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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects.
January 2, 2017
Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects.
Jt Comm J Qual Saf. 2009;35(3):123-132.
https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
Th…
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psnet.ahrq.gov/node/36610/psn-pdf
January 14, 2011 - Prevent medication errors: a New Year's resolution:
teaching patients about their medications.
January 14, 2011
Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications.
Home Healthc Nurse. 2007;25(1):59-62.
https://psnet.ahrq.gov/issue/prevent-medication-errors-new-…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/training-catalog/building-safety-culture-and-strengthening-hospital-safety-systems
July 07, 2025 - Building Safety Culture and Strengthening Hospital Safety Systems
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Organization:
Organization
Hospital Quality Institute
E…
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www.ahrq.gov/nursing-home/resources/lessons-nursing-home-staff.html
April 01, 2022 - Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work
Resource: Lessons from Nursing Home Staff to Address Burnout and Enhance Joy in Work
Clinical Conversations is a program from the Network of the National Library of Medicine for training clinicians and other clinical staff who intera…
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www.ahrq.gov/nursing-home/resources/support-staff-wellbeing-guide.html
March 01, 2021 - Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic
Resource: Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic
During the COVID-19 pandemic, healthcare leaders are working to support s…
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psnet.ahrq.gov/node/41608/psn-pdf
August 22, 2012 - Reduction in pediatric identification band errors: a quality
collaborative.
August 22, 2012
Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality
collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911.
https://psnet.ahrq.gov/issue/reduction-pedia…
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www.ahrq.gov/evidencenow/tools/finding-sustainable-funding.html
March 01, 2023 - Finding Sustainable Funding for Primary Care Extension Programs
Resource: Sustainable funding for Primary Care Extension (PDF, 7 MB, 9 pages)
Finding sustainable funding for primary care extension programs is a challenge. This resource provides guidance for existing programs that seek to become financially …
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psnet.ahrq.gov/node/41602/psn-pdf
August 15, 2012 - How Can Health Care Organizations Become More Health
Literate?: Workshop Summary.
August 15, 2012
Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice;
Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/44610/psn-pdf
May 03, 2017 - International Prize in Resilient Health Care.
May 3, 2017
The Australian Institute of Health Innovation.
https://psnet.ahrq.gov/issue/international-prize-resilient-health-care
Innovations in patient safety can drive improvement efforts. This award program seeks to recognize
feasible and widely implementable strate…
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psnet.ahrq.gov/node/47318/psn-pdf
October 12, 2018 - ISMP Survey on IV Push Medication Practices.
October 12, 2018
Institute for Safe Medication Practices; ISMP.
https://psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
Errors in IV push medication use can cause patient harm. This survey seeks to gather data on how
clinicians administer IV push medicatio…
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psnet.ahrq.gov/node/45990/psn-pdf
August 24, 2022 - Medication Safety Certificate Program.
August 24, 2022
American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/medication-safety-certificate-program
Leadership commitment to reduce medication errors can help address this safety problem. This certificate
…
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - 10 Medication Safety Tips for Hospitalized Patients.
September 25, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk for medication errors. This set of tips seeks to help hospitalized patien…
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psnet.ahrq.gov/node/61104/psn-pdf
March 03, 2025 - NAM Scholars in Diagnostic Excellence program.
January 10, 2025
National Academy of Medicine and the Council of Medical Specialty Societies.
https://psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
Diagnostic error reduction is gaining momentum as a primary focus of patient safety achievement. This
…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
June 01, 2021 - Choosing an Intervention and Measuring Change
A decision on an intervention should be informed by input from frontline staff and the antibiotic stewardship team. The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form will help your team obtain that information. Th…
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www.ahrq.gov/evidencenow/tools/health-coach-intervention.html
August 01, 2023 - Sustainability Plan for Health Coaching
Resource: Health Coach Intervention Sustainability Plan (PDF, 401 KB, 17 pages)
This document includes guidance and information (including CPT codes) that staff can use for Medicare reimbursement for the health coaching sessions that they provide for patients. Health …
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psnet.ahrq.gov/node/34618/psn-pdf
July 28, 2013 - National Survey on Consumers' Experiences With Patient
Safety and Quality Information.
July 28, 2013
Washington DC: Kaiser Family Foundation, Agency for Healthcare Research and Quality, Harvard School
of Public Health; 2004.
https://psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-qual…
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www.ahrq.gov/evidencenow/heart-health/cholesterol/facilitator-checklist.html
September 01, 2018 - Cholesterol Management: Tasks for the Practice Facilitator
Resource title: Cholesterol Management: Tasks for the Practice Facilitator
Resource description: This two-page checklist and associated materials provide information on working with primary care practices to address cholesterol management.
Documen…
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psnet.ahrq.gov/node/73480/psn-pdf
December 17, 2024 - Improving Patient Safety with Human Factors Methods.
December 17, 2024
Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
Human factors engineering (HFE) is a primary strategy for advancing safety in healt…
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www.ahrq.gov/evidencenow/heart-health/aspirin/facilitator-checklist.html
August 01, 2018 - Aspirin Use Care: Tasks for the Practice Facilitator
Resource title: Aspirin Use Care: Tasks for the Practice Facilitator
Resource description: This checklist and associated materials are designed to be used with primary care practices to increase aspirin use for secondary prevention of cardiovascular dise…