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www.ahrq.gov/nursing-home/resources/covid-19-considerations.htmlMay 01, 2022 - COVID-19 Considerations for Long-Term Care Facilities Resource: COVID-19 Considerations for Long-Term Care Facilities This toolkit is a compilation of considerations for long-term care facilities based on lessons learned during the early months of the COVID-19 pandemic accompanied by resources to inform pl…
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www.ahrq.gov/nursing-home/resources/healthcare-workforce-well-being.htmlJuly 01, 2021 - A Guide to Promoting Healthcare Workforce Well-Being During and After the COVID-19 Pandemic Resource: A Guide to Promoting Healthcare Workforce Well-Being During and After the COVID-19 Pandemic This guide provides ideas and lessons learned to improve the well-being of the healthcare workforce, including act…
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www.ahrq.gov/news/action-alliance-webinar.htmlSeptember 01, 2025 - Webinar - September 22: Safety Best Practices of High-Performing Healthcare Systems Related to Safety Culture, Leadership and Governance Date: September 22, 2025 Time: 12:00 p.m. – 1:00 p.m. ET Leaders from three high-performing health systems will share insights about how leadership accountability, board eng…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43144/psn-pdfMarch 29, 2016 - Autopsy advocates. March 29, 2016 Clark C. HealthLeaders Media. April 11, 2014. https://psnet.ahrq.gov/issue/autopsy-advocates Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and enhance learning opportunities, this news article recommends that these initiatives int… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35084/psn-pdfNovember 04, 2015 - Tort reform and the patient safety movement: seeking common ground. November 4, 2015 Budetti PP. Tort reform and the patient safety movement: seeking common ground. JAMA. 2005;293(21):2660-2. https://psnet.ahrq.gov/issue/tort-reform-and-patient-safety-movement-seeking-common-ground The author comments on two arti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37279/psn-pdfJanuary 04, 2012 - Studying the technical work of emergency care. January 4, 2012 Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6. https://psnet.ahrq.gov/issue/studying-technical-work-emergency-care The authors introduce a set of articles that explore how clinicians plan a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39718/psn-pdfJuly 28, 2010 - What is patient safety culture? A review of the literature. July 28, 2010 Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x. https://psnet.ahrq.gov/issue/what-patient-safety-culture-review-liter… -
digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-andJanuary 01, 2023 - AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research…
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digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning/citation/sharedJanuary 01, 2023 - A shared e-decision support portal for pediatric asthma. Citation Fiks AG, Mayne S, Karavite DJ, et al. A shared e-decision support portal for pediatric asthma. J Ambul Care Manage 2014;37(2):120-6. PMID: 24594560. Link https://www.ncbi.nlm.nih.gov/pubmed/24594560 Principal Investigator …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.htmlJuly 01, 2023 - What did we learn? What do we need to improve or change for next time?
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-disseminationJanuary 01, 2022 - Click on the links in Table 1 to learn more about this research.
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phdJune 01, 2011 - That's something that medicine has learned and could continue to learn from, that any member of the team … It's something that I have to learn for myself reading into the literature of many different fields,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptxApril 01, 2025 - Approach Steps of CUSP1 Educate staff on science of safety Identify defects Engage with senior executive Learn
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www.ahrq.gov/patient-safety/resources/learning-lab/physiologic-monitoring-long-desc.htmlJanuary 01, 2025 - Pediatric Patient Safety Learning Laboratory to Reengineer Continuous Physiologic Monitoring Systems Principal Investigator: Christopher Bonafide, M.D., M.S.C.E., Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA AHRQ Grant No.: HS26620 Project Period: 09/30/18-07/31/23 Description: This lab’s goa…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdfJune 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Ginsberg AHRQ’s Surveys on Patient Safety Culture™ (SOPS™) Program Caren Ginsberg, PhD Center for Quality Improvement and Patient Safety, AHRQ 6 AHRQ’s Core Competencies AHRQ is a rese…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37536/psn-pdfFebruary 01, 2011 - Improving patient safety by taking systems seriously. February 1, 2011 Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445. https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously The authors advocate that system… -
www.ahrq.gov/nursing-home/resources/eprotect-respiratory.htmlMay 01, 2022 - ePROTECT Respiratory Infections (EN) Resource: ePROTECT Respiratory Infections (EN) This course provides a general introduction to Acute Respiratory Infections and basic hygiene measures to protect against infection. By the end of the course, participants should be able to describe basic information about A…
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www.ahrq.gov/nursing-home/resources/basics-infection-prevention.htmlApril 01, 2022 - Basics of Infection Prevention & Control in the Post-COVID-19 World Resource: Basics of Infection Prevention & Control in the Post-COVID-19 World This course will review how COVID-19 spreads, signs and symptoms of COVID-19, and how to report illness. It will review the role of a healthcare worker in reporti…
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www.ahrq.gov/nursing-home/resources/module-11d-linen-management.htmlMay 01, 2022 - Module 11D—Linen Management—Nursing Home Infection Preventionist Training Course Resource: Module 11D—Linen Management—Nursing Home Infection Preventionist Training Course This module discusses recommended practices for linen management. At the conclusion of the module, participants will understand how lin…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47614/psn-pdfOctober 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…
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