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  1. Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. | PSNet

    psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
    February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…

  2. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. | PSNet

    psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
    June 22, 2009 - Review Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Citation Text: Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…

  3. 209 Echo-Reporting-Measures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/echo/about/209_echo-reporting-measures.pdf
    January 01, 2004 - Reporting Measures for the ECHO Survey 3.0 Page 1 of 3 Document No. 209 – 8/31/06 For additional guidance, please email cahps1@ahrq.gov or call the CAHPS Help Line at (800) 492-9261. ECHO® Survey and Reporting Kit 2004 Reporting Measures for the ECHO® Survey 3.0 Items Included in the Measure Reportin…

  4. Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
    December 23, 2009 - Project Charter Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.2 Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the…

  5. Using an automated risk assessment report to identify patients at risk for clinical deterioration. | PSNet

    psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
    February 15, 2017 - Commentary Using an automated risk assessment report to identify patients at risk for clinical deterioration. Citation Text: Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…

  6. Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet

    psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
    December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …

  7. How policy makers can smooth the way for communication-and-resolution programs. | PSNet

    psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
    December 19, 2018 - Commentary How policy makers can smooth the way for communication-and-resolution programs. Citation Text: Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaf…

  8. The problem with medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/problem-medication-reconciliation
    May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  9. Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. | PSNet

    psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
    July 31, 2019 - Commentary Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. Citation Text: Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…

  10. The problem with 'never events'. | PSNet

    psnet.ahrq.gov/issue/problem-never-events
    July 12, 2023 - Commentary The problem with 'never events'. Citation Text: Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  11. Optimizing Environmental Cleaning | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/environmental-cleaning.html
    April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Optimizing Environmental Cleaning Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Survei…

  12. Intrathecal chemotherapy: potential for medication error. | PSNet

    psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
    February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  13. Chan D et al. 2003 "An internet-based store-and-forward video home telehealth system for improving asthma outcomes in children." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chan-d-et-al-2003
    January 01, 2003 - Chan D et al. 2003 "An internet-based store-and-forward video home telehealth system for improving asthma outcomes in children." Reference Chan D, Callahan C, Sheets S, et al. An internet-based store-and-forward video home telehealth system for improving asthma outcomes in children. AJHP 2003;60(19):1…

  14. Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet

    psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
    September 06, 2023 - Newspaper/Magazine Article Amid lack of accountability for bias in maternity care, a California family seeks justice. Citation Text: Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023 Copy Citation …

  15. Apology laws and malpractice liability: what have we learned? | PSNet

    psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
    March 18, 2020 - Commentary Apology laws and malpractice liability: what have we learned? Citation Text: Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. Copy Citation Format: DOI G…

  16. High-Performance Work Practices in CLABSI Prevention Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key Informants, All Sites Tabl…

  17. Disclosing medical errors: prioritising the needs of patients and families. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
    November 11, 2020 - Commentary Disclosing medical errors: prioritising the needs of patients and families. Citation Text: Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. C…

  18. What prevents incident disclosure, and what can be done to promote it? | PSNet

    psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
    February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? Citation Text: Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417. Copy Citation Format: G…

  19. D2 Combo Projectcharter (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
    December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding …

  20. Patient safety: threats and solutions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
    January 19, 2011 - Commentary Patient safety: threats and solutions. Citation Text: McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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