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  1. psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
    September 02, 2020 - Study Classic Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. Citation Text: Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekend…
  2. psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
    December 06, 2023 - Study Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. Citation Text: Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of …
  3. psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
    February 06, 2019 - Study Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. Citation Text: Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…
  4. psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
    January 18, 2011 - Study Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. Citation Text: Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based t…
  5. psnet.ahrq.gov/issue/impact-time-work-and-time-work-rule-compliance-case-hand-hygiene-health-care
    May 18, 2022 - Study Classic The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care. Citation Text: Dai H, Milkman KL, Hofmann DA, et al. The impact of time at work and time off from work on rule compliance: the case of ha…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74136/psn-pdf
    December 01, 2021 - Development and expression of a high-reliability organization. December 1, 2021 Phillips RA, Schwartz RL, Sostman HD, et al. Development and expression of a high-reliability organization. NEJM Catal Innov Care Deliv. 2021;2(12). doi:10.1056/cat.21.0314. https://psnet.ahrq.gov/issue/development-and-expression-high-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45476/psn-pdf
    September 21, 2016 - Use of a surgical safety checklist to improve team communication. September 21, 2016 Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47791/psn-pdf
    March 20, 2019 - Essential activities for electronic health record safety: a qualitative study. March 20, 2019 Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. https://psnet.ahrq.gov/issue/esse…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46316/psn-pdf
    August 02, 2017 - Defending a "never event." August 2, 2017 Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. https://psnet.ahrq.gov/issue/defending-never-event Surgical fires are considered a never event. This commentary provides an overview of surgical fires, explains element…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844055/psn-pdf
    February 08, 2023 - National patient safety goal to improve health care equity. February 8, 2023 R3 Report. December 20, 2022;38:1-8. https://psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity Health care inequities persist despite increasing awareness they negatively affect quality, safety, and patient cent…
  11. www.ahrq.gov/nursing-home/resources/module-11b-environmental-cleaning.html
    May 01, 2022 - Module 11B—Environmental Cleaning and Disinfection—Nursing Home Infection Preventionist Training Course Resource: Module 11B—Environmental Cleaning and Disinfection—Nursing Home Infection Preventionist Training Course This module describes the role that environmental surfaces play in pathogen transmission an…
  12. www.ahrq.gov/nursing-home/resources/module-11c-water-management-program.html
    May 01, 2022 - Module 11C—Water Management Program—Nursing Home Infection Preventionist Training Course Resource: Module 11C—Water Management Program—Nursing Home Infection Preventionist Training Course This module discusses the importance of a water management program in the prevention of the transmission of waterborne pa…
  13. www.ahrq.gov/nursing-home/resources/module-15-infection-prevention.html
    April 01, 2022 - Module 15—Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions—Nursing Home Infection Preventionist Training Course Resource: Module 15—Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions—Nursing Home Infection Preventionist Training Course …
  14. www.ahrq.gov/nursing-home/resources/module-14-antibiotic-stewardship.html
    April 01, 2022 - Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course Resource: Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course This module discusses the importance of antibiotic stewardship and identifies strategies to …
  15. www.ahrq.gov/nursing-home/resources/cms-targeted-training.html
    May 01, 2022 - Centers for Medicare & Medicaid Services Targeted COVID-19 Training for Frontline Nursing Home Staff and Management Resource: Centers for Medicare & Medicaid Services Targeted COVID-19 Training for Frontline Nursing Home Staff and Management These self-paced, scenario based modules are intended to provide ad…
  16. www.ahrq.gov/nursing-home/resources/module-7-hand-hygiene.html
    April 01, 2022 - Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course Resource: Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course This module describes how hand hygiene prevents the spread of pathogens, including those that are resistant to antibiotics, and reduces the risk of i…
  17. www.ahrq.gov/nursing-home/resources/module-12a-preventing-respiratory-infection.html
    May 01, 2022 - Module 12A—Preventing Respiratory Infection—Nursing Home Infection Preventionist Training Course Resource: Module 12A—Preventing Respiratory Infection—Nursing Home Infection Preventionist Training Course This module discusses strategies to diagnose, prevent, and control serious lower respiratory tract infec…
  18. www.ahrq.gov/nursing-home/learning-modules/vaccination-testing.html
    December 01, 2022 - Vaccination and Testing series This series of two learning modules focuses on considerations for when to test residents for COVID-19 and how the COVID-19 vaccine can protect nursing home staff and residents. The modules are about 5 minutes long. Module 1: When to Test It is important to know the signs and s…
  19. www.ahrq.gov/nursing-home/learning-modules/post-vaccination.html
    December 01, 2022 - Post-Vaccination Practices Series This series of two learning modules features strategies to help nursing home teams minimize infection risk in their facility. Module 1: Minimizing Infection Risk: Protect The safety precautions that you take are just as important as the one-on-one care that you give to your…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60624/psn-pdf
    June 24, 2020 - The patient died: what about involvement in the investigation process? June 24, 2020 Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. https://psnet.ahrq.gov/issue/patient-died-what-about…