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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Transcript of Speaking Up Audio
Narrator:
The patient’s undergoing a laparoscopic cholecystectomy, and the surgeon notices that the patient’s blood pressure is falling.
Dr. Berry:
“Anesthesia, I’m conc…
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psnet.ahrq.gov/node/867185/psn-pdf
November 20, 2024 - Perception of medication safety-related behaviors among
different age groups: web-based cross-sectional study.
November 20, 2024
Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age
groups: web-based cross-sectional study. Interact J Med Res. 2024;13:e58635. doi:10.…
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psnet.ahrq.gov/node/61061/psn-pdf
October 28, 2020 - Safer prescribing for hospitalized older adults with an
electronic health records?based prescribing context.
October 28, 2020
Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health
records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…
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psnet.ahrq.gov/node/60812/psn-pdf
January 01, 2021 - A clinical pharmacist-led integrated approach for
evaluation of medication errors among medical intensive
care unit patients.
August 19, 2020
Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of
medication errors among medical intensive care unit patients. JBI Ev…
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psnet.ahrq.gov/node/39314/psn-pdf
December 21, 2014 - Patient characteristics and the occurrence of never
events.
December 21, 2014
Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg.
2010;145(2):148-51. doi:10.1001/archsurg.2009.277.
https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
…
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psnet.ahrq.gov/node/37690/psn-pdf
April 16, 2008 - How willing are patients to question healthcare staff on
issues related to the quality and safety of their
healthcare? An exploratory study.
April 16, 2008
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to
the quality and safety of their healthcare? An expl…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Does learning from mistakes have to be painful? Analysis
of 5 years' experience from the Leeds radiology
educational cases meetings identifies common repetitive
reporting errors and suggests acknowledging and
celebrating excellence (ACE) as a more positive way of
teaching the same lessons.
August 28, 2019
Koo A,…
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psnet.ahrq.gov/node/837807/psn-pdf
August 10, 2022 - Concordance with urgent referral guidelines in patients
presenting with any of six ‘alarm’ features of possible
cancer: a retrospective cohort study using linked primary
care records.
August 10, 2022
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients
presenting …
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psnet.ahrq.gov/node/845298/psn-pdf
March 01, 2023 - National statutory reporting: not even ticking the boxes?
The quality of 'Learning from Deaths' reporting in quality
accounts within the NHS in England 2017-2020.
March 1, 2023
Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality
of ‘Learning from Deaths’ rep…
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psnet.ahrq.gov/node/50751/psn-pdf
December 18, 2019 - Using a machine learning system to identify and prevent
medication prescribing errors: a clinical and cost analysis
evaluation.
December 18, 2019
Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify and
prevent medication prescribing errors: A clinical and cost analysis eva…
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/finish.html
September 01, 2015 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Finishing Up Strong
Previous Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around Device Necessity
Mod…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex10.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 10. Facilitating Communication Among Patients, Family Members, and the Care Team
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summ…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.pdf
March 01, 2017 - CAUTI Outcome Data Definitions
What are the results of your efforts
to prevent CAUTI? Collect outcome
data monthly to find out!
Resident Days
• Every day a resident (with or without a catheter) is in your
facility = one resident day.
• Collect at the same time, each day of the month.
Number of CAUTIs
• CAUTI is…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-9.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Communication from Discipline-Specific Leadership to Staff on Medication Reconciliation Educational Training Sessions
Previous Page Next Page
Table of Contents
Medications at Transitions a…
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psnet.ahrq.gov/node/47000/psn-pdf
May 09, 2018 - 'Broken hospital windows': debating the theory of
spreading disorder and its application to healthcare
organizations.
May 9, 2018
Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder
and its application to healthcare organizations. BMC Health Serv Res. 2018;18(1…
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psnet.ahrq.gov/node/45872/psn-pdf
April 13, 2017 - Finding diagnostic errors in children admitted to the
PICU.
April 13, 2017
Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU.
Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059.
https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre…
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psnet.ahrq.gov/node/37974/psn-pdf
March 04, 2011 - The impact of medical errors on ninety-day costs and
outcomes: an examination of surgical patients.
March 4, 2011
Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination
of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x.
…
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psnet.ahrq.gov/node/866583/psn-pdf
August 28, 2024 - Assessing the STOPS framework for coping with
intraoperative errors: evidence of efficacy, hints of hubris,
and a bridge to abridging burnout.
August 28, 2024
D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative
errors: evidence of efficacy, hints of hubris, and …
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals.
January 2, 2017
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45.
https://psn…