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9021. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866100
      August 30, 2023 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Nurse Wellbeing and Patient Safety Curated Library Foundations Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Wash…

9022. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
      psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
      September 30, 2020 - SPOTLIGHT CASE Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy Citation Text: Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…

9023. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care L&D Unit Safety 2 L&D Unit Safety Tools The Labor and Delivery…

9024. EvidenceNOW Southwest Practice Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-6mon-post-intervention-sw.pdf
      April 03, 2017 - EvidenceNOW Southwest Practice Survey Information Sheet Date: 08-21-2015 Valid for Use Through: COMIRB APPROVED 09-Mar-2016 Study Title: EvidenceNOW Southwest Principal Investigator: W. Perry Dickinson, MD COMIRB No: 15-0403 Version Date: 08-21-2015 Version No: 2 You are being asked to be in this research st…

9025. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
      February 07, 2014 - Slide 1 Preventing CAUTI in Specialized Patient Populations: The ICU 1 Hannah Wunsch, MD, MSc Herbert Irving Assistant Professor of Anesthesiology and Epidemiology Columbia University Eugene Chu, MD, FHM Director of Hospital Medicine Boulder Community Hospital Associate Clinical Professor of Medicine University of Co…

9026. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
      May 01, 2016 - Meeting Minutes, November 2015 National Advisory Council Minutes from the November 3, 2015, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 24, 2015, Summary Report Director's Update Health Information Technol…

9027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867651/psn-pdf
      February 26, 2025 - Safety I, Safety II, and the New Views of Safety February 26, 2025 Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety Background and Context Safety I and Safety II (Safety I/II) are not safety method…

9028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50611/psn-pdf
      October 30, 2019 - Moreover, the patient safety committee learned that transmission of start and stop date fields in electronic

9029. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
      July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage SPPC‐II Toolkit                                                                                                                                                                             Hospital AIM Team Leads SPPC II Introduct…

9030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37110/psn-pdf
      October 06, 2011 - Seeing systems in health care organizations. October 6, 2011 Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations Using a hypothetical scenario, the authors illustrate how to use the system…

9031. Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/module-2-infection-preventionist.html
      May 01, 2022 - Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course Resource: Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course This module describes the role of an infection preventionist, who serves as the lead of a infection prevention…

9032. Responding to the Coronavirus/COVID-19 Pandemic: Toolkit for Emotional Coping for Healthcare Staff | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/toolkit-emotional-coping.html
      June 01, 2022 - Responding to the Coronavirus/COVID-19 Pandemic: Toolkit for Emotional Coping for Healthcare Staff Resource: Responding to the Coronavirus/COVID-19 Pandemic: Toolkit for Emotional Coping for Healthcare Staff ​This resource can be used by individual staff or healthcare teams to learn coping and resilience-bu…

9033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33906/psn-pdf
      October 18, 2017 - Your Medicine, Be Smart, Be Safe. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A. https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe This Web site assists consumers in learning how to take medications safely. The materials answer common que…

9034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36073/psn-pdf
      September 28, 2010 - Patient safety: through the eyes of your peers. September 28, 2010 Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24. https://psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers The authors present a peer review model for analyzing nursing behavior and…

9035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39410/psn-pdf
      March 31, 2010 - Doctors fear work caps for residents may be bad medicine. March 31, 2010 Shapira I. https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experientia…

9036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72539/psn-pdf
      December 02, 2020 - Diagnostic Excellence Video Series December 2, 2020 Oakland, CA: Kaiser Permanente; 2020. https://psnet.ahrq.gov/issue/diagnostic-excellence-video-series Diagnostic reliability is a primary focus of patient safety improvement. This training program targets 17 topics that require attention to address diagnostic err…

9037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40398/psn-pdf
      April 27, 2011 - Knowledge for Improvement. April 27, 2011 Batalden P, Davidoff F, eds. BMJ Qual Saf. 2011;20(suppl 1):1-105.   https://psnet.ahrq.gov/issue/knowledge-improvement Articles in this supplement discuss research tactics, cross-disciplinary thinking, and educational strategies, along with how they can contribute to…

9038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42508/psn-pdf
      December 18, 2017 - Watson: Beyond Jeopardy! December 18, 2017 Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. https://psnet.ahrq.gov/issue/watson-beyond-jeopardy This commentary describes how question answering systems can augment evidence-based decision …

9039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36115/psn-pdf
      September 28, 2010 - Safe prescribing: an educational intervention for medical students. September 28, 2010 Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-stud…

9040. Chen, Jin | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/chen-jin
      January 01, 2023 - Chen, Jin Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research aims to improve the early detection of venous thromboembolism in primary and urgent care by using mix…