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  1. psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
    January 14, 2019 - Newspaper/Magazine Article Safety of anesthetic and perioperative medication practices. Citation Text: Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022. Copy Citation Save Save to your library Pri…
  2. psnet.ahrq.gov/issue/global-state-patient-safety-2023
    April 06, 2016 - Book/Report Global State of Patient Safety 2023. Citation Text: Global State of Patient Safety 2023. Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. Copy Citation Save Save to your library Print Download PDF Sh…
  3. psnet.ahrq.gov/issue/becoming-high-reliability-organization
    May 04, 2015 - Special or Theme Issue Becoming a High Reliability Organization. Citation Text: Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  4. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-5.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.5. Chronology of Quality Improvement and Lean at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcar…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/pdsa-worksheet.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix D. PDSA Worksheet The purpose of this worksheet is to develop, document, and test small changes, through the use of the Plan-Do-Study-Act (PDSA) cycle, that lead to impr…
  6. psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
    June 23, 2009 - Commentary Patient safety in nursing practice. Citation Text: Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  7. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
    November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Measurement Previous Page Next Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Me…
  8. psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
    December 24, 2007 - Newspaper/Magazine Article Point-of-care medication error prevention: best practices in action. Citation Text: Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007. Copy Citation Save Save to…
  9. psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
    May 20, 2020 - Newspaper/Magazine Article Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Citation Text: Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. Drug Topics. July 11, 2005 Copy Citation Save Save to your library Print Do…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
    March 01, 2017 - 4 Things You Should Know about Urine Cultures 4 Things You Should Know About Urine Cultures 1. Bacteria in the urine does not necessarily mean a catheter-associated urinary tract infection (CAUTI) is present. Bacteriuria is the term used to describe a positive urine culture, the presence of bacteria in the urine. …
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cost-survey.pdf
    June 02, 2025 - EvidenceNOW: Cost Survey EvidenceNOW: Cost Survey Survey wave: 1. General information R18 name: Name of respondent(s): Completion date: From: To: provided 2. Personnel costs Total Name or hours / Annual Benefits (% role/title Effort salary salary) Comments Cost survey for developing external infras…
  12. psnet.ahrq.gov/issue/nurses-role-patient-safety
    June 09, 2011 - Commentary Nurses' role in patient safety. Citation Text: Hughes RG, Clancy CM. Nurses' role in patient safety. J Nurs Care Qual. 2009;24(1):1-4. doi:10.1097/NCQ.0b013e31818f55c7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  13. psnet.ahrq.gov/issue/patient-safety-organizations-ready-action
    May 20, 2009 - Commentary Patient safety organizations ready for action. Citation Text: Clancy CM. Patient Safety Organizations ready for action. AORN J. 2009;89(2):385-7. doi:10.1016/j.aorn.2009.01.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…
  14. psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
    October 12, 2022 - Review Classification of antecedents towards safety use of health information technology: a systematic review. Citation Text: Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…
  15. psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
    April 24, 2018 - Newspaper/Magazine Article Final five: ASCs told to target patient safety. Citation Text: Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  16. psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
    December 16, 2011 - Study Impact of a statewide reporting system on medication error reduction. Citation Text: Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K. Copy Citation Save Save to your library Print…
  17. psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
    May 20, 2009 - Commentary The importance of simulation: preventing hand-off mistakes. Citation Text: Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  18. www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
    May 01, 2023 - Teaching Pre-Implementation Measurement Present Slide 12, “Measurement.” Use this slide to introduce the topic of measurement and note that it is key to all organizational improvement initiatives. In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to stress t…
  19. digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
    January 01, 2019 - Using Smartphone Location Data for Care Coordination A smartphone app that uses location data to notify PCPs when a patient arrives in the hospital or ER is a simple, potentially scalable approach to improve care coordination after a hospital visit. Principal Investigator: Liss, David T. Orga…
  20. cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
    October 01, 2017 - Verify completeness Diagnosis of Active Pregnancy as an Exclusion Statins are not indicated for pregnant … Verify completeness Pregnancy Observation as an Exclusion Statins are not indicated for pregnant women … Verify completeness Diagnosis: Breastfeeding added as an Exclusion Statins are not indicated for women … Verify completeness Actively undergoing dialysis added as an Exclusion Statins are not indicated for … Verify completeness Diagnosis of Active Cirrhosis added as an Exclusion Statins are not indicated for