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5861. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/intro.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Introduction Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamental…

5862. Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
      August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Description of Methods Chapter 4. Results an…

5863. Actions Based on Survey Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
      August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Actions Based on Survey Results Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study In…

5864. AHRQ_Brand_NameOnly (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-workplan.docx
      January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients Annual Sustainability Work Plan Caring for Mechanically Ventilated Patients Year ______________ Hospital Name ________________________________________ Unit ___________________________ This Sustainability Plan template is designed to help you sustain your eff…

5865. Sustaining and Spreading Surgical Safety Improvements: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
      December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustaining and Spreading Surgical Safety Improvements Slide 2: Learning Objectives After this session, you will be able to– Define sus…

5866. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
      June 02, 2025 - PowerPoint Presentation Use these PowerPoint slides for any presentations for which they may be useful. These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process. Modify as needed to suit your hospital – you may wish to delete sections of sl…

5867. SNAC Member: Peter Pronovost, M.D., Ph.D. | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/snac-pronovost.html
      December 01, 2021 - SNAC Member: Peter Pronovost, M.D., Ph.D. Chief Quality and Clinical Transformation Officer, University Hospitals Professor, Department of Anesthesiology and Critical Care Medicine, School of Medicine and School of Nursing Case Western Reserve University Peter Pronovost, M.D., Ph.D., is a patient safety cha…

5868. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/introduction.html
      October 01, 2023 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Introduction Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transfo…

5869. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet
      psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
      January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

5870. Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. | PSNet
      psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
      December 22, 2021 - Special or Theme Issue Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Citation Text: Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…

5871. Students have a key role in a culture of safety: analysis of student-associated medication incidents. | PSNet
      psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
      July 25, 2018 - Newspaper/Magazine Article Students have a key role in a culture of safety: analysis of student-associated medication incidents. Citation Text: Students have a key role in a culture of safety: analysis of student-associated medication incidents. ISMP Medication Safety Alert! Acute care e…

5872. Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. | PSNet
      psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
      August 17, 2022 - Webinar Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Citation Text: Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…

5873. Detecting drug interactions using personal digital assistants in an out-patient clinic. | PSNet
      psnet.ahrq.gov/issue/detecting-drug-interactions-using-personal-digital-assistants-out-patient-clinic
      March 28, 2011 - Study Detecting drug interactions using personal digital assistants in an out-patient clinic. Citation Text: Dallenbach F, Bovier PA, Desmeules J. Detecting drug interactions using personal digital assistants in an out-patient clinic. QJM. 2007;100(11):691-7. Copy Citation Format…

5874. Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-are-helping-reduce
      October 19, 2010 - Newspaper/Magazine Article Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors. Citation Text: Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8. Copy Citation Format: Googl…

5875. Rethinking peer review: what aviation can teach radiology about performance improvement. | PSNet
      psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
      July 01, 2017 - Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. …

5876. A review of educational philosophies as applied to radiation safety training at medical institutions. | PSNet
      psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
      May 31, 2017 - Commentary A review of educational philosophies as applied to radiation safety training at medical institutions. Citation Text: Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…

5877. A next act for patient safety. | PSNet
      psnet.ahrq.gov/issue/next-act-patient-safety
      September 03, 2011 - Commentary A next act for patient safety. Citation Text: Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5878. Ask me if I cleaned my hands. | PSNet
      psnet.ahrq.gov/issue/ask-me-if-i-cleaned-my-hands
      December 07, 2022 - Commentary Ask me if I cleaned my hands. Citation Text: Gordon SC. A piece of my mind. Ask me if I cleaned my hands. JAMA. 2012;307(15):1591-2. doi:10.1001/jama.2012.474. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

5879. Off the record — avoiding the pitfalls of going electronic. | PSNet
      psnet.ahrq.gov/issue/record-avoiding-pitfalls-going-electronic
      October 25, 2017 - Commentary Off the record — avoiding the pitfalls of going electronic. Citation Text: Hartzband P, Groopman J. Off the record--avoiding the pitfalls of going electronic. N Engl J Med. 2008;358(16):1656-8. doi:10.1056/NEJMp0802221. Copy Citation Format: DOI Google Scholar …

5880. CMS: your mistake, your problem. | PSNet
      psnet.ahrq.gov/issue/cms-your-mistake-your-problem
      November 16, 2022 - Newspaper/Magazine Article CMS: your mistake, your problem. Citation Text: Lubell J. CMS: your mistake, your problem. Eight hospital-acquired conditions won't be paid for. Modern healthcare. 2007;37(33):10-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…