011 - A systems approach to patient-centered care. January 10, 2011 Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. https://psnet.ahrq.gov/issue/systems-approach-patient-centered-care The authors suggest system-level changes to help health care professionals ensure that they…

4807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36347/psn-pdf
      March 18, 2010 - Skin tears: the clinical challenge. March 18, 2010 PA PSRS Patient Saf Advis 2006 Sep;3(3):1,5-10. https://psnet.ahrq.gov/issue/skin-tears-clinical-challenge This article discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe f…

4808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38997/psn-pdf
      September 30, 2009 - The harm in pharmacy misfills. September 30, 2009 Young A. The Atlanta Journal-Constitution; September 20, 2009:B1. https://psnet.ahrq.gov/issue/harm-pharmacy-misfills This newspaper article reports on numerous prescription mistakes in retail pharmacies in Georgia and offers tips for consumers to help prevent erro…

4809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37106/psn-pdf
      August 15, 2007 - Experts offer smart tips for smart pumps. August 15, 2007 Gebhart F. Drug Topics. July 23, 2007. https://psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps This article describes how robust drug libraries developed for programmable smart pumps can help reduce medication errors associated with traditional in…

4810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36219/psn-pdf
      October 18, 2010 - Risk, society and system failure. October 18, 2010 Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003. https://psnet.ahrq.gov/issue/risk-society-and-system-failure The author discusses why large scale accidents happen and how to manage risk in radi…

4811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39434/psn-pdf
      April 07, 2010 - Questions to ask about radiation safety. April 7, 2010 The American Society for Radiation Oncology https://psnet.ahrq.gov/issue/questions-ask-about-radiation-safety This Web site offers information to help patients understand both safety issues and risks involved in radiation therapy. https://psnet.ahrq.gov/issue…

4812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35897/psn-pdf
      July 23, 2010 - Ensuring patient safety in wireless medical device networks. July 23, 2010 Gehlot V; Sloane EB. https://psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks The authors discuss clinical alarm systems from a technical perspective and propose a toolkit to help make complex clinical IT syste…

4813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35683/psn-pdf
      April 25, 2018 - Double key bounce and double keying errors. April 25, 2018 ISMP Medication Safety Alert! Acute care edition. January 12, 2006. https://psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors This article describes problems involving the keys on infusion pumps and includes recommendations to help prevent er…

4814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43340/psn-pdf
      July 23, 2014 - Do doctors understand test results? July 23, 2014 Kremer W. https://psnet.ahrq.gov/issue/do-doctors-understand-test-results This magazine article reports how weaknesses in physician understanding of statistics can lead to poorly informed discussions with patients about risks and treatment options. Using actual num…

4815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42181/psn-pdf
      April 10, 2013 - Think you can't make medication errors? April 10, 2013 Kromis L. Outpatient Surgery Magazine. March 2013. https://psnet.ahrq.gov/issue/think-you-cant-make-medication-errors This article describes examples of medication safety failures and details methods to help prevent them. https://psnet.ahrq.gov/issue/think-you…

4816. TeamSTEPPS Video: Call-Outs in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/resources/additional/call-outs.html
      July 01, 2023 - TeamSTEPPS Video: Call-Outs in Labor and Delivery   YouTube embedded video: https://www.youtube-nocookie.com/embed/CFkIaDzd8AY TeamSTEPPS: Call-Outs in Labor & Delivery (19 seconds) Relaying vital patient information can provide the necessary context to begin a new treatment approach. See how this TeamSTE…

4817. Supporting Nursing Home Residents' Emotional Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/supporting-nursing-home.html
      August 01, 2022 - Supporting Nursing Home Residents' Emotional Health Resource: Supporting Nursing Home Residents' Emotional Health This learning module will help you recognize when a resident may need support to resume normal activities. Source: AHRQ Topic(s):  Staff and Resident Well-being Audience(s): Managers, Cli…

4818. IQHealth: Patient Enrollment Experience and Expectations (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/iq-health-patient-enrollment.pdf
      June 16, 2021 - IQHealth: Patient Enrollment Experience and Expectations IQHealth: Patient's Enrollment Experience and Expectations University of Missouri, Columbia MO This is a questionnaire designed to be completed by patients in a home setting. The tool includes questions to assess the current state of personal health records …

4819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33715/psn-pdf
      July 01, 2011 - Becoming a Patient Safety Organization July 1, 2011 Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization Perspective While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story …

4820. Trends in Unintentional Injury Mortality among AI/AN, Washington, 1990-2009.
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or33.jsp
      August 01, 2014 - Trends in Unintentional Injury Mortality among AI/AN, Washington, 1990-2009. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us …