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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5b.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Team Checkup Tool
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Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs
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psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
May 31, 2017 - Commentary
A review of educational philosophies as applied to radiation safety training at medical institutions.
Citation Text:
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - Study
Losing the moment: understanding interruptions to nurses' work.
Citation Text:
Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162.
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psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-teams
August 04, 2021 - Review
Achieving dialysis safety: the critical role of higher-functioning teams.
Citation Text:
Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778.
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psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-setting
October 02, 2019 - Review
Patient safety in the obstetric and gynecologic office setting.
Citation Text:
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am. 2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
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psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
October 19, 2022 - Commentary
How reliable is your hospital? A qualitative framework for analysing reliability levels.
Citation Text:
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Sustainability Tool - Sustainability Module
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist.
Us…
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psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Award Recipient
The 2021 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424.
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psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
October 14, 2020 - Study
Creating a culture of safety in the emergency department: the value of teamwork training.
Citation Text:
Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e318…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.pdf
February 01, 2014 - Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluati…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.html
February 01, 2014 - Supplement to Evaluation Highlight No. 7
How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs?
February 2014
Evaluation Highlight No. 7 is the seventh in a series of reports that present descriptive and analytic findings from the national evaluation of the …
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psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases
January 22, 2016 - Study
Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases.
Citation Text:
Stone S, Bernstein M. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. Neurosurgery. 2007;60(6):1075-80; discussion 1080-2.
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psnet.ahrq.gov/issue/british-nurse-was-found-guilty-killing-seven-babies-did-she-do-it
July 28, 2021 - Newspaper/Magazine Article
British nurse was found guilty of killing seven babies. Did she do it?
Citation Text:
British nurse was found guilty of killing seven babies. Did she do it? Aviv R. New Yorker. May 20, 2024.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-references.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
References
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introduction
Initial Approach…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Use Simulation To Adopt and Adapt Best Practices
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Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Prac…
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psnet.ahrq.gov/issue/drug-related-hospital-admissions
September 07, 2016 - Study
Classic
Drug-related hospital admissions.
Citation Text:
Drug-related hospital admissions. Einarson TR
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psnet.ahrq.gov/issue/ask-me-if-i-cleaned-my-hands
December 07, 2022 - Commentary
Ask me if I cleaned my hands.
Citation Text:
Gordon SC. A piece of my mind. Ask me if I cleaned my hands. JAMA. 2012;307(15):1591-2. doi:10.1001/jama.2012.474.
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - Commentary
Dangerous deception--hiding the evidence of adverse drug events.
Citation Text:
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71.
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psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
August 18, 2017 - Study
Observational assessment of surgical teamwork: a feasibility study.
Citation Text:
Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83.
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - Book/Report
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.
Citation Text:
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…