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  1. The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

    psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
    March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

  2. Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

    psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
    June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…

  3. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
    May 01, 2019 - Study Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …

  4. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

    psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
    October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

  5. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. | PSNet

    psnet.ahrq.gov/issue/handoffs-safety-culture-and-practices-evidence-hospital-survey-patient-safety-culture
    June 21, 2015 - Study Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. Citation Text: Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…

  6. Development and implementation of a suicide prevention checklist to create a safe environment. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
    August 04, 2021 - Study Development and implementation of a suicide prevention checklist to create a safe environment. Citation Text: Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160…

  7. Predicting avoidable hospital events in Maryland. | PSNet

    psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
    April 06, 2022 - Study Predicting avoidable hospital events in Maryland. Citation Text: Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. Copy Citation Format: DOI Google Scholar BibTeX En…

  8. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet

    psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
    September 18, 2009 - Study Medicare payment for selected adverse events: building the business case for investing in patient safety. Citation Text: Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…

  9. The effect of race and sex on physicians' recommendations for cardiac catheterization. | PSNet

    psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
    July 15, 2020 - Study The effect of race and sex on physicians' recommendations for cardiac catheterization. Citation Text: Schulman KA, Berlin JA, Harless W, et al. The effect of race and sex on physicians' recommendations for cardiac catheterization. N Engl J Med. 2002;340(8):618-626. doi:10.1056/nejm…

  10. A study of innovative patient safety education. | PSNet

    psnet.ahrq.gov/issue/study-innovative-patient-safety-education
    April 28, 2021 - Study A study of innovative patient safety education. Citation Text: Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. Copy Citation Format: DOI Google Scholar PubMed BibT…

  11. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. | PSNet

    psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
    August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …

  12. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  13. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
    December 14, 2022 - Study What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study. Citation Text: Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitativ…

  14. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…

  15. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
    January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer 1 Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer Principal Investigator: Rita Secola, RN, PhD, CPON Organization: University of California Los Angeles, NIHAward@research.ucla.e…

  16. Coaching (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
    July 01, 2023 - Coaching Hospital AIM Team Leads SPPC‐II Coaching Module 6 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 6 of the SPPC‐II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Hospital AIM Team Leads SPPC‐II Coaching …

  17. Coaching (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
    July 01, 2023 - Coaching Hospital AIM Team Leads SPPC‐II Coaching Module 6 of 8 SPPC‐II Toolkit SCRIPT Welcome to Module 6 of the SPPC‐II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools. 1 Hospital AIM Team Leads SPPC‐II Coaching …

  18. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
    December 01, 2017 - Facilitator Guide: Implementing Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Implementing Your SSI Prevention Bundle SAY: This module is about implementing your surgical site infection (SSI) prevention bundle. Slide 1 Learning Objectives SAY: This module will help you develop …

  19. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
    October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Implementing Your SSI Prevention Bundle Say: This module is about implementing your surgical site infection (SSI) prevention bundle. Slide 2: Learning Objectives Say: This modu…

  20. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
    March 20, 2008 - Strategies for Improving Patient Safety in Small Rural Hospitals Strategies for Improving Patient Safety in Small Rural Hospitals Judith Tupper, MS, CHES; Andrew Coburn, PhD; Stephenie Loux, MS; Ira Moscovice, PhD; Jill Klingner, PhD; Mary Wakefield, PhD, RN Abstract The Tennessee Rural Hospital Patient …
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