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Showing results for "initiative".

3621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44583/psn-pdf
      February 17, 2016 - Root Cause Analysis Playbook. February 17, 2016 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/root-cause-analysis-playbook Risk management has recently focused on organization-wide improvement in patient safety. This publication discusses root cause analysis metho…

3622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35034/psn-pdf
      November 05, 2015 - Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. November 5, 2015 Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008. https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…

3623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35555/psn-pdf
      January 05, 2017 - A comprehensive grassroots model for statewide safety improvement. January 5, 2017 Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677. https://psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safe…

3624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38685/psn-pdf
      August 18, 2010 - HomeNet: ensuring patient safety with medical device use in the home. August 18, 2010 Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home Healthc Nurse. 2009;27(5):300-7. https://psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home This arti…

3625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37557/psn-pdf
      February 27, 2008 - Learning from patient safety incidents: creating participative risk regulation in healthcare. February 27, 2008 Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452. https://psnet.ahrq.gov/issue/learning-p…

3626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44071/psn-pdf
      November 16, 2015 - Quality Improvement in Neurosurgery. November 16, 2015 Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26(2):143-322. https://psnet.ahrq.gov/issue/quality-improvement-neurosurgery This special issue covers elements of safe care delivery in neurosurgery and features articles exploring the use of simula…

3627. Leading Healthcare Quality and Safety | PSNet
      psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
      August 11, 2025 - Leading Healthcare Quality and Safety Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Coursera Event Description: Ensuring patient safety and…

3628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45075/psn-pdf
      May 18, 2019 - NHS Improvement. May 18, 2019 NHS England. https://psnet.ahrq.gov/issue/nhs-improvement The National Health Service (NHS) has been a global leader in patient safety improvement since the publication of An Organization With a Memory in 2000. This government resource combines several NHS initiatives—such as the Nat…

3629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37762/psn-pdf
      May 14, 2008 - commentary describes the strategy used at one hospital to enhance an existing rapid response team initiative

3630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40698/psn-pdf
      August 17, 2011 - an ambulatory surgery safety improvement program and describes its background, goals, and checklist initiative

3631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40669/psn-pdf
      August 27, 2013 - https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations This Web site supports an initiative

3632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43268/psn-pdf
      June 11, 2014 - interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews https://psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety

3633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35988/psn-pdf
      May 04, 2015 - eliminating-serious-preventable-and-costly-medical-errors-never-events This fact sheet provides information regarding the Centers for Medicare and Medicaid Services' initiative

3634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40501/psn-pdf
      June 01, 2011 - Presenting a hypothetical example of organizational and individual resistance to a surgical checklist initiative

3635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36607/psn-pdf
      February 28, 2015 - consumer-guide-adverse-health-events This report provides background on the Minnesota Never Events reporting initiative

3636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41882/psn-pdf
      November 28, 2012 - what-nhs-safety-thermometer This commentary describes the design and initial test of a large-scale initiative

3637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38187/psn-pdf
      October 29, 2008 - importance-simulation-preventing-hand-mistakes This article discusses an AHRQ-funded communication survey initiative

3638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36036/psn-pdf
      April 29, 2018 - /rapid-response-team-activation-patients-can-mitigate-errors This article discusses one hospital's initiative

3639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38380/psn-pdf
      February 04, 2009 - towards-international-classification-patient-safety This set of articles focuses on the World Alliance for Patient Safety initiative

3640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41581/psn-pdf
      August 08, 2012 - how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations This series, developed in conjunction with the STAAR initiative