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psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
July 10, 2008 - Study
Classic
The care transitions intervention: results of a randomized controlled trial.
Citation Text:
Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…
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psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology
November 26, 2008 - Commentary
Making health care safer: what is the contribution of health psychology?
Citation Text:
Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166.
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…
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
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psnet.ahrq.gov/issue/care-human-collectively-confronting-clinician-burnout-crisis
June 10, 2020 - Commentary
Classic
To care is human—collectively confronting the clinician-burnout crisis.
Citation Text:
Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejm…
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psnet.ahrq.gov/issue/case-safety-leadership-team-training-hospital-managers
August 31, 2011 - Study
A case for safety leadership team training of hospital managers.
Citation Text:
Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d.
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F…
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psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
September 27, 2023 - Study
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Citation Text:
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…
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psnet.ahrq.gov/issue/worldwide-incidence-surgical-site-infections-general-surgical-patients-systematic-review-and
August 11, 2021 - Review
Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.
Citation Text:
Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general surgical patients: a syste…
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psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
November 16, 2015 - Commentary
World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.
Citation Text:
Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
May 01, 2018 - practice
• Vision and leadership are critical
On Vision and Leadership:
“You have to have a leader
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
January 01, 2014 - Staff Roles and Training forYour Pressure Ulcer Prevention Program
Staff Roles and Training for
Your Pressure Ulcer
Prevention Program
Presented by Elizabeth A. Ayello
Ph.D., RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN
Excelsior College School of Nursing
Welcome!
Thank you for joining this webinar about staff
role…
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psnet.ahrq.gov/node/846922/psn-pdf
March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce
Hospital Readmissions and Improve Health Outcomes
March 29, 2023
https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-
and-improve-health
Summary
With increasing recognition that health is linked to the condit…
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety?
April 1, 2006
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
Case Objectives
Describe the myth of the "surgical personality"
Identify featu…
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - The LifePoint National Quality Program Provides
Structured Framework for Reducing Inpatient Harm
January 5, 2021
https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-
reducing-inpatient-harm
Summary
Building on the company’s experience as a Hospital Engagement Network…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Implementing the Surgical Safety Checklist
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-b…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Central Venous Catheter Insertion
Central Venous Catheter Insertion
Avoiding Improper Placement Techniques
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI
1
Disrupting the Lifecycle of a Cathet…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Steps and Timeline
The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - Getting Into Patient Safety: A Personal Story
August 1, 2006
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began in 1972. It was born of serendipity enabled by the…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
August 02, 2017 - Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care
Creating a
Learning Health Care System:
The Role of Practice Facilitators in Primary Care
Speakers: Bob McNellis, Lyndee Knox, Ann Lefebvre, Stephanie Kirchner
Moderator: Gabrielle Weber
August 2, 2017
Welcome an…
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Special Considerations for Measurement of Diagnostic Safety (continued)
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurem…
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www.ahrq.gov/ncepcr/tools/workforce-financing/exec-summary.html
July 01, 2019 - Executive Summary
Workforce Configurations to Provide High-Quality, Comprehensive Primary Care
As the U.S. health care system seeks to reconfigure primary care to meet the needs of an aging and more complex population, environmental factors such as the advent of team care and the patient-centered …