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6621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839819/psn-pdf
      November 09, 2022 - Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. November 9, 2022 Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-2790. doi:10.1111/jonm.13775. h…

6622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34998/psn-pdf
      June 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…

6623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48069/psn-pdf
      July 24, 2019 - Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy. July 24, 2019 Heckemann B, Hahn S, Halfens RJG, et al. Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy. J Nurs Manag. 2019;27(5):1039-104…

6624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42894/psn-pdf
      January 29, 2014 - An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? January 29, 2014 Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?…

6625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47057/psn-pdf
      July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame…

6626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840483/psn-pdf
      November 30, 2022 - Crisis preparedness: a systems-based framework for avoiding harm in surgery. November 30, 2022 Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.0000000000000300. https://psnet.ahrq.gov/iss…

6627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43361/psn-pdf
      July 16, 2014 - An Avoidable Death of a Three-year-old Child from Sepsis. July 16, 2014 London, UK: Parliamentary and Health Service Ombudsman; June 2014. https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis This investigation outlines how inadequate care contributed to the death of a child who developed sepsi…

6628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50710/psn-pdf
      December 04, 2019 - Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 December 4, 2019 de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…

6629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45119/psn-pdf
      November 18, 2016 - Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. November 18, 2016 Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and care management processes. Am …

6630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844048/psn-pdf
      February 08, 2023 - The incidence of opioid misuse among the surgical patients with persistent opioid use. February 8, 2023 Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. https://psnet.ahrq.gov/issue/incidence-o…

6631. USA, VA, Arlington | Digital Healthcare Research
      digital.ahrq.gov/location/usa-va-arlington
      January 01, 2023 - USA, VA, Arlington Personal Health Information Management and Design of Consumer Health IT Description The purpose of this project was to establish a foundation and propose an action agenda for the integration of patients’ personal health information management into the design…

6632. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/team-info-form.html
      July 01, 2023 - Background Quality Improvement Team Information Form AHRQ Safety Program for Perinatal Care Who should use this tool? Health care teams Please indicate staff members designated as Labor and Delivery Quality Improvement Team members. Your team might not have people who serve in all of these rol…

6633. Exhibit 2.10. Project Team Composition: Door-to-Balloon Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-10.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.10. Project Team Composition: Door-to-Balloon Project Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthca…

6634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47396/psn-pdf
      June 02, 2019 - What is new in paediatric medication safety? June 2, 2019 Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. https://psnet.ahrq.gov/issue/what-new-paediatric-medication-safety Pediatric patients are particularly vulnerable to…

6635. Bckgrndqiteam (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
      June 02, 2025 - Background Quality Improvement Team Information Form Who should use this tool? Health care providers. Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles. These individuals from are members of the Qual…

6636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46482/psn-pdf
      October 11, 2017 - What can physicians do to help curb the opioid crisis? October 11, 2017 Bendix J. https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis The persistent problem of opioid-related harm calls for changes in pain management practices and system processes in all care settings. This magazine article…

6637. Tulare District Hospital Rural Health EMR Consortium - Final Report | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium/final-report
      January 01, 2023 - Tulare District Hospital Rural Health EMR Consortium - Final Report Citation Davison R. Tulare District Hospital Rural Health EMR Consortium - Final Report. (Prepared by Tulare Local Healthcare District under Grant No. UC1 HS015096). Rockville, MD: Agency for Healthcare Research and Quality, 2009. …

6638. 1_ScenariosGuide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
      June 16, 2021 - 1_ScenariosGuide Tool 1. Scenarios Guide Tool 1. Scenarios Guide The following 18 scenarios were developed specifically for the privacy and security project to provide a standardized context for discussing organization-level business practices across all states and territories. The scenarios represent …

6639. 1_ScenariosGuide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
      June 16, 2021 - 1_ScenariosGuide Tool 1. Scenarios Guide Privacy and Security Assessment of Variation Toolkit 1-1 Tool 1. Scenarios Guide The following 18 scenarios were developed specifically for the privacy and security project to provide a standardized context for discussing organization-level business p…

6640. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…