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  1. State Spotlights | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/state-spotlights/index.html
    March 01, 2019 - State Spotlights National Evaluation of the CHIPRA Quality Demonstration Grant Program State Spotlights highlight the projects completed by the 18 States supported by the CHIPRA Quality Demonstration Grant Program. Each Spotlight describes the State’s strategies, lessons learned, and outcomes and can be helpf…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44424/psn-pdf
    August 19, 2015 - Taking patients' narratives about clinicians from anecdote to science. August 19, 2015 Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361. https://psnet.ahrq.gov/issue/taking-patients-narrati…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73889/psn-pdf
    September 29, 2021 - Australian hospital leaders on the provision of safe care: implications for safety I and safety II. September 29, 2021 Leggat SG, Balding C, Bish M. Perspectives of Australian hospital leaders on the provision of safe care: implications for safety I and safety II. J Health Org Manag. 2021;35(5):550-560. doi:10.1108…

  4. Opioids and Substance Use Disorders Newsroom | Agency for Healthcare Research and Quality

    www.ahrq.gov/opioids/whats-new/newsroom.html
    December 01, 2022 - Opioids and Substance Use Disorders Newsroom AHRQ's blog posts, infographics, and announcements on its latest efforts to help end the opioid epidemic. AHRQ provides an overview of its ongoing work on opioids with regular posts on the AHRQ Views blog. The Agency also announces new findings and initiatives with…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46289/psn-pdf
    January 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47979/psn-pdf
    May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…

  10. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapd.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix D. Vision and Mission Statements Sample vision and mission statements and objectives for patient advisory councils follow. Vision A safe, compassionate, innovative health care community that listens, learns, and responds colla…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43186/psn-pdf
    May 19, 2014 - ASPEN parenteral nutrition safety consensus recommendations: translation into practice. May 19, 2014 Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294. https://psnet.ahr…

  12. Checklist for Creating an Observation Tool - Coaching Clinical Teams Module | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/checklist-creating.html
    May 01, 2017 - Checklist for Creating an Observation Tool - Coaching Clinical Teams Module This checklist can help you in each step of creating your observation tool. Development (Before Drafting Your Tool) → Drafting (Before Testing Your Tool) → Testing (Before Using Your Tool) …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45418/psn-pdf
    May 09, 2017 - Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. May 9, 2017 Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017;24(2):460-468. doi:10.1093/jamia/ocw1…

  14. Tips for Implementing Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
    March 01, 2017 - Tips for Implementing Interventions These tips are to help educators prepare for a live training session and facilitate an interactive experience. Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…

  15. Core-Discussion (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 2 — Core Team Discussion Guide Clean Equipment and Environment: Knowledge and Practice Directions Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection practices at your facility. Discussion Questio…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45854/psn-pdf
    July 12, 2017 - The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. July 12, 2017 Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of a Website to Reduce …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46097/psn-pdf
    August 09, 2017 - Administering and monitoring high-alert medications in acute care. August 9, 2017 Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44317/psn-pdf
    August 19, 2015 - Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. August 19, 2015 Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60802/psn-pdf
    August 12, 2020 - Race, postoperative complications, and death in apparently healthy children. August 12, 2020 Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.1542/peds.2019-4113. https://psnet.ahrq.gov/issue/race-postoperative-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50398/psn-pdf
    October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. October 2, 2019 Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. https://psnet.ahrq.gov/issue/sep…
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