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Showing results for "initiatives".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40231/psn-pdf
    February 23, 2011 - Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. February 23, 2011 Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47073/psn-pdf
    July 02, 2019 - Physician prescribing of opioids to patients at increased risk of overdose from benzodiazepine use in the United States. July 2, 2019 Ladapo JA, Larochelle MR, Chen A, et al. Physician Prescribing of Opioids to Patients at Increased Risk of Overdose From Benzodiazepine Use in the United States. JAMA Psychiatry. 20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36577/psn-pdf
    January 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39768/psn-pdf
    August 18, 2010 - Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. August 18, 2010 Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in…
  5. www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …
  6. Boardchecklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
    June 02, 2025 - Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate. 2. Improve the safety and teamwork climate using valid measures. 3. Set expectation for unit-level culture assessment. 4. Require at least a 60 percent participation…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47098/psn-pdf
    August 15, 2018 - Accuracy of pediatric trauma field triage: a systematic review. August 15, 2018 van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. https://psnet.ahrq.gov/issue/accuracy-pediatric-trauma-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40776/psn-pdf
    September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. September 14, 2011 Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071. https://psnet.ahrq.gov/issue/nursing-home-survey-patient-sa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50711/psn-pdf
    January 01, 2020 - Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. December 4, 2019 Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851351/psn-pdf
    July 12, 2023 - Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. July 12, 2023 Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit during the COVID?19 pandemic: a multic…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43436/psn-pdf
    August 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45891/psn-pdf
    October 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn…
  14. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
    July 01, 2023 - Board Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37499/psn-pdf
    January 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022 Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a …
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
    June 02, 2025 - Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations SNAC Submission Form Measure 2: ADHD Behavior Therapy Section 2: Detailed Measure Specifications Attachment 2: EHR Recommended Data Locations Th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36208/psn-pdf
    January 05, 2017 - Implementing computerized provider order entry with an existing clinical information system. January 5, 2017 Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-16. https://psnet.ahrq.gov/issue…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44433/psn-pdf
    June 21, 2016 - Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. June 21, 2016 Shen Y-C, Hsia RY. Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. Health Aff (Millwood). 2015;34(8):1273-80. doi:10.1377/hlthaff.2014.1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45037/psn-pdf
    February 15, 2017 - Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. February 15, 2017 Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. Public Health. 2016;135:75-82. doi:10…