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  1. psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg | March 27, 2024  View more articles from the same authors. Citation Text: Murray J, Sorra J, Gale B, et al. Ensuring Patient…
  2. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867850/psn-pdf
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/persp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49483/psn-pdf
    June 01, 2005 - Getting to the Root of the Matter June 1, 2005 Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/getting-root-matter Case Objectives Appreciate the goals and limitations of root cause analysis Outline the steps to conduct root cause analysis The Case A…
  5. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
    January 01, 2013 - Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change * Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center Learning Objectives Describe the methods to engage clinicians in CAUTI prevention Describe methods to engage l…
  6. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
    November 01, 2019 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract …
  7. psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…
  8. psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
    August 14, 2024 - SPOTLIGHT CASE Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. Citation Text: Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
  9. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-apps-a-e-surveillance-report-2-final_0_0.pdf
    March 01, 2022 - J Pain Symptom Manage. 2014 Jan;47(1):166-73. doi: https://dx.doi.org/10.1016/j.jpainsymman.20 13.02.018 … J Pain Symptom Manage. 2014 Jan;47(1):166-73. doi: https://dx.doi.org/10.1016/j.jpainsymman.20 13.02.018 … J Pain Symptom Manage. 2014 Jan;47(1):166-73. doi: https://dx.doi.org/10.1016/j.jpainsymman.20 13.02.018 … J Pain Symptom Manage. 2018 02;55(2):179-88.e1. doi: https://dx.doi.org/10.1016/j.jpainsymman.20 17.09.001
  10. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - to monitor whether teaching done in the hospital has improved the patients' knowledge of how to self-manage
  11. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
    March 01, 2025 - to monitor whether teaching done in the hospital has improved the patients' knowledge of how to self-manage
  12. psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …
  13. psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
    September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety Final Report. Citation Text: Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017. Copy Citation Save Save to your lib…
  14. digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
    January 01, 2010 - Building an Implementation Toolset for E-Prescribing - 2010 Project Name Building an Implementation Toolset for E-Prescribing Principal Investigator Bell, Douglas Organization RAND Corporation Contract Number 290-06-0017-4 Project Period August 2008 – Septem…
  15. psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
    June 10, 2018 - Newspaper/Magazine Article Multiple latent failures align to allow a serious drug interaction to harm a patient. Citation Text: Multiple latent failures align to allow a serious drug interaction to harm a patient. ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. Co…
  16. digital.ahrq.gov/telehealth-0
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  17. psnet.ahrq.gov/issue/concept-analysis-systems-thinking
    August 20, 2018 - Review A concept analysis of systems thinking. Citation Text: Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
  18. psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
    July 29, 2020 - Audiovisual Think health care workers are tested often for the Coronavirus? Think again. Citation Text: Think health care workers are tested often for the Coronavirus? Think again. Wamsley L. National Public Radio and WBUR. December 7, 2020. Copy Citation Save …
  19. psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
    May 03, 2023 - Newspaper/Magazine Article More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. Citation Text: More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…
  20. psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis
    October 21, 2020 - Newspaper/Magazine Article Promoting psychosocial well-being of health care staff during crisis. Citation Text: Promoting psychosocial well-being of health care staff during crisis. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…