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psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe
November 29, 2016 - Newspaper/Magazine Article
Meet the cancer patient in room 52: his name is Joseph, but call him Joe.
Citation Text:
Meet the cancer patient in room 52: his name is Joseph, but call him Joe. Sun LH.
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psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
February 08, 2010 - Newspaper/Magazine Article
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
Citation Text:
DerGurahian J. AHRQ presses on. No rule yet, but agency taps 10 safety organizations. Modern healthcare. 2008;38(45):8-9.
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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented.
Citation Text:
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
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psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
January 30, 2003 - Book/Report
Classic
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans.
Citation Text:
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. Gibson R, Singh JP. Was…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Universal ICU Decolonization Protocol Overview
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
Referenc…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Universal ICU Decolonization Protocol Overview
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
Referenc…
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psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
July 02, 2014 - Commentary
Preventing diagnostic errors in primary care.
Citation Text:
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).
Citation Text:
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). Chicago, IL; American Society of Healthcare Risk Ma…
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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-award-recipients
May 28, 2014 - Press Release/Announcement
2010 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission. January 12, 2011.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - Multi-use Website
Indiana Medical Error Reporting System.
Citation Text:
Indiana Medical Error Reporting System. Indianapolis, IN: Indiana State Department of Health.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-teamstepps-webcast-bakdash.pdf
January 01, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
5
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-bas…
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Reviewing the Team's Performance: Debrief
Research has shown that teams that effectively debrief their own performance can improve their teamwork in real time. 1 , 2 , 3 , 4 Although it is often difficult to find time for such reviews in healthcare, TeamSTEPPS advocates for after-action reviews; TeamSTEPPS ch…
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www.ahrq.gov/news/newsroom/case-studies/201515.html
January 01, 2018 - Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials
Search All Impact Case Studies
June 2015
Sutter Health's Center for Integrated Care (SCIC), a division of Sutter Health, is using the AHRQ publication, Taking Care of Myself: A Guide for When I Leave the Hospital , to help patients rec…
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psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
July 14, 2010 - Commentary
Implementing a rapid response team: a practical guide.
Citation Text:
Implementing a rapid response team: a practical guide. Garretson S; Dip HE; Rauzi MB.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization Nursing Practice Guide
Use this guide to help ensure that all nursing practice procedures and leadership support are in place to actively support the decolonization intervention.
Engagement & Collaboration
Determine Which Patients Need Treatment
CHG Bath Docume…
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www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
October 01, 2014 - Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality
Search All Impact Case Studies
August 2008
A tool developed by AHRQ provided both a benchmark and a measure of progress for a major quality improvement initiative at Evanston Northwestern Healthcare (ENH). The tool—the Hospital …
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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www.ahrq.gov/news/newsroom/case-studies/201414.html
August 01, 2014 - AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts
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August 2014
MedStar Washington Hospital Center, a 926-bed teaching and research hospital in Washington, D.C., has used AHRQ's Hospital Survey on Patient Safety Culture since…
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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