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9421. How Will You Distribute and Promote a Health Care Quality Report? | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/distribute-and-promote.html
      May 01, 2019 - How Will You Distribute and Promote a Health Care Quality Report? While you are in the early stages of the reporting process, it is important to plan how you will reach your audience. Pertinent decisions include: Will your report be available in print, on the Web, or both? How will you let people know i…

9422. Post-Vaccination Practices Series | Agency for Healthcare Research and Quality
      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…

9423. Success Stories of Five Labor and Delivery Units Using the Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/stories.html
      July 01, 2023 - Success Stories of Five Labor and Delivery Units Using the Toolkit Toolkit for Improving Perinatal Safety "AHRQ Safety Program for Perinatal Care: Experiences From the Frontline" describes the implementation experiences of five labor and delivery (L&D) units that successfully implemented the program. This r…

9424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855435/psn-pdf
      November 15, 2023 - Technology, Education and Safety November 15, 2023 Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705. https://psnet.ahrq.gov/issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of reviews illustrates relationsh…

9425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43936/psn-pdf
      December 04, 2015 - Exploring the Potential Use of Safety Cases in Health Care. December 4, 2015 Safety Cases Working Group. London, UK: Health Foundation; 2015. https://psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care This report describes a consensus-building initiative in the United Kingdom seeking to determin…

9426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38213/psn-pdf
      November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…

9427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43790/psn-pdf
      October 23, 2023 - Complaints to the Parliamentary and Health Service Ombudsman. October 23, 2023 Manchester, UK: Parliamentary and Health Service Ombudsman. https://psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017 The National Health Service broadly reports the results of system-level analyses and investigations into t…

9428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48106/psn-pdf
      July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…

9429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74167/psn-pdf
      December 08, 2021 - National Patient Safety Board Advocacy Coalition. December 8, 2021 EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222. https://psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition Centralized reporting and analysis of adverse events in health care is a safety improvement model from the av…

9430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72685/psn-pdf
      January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…

9431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37555/psn-pdf
      February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects…

9432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60674/psn-pdf
      July 08, 2020 - Sway: Unravelling Unconscious Bias July 8, 2020 Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.  https://psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias Implicit biases influence behavior and decision making. This publication discusses how a range of implicit biases affect legal…

9433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39622/psn-pdf
      June 23, 2010 - Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. June 23, 2010 Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02. https://psnet…

9434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36792/psn-pdf
      August 26, 2011 - Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. August 26, 2011 Waring J. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Sociol Health Illn. 2007;29(2):163-79. https://psnet.ahrq.gov/issue/adaptive-regulation-or-govern…

9435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47056/psn-pdf
      April 20, 2022 - Healthcare Simulation Week. April 20, 2022 Society for Simulation in Healthcare. https://psnet.ahrq.gov/issue/healthcare-simulation-week Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance individual and team performance. This website provides promotional materials f…

9436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35495/psn-pdf
      February 22, 2010 - The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure. February 22, 2010 Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health information infrastructure. J Healthc Inf Manag…

9437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35046/psn-pdf
      June 22, 2009 - Patient safety: do nursing and medical curricula address this theme? June 22, 2009 Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this theme? Nurse Educ Today. 2005;25(4):333-40. https://psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address…

9438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839330/psn-pdf
      November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality. November 2, 2022 Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality The task of performing a …

9439. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43844/psn-pdf
      January 21, 2015 - Unintended side effects: arbitration and the deterrence of medical error. January 21, 2015 Shieh D. N Y Univ Law Rev. 2014;89:1806-1835. https://psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error This commentary explores the role of medical malpractice arbitration as a deterrent …

9440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35292/psn-pdf
      June 27, 2011 - The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. June 27, 2011 Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2005;17(4). doi:10.1093/intqhc/mzi041. htt…