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  1. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  2. A Mistaken Dose of Naloxone  | PSNet

    psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - A Mistaken Dose of Naloxone  Citation Text: Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49609/psn-pdf
    October 01, 2010 - Dangerous Dialysis October 1, 2010 Holley JL. Dangerous Dialysis . PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/dangerous-dialysis Case Objectives List common errors that occur in dialysis units. Describe steps that can be taken by dialysis units to prevent these common errors. Describe the role of the …

  4. Don't Pick the PICC | PSNet

    psnet.ahrq.gov/web-mm/dont-pick-picc
    December 01, 2011 - Don't Pick the PICC Citation Text: McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  5. Translate Data Complete Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-translate-data.doc
    December 26, 2018 - Translate Data Complete Checklist TalkingQuality Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains forty-one links. Your Project Checklist: Translate Data Into Information This document contains checklists for the following sections of Translate D…

  6. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - January 22, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  7. Computer-Based Training Modules: Bed Bathing With CHG

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
    March 01, 2022 - Computer-Based Training Modules: Bed Bathing With CHG Decolonization of Non-ICU Patients With Devices Section 11-5 Nursing Protocol Training Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap AHRQ Pub. No. 20(22)-0036 March 2022 1 Targeted Decolonization In…

  8. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - Strategy 6P: Service Recovery Programs Contents 6.P.1. The Problem 6.P.2. The Intervention 6.P.3. Implementing This Intervention 6.P.4. The Impact of Service Recovery Programs References    Download Strategy 6P:   Service Recovery Programs  (PDF, 748 KB)     6.P.1. The Problem No ma…

  9. Evidence Summary_Comparative Effectiveness Review No. 257: Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-257-antenatal-care-evidence-summary.pdf
    June 01, 2022 - Evidence Summary_Comparative Effectiveness Review No. 257: Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review Comparative Effectiveness Review Number 257 Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review Evidence Summary Main Points …

  10. Add-on Case and the Missing Checklist | PSNet

    psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
    September 01, 2012 - Add-on Case and the Missing Checklist Citation Text: Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  11. Alcohol-Misuse-Drug-Therapy Clinician (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_clinician.pdf
    February 01, 2016 - Pharmacotherapy for Adults With Alcohol Use Disorder (AUD) in Outpatient Settings Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and adverse effects of medications in adults with alcohol use disorder (AUD). The systematic revi…

  12. Statistical Brief #3

    hcup-us.ahrq.gov/reports/statbriefs/sb3.jsp
    April 01, 2006 - Statistical Brief #3 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

  13. Advancing the Safety of Acute Pain Management. | PSNet

    psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
    January 08, 2020 - Book/Report Advancing the Safety of Acute Pain Management. Citation Text: Advancing the Safety of Acute Pain Management. Boston, MA: Institute for Healthcare Improvement; 2019. Copy Citation Save Save to your library Print Download PDF Share …

  14. Adaptive expertise in medical decision making. | PSNet

    psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
    September 18, 2024 - Commentary Emerging Classic Adaptive expertise in medical decision making. Citation Text: Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898. Copy Citation Format: DOI Google…

  15. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
    September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 1 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Monday, September 21, 2009 Quality Engineering Break Out Session E: Quality Engineering WHAT SHOUL…

  16. Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. | PSNet

    psnet.ahrq.gov/issue/findings-and-lessons-ahrq-ambulatory-safety-and-quality-program
    January 07, 2015 - Book/Report Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. Citation Text: Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. Rockville, MD: Agency for Healthcare Research and Quality; August 2013. AHRQ Publication No. 13-0067-EF. Copy C…

  17. Handoffs and fumbles. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-fumbles
    June 12, 2007 - Book/Report Handoffs and fumbles. Citation Text: Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004. Copy Citation …

  18. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. | PSNet

    psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
    June 09, 2011 - Commentary Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. Citation Text: Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-18…

  19. A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! | PSNet

    psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
    December 27, 2018 - Newspaper/Magazine Article A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! Citation Text: A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 Cop…

  20. Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. | PSNet

    psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
    September 29, 2021 - Commentary Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. Citation Text: Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. Powell M. J Health Org Manag. 2023;37(1):67-83. Copy Citation Save …
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