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AHRQ: Agency for Healthcare Research and Quality

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Showing results for "learned".

  1. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet

    psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
    February 01, 2017 - The purpose of this article is to provide 10 insights about team training in health care that we have learned … If we do our jobs right, this starting point will shift as more is learned. … But, the ability to react according to a well-learned protocol that is invariant from one clinician to

  2. Combining Quality Measures Into Composites | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/translate/organize/composites.html
    November 01, 2018 - Combining Quality Measures Into Composites Composite scores represent small sets of data points that are highly related to one another, both conceptually and statistically. Combining and presenting these items as a single score reduces the potential for information overload. Learn more about Combining Measures…

  3. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
    July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45562/psn-pdf
    October 12, 2016 - Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. October 12, 2016 Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38434/psn-pdf
    June 15, 2011 - Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. June 15, 2011 Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864856/psn-pdf
    March 20, 2024 - Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed- methods evaluation. March 20, 2024 Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibiotic stewardship among neonatal in…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47092/psn-pdf
    October 13, 2018 - Organizational response to known medical errors: does peer review protection impede improvement? October 13, 2018 Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429. https://psnet.ahrq.…

  8. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
    October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…

  9. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet

    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …

  10. RHIOs aim to transform quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
    August 26, 2020 - Newspaper/Magazine Article RHIOs aim to transform quality of care and patient safety. Citation Text: RHIOs aim to transform quality of care and patient safety. van der Grinten P. Copy Citation Save Save to your library Print Download PDF Sha…

  11. Health Literacy Toolkit. | PSNet

    psnet.ahrq.gov/issue/health-literacy-toolkit
    February 22, 2023 - Toolkit Health Literacy Toolkit. Citation Text: Health Literacy Toolkit. Leeds, UK: Health Education England, Public Health England, NHS England and Community Health and Learning Foundation; December 11, 2017. Copy Citation Save Save to your library Print …

  12. National Patient Safety Alerting System. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-alerting-system
    April 15, 2020 - Government Resource National Patient Safety Alerting System. Citation Text: National Patient Safety Alerting System. National Health Service England Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  13. Patient Safety in Private Hospitals: the Known and the Unknown Risk. | PSNet

    psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
    June 18, 2013 - Book/Report Patient Safety in Private Hospitals: the Known and the Unknown Risk. Citation Text: Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014. Copy Citation Save …

  14. Freedom to Speak Up: A Review of Whistleblowing in the NHS. | PSNet

    psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
    April 24, 2013 - Book/Report Freedom to Speak Up: A Review of Whistleblowing in the NHS. Citation Text: Freedom to Speak Up: A Review of Whistleblowing in the NHS. Francis R. London, UK: Department of Health; February 2015. Copy Citation Save Save to your library Print …

  15. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412. Copy Citation Save Save to your library Print Download PD…

  16. Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. | PSNet

    psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
    May 20, 2020 - Book/Report Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Citation Text: Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004. Copy Citation …

  17. Improving the Working Environment for Safe Surgical Care. | PSNet

    psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
    July 29, 2015 - Book/Report Improving the Working Environment for Safe Surgical Care. Citation Text: Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. Copy Citation …

  18. The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. | PSNet

    psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
    July 08, 2015 - Meeting/Conference Proceedings The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Citation Text: The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…

  19. Is safety a subject for science? | PSNet

    psnet.ahrq.gov/issue/safety-subject-science
    January 16, 2017 - Commentary Is safety a subject for science? Citation Text: Hollnagel E. Is safety a subject for science? Safety Sci. 2013;67:21-24. doi:10.1016/j.ssci.2013.07.025. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Medicine's Shadowside: Revisiting Clinical Iatrogenesis. | PSNet

    psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
    September 08, 2021 - Special or Theme Issue Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Citation Text: Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.   Copy Citation Save Save to yo…
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