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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37712/psn-pdf
    March 02, 2010 - Patient Safety Papers 3. March 2, 2010 Baker GR, ed. Healthc Q. 2008;11:1-144.   https://psnet.ahrq.gov/issue/patient-safety-papers-3 This collection of articles shares best practices implemented in Canada to improve patient safety through disclosure processes, teamwork development, medication safety measures…
  2. www.ahrq.gov/nursing-home/resources/long-term-care-facilities.html
    April 01, 2022 - Long-Term Care Facilities in the Context of COVID-19 Resource: Long-Term Care Facilities in the Context of COVID-19 ​This infection prevention and control course for long-term care facilities consists of four training modules that address infection prevention and control measures to support long-term care f…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37445/psn-pdf
    May 20, 2015 - Final five: ASCs told to target patient safety. May 20, 2015 Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56, 1. https://psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety This article discusses a National Quality Forum initiative endorsing …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38985/psn-pdf
    September 30, 2009 - Nurses' role in detecting deterioration in ward patients: systematic literature review. September 30, 2009 Odell M; Victor C; Oliver D. https://psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review This systematic review indicates that nurses use their clinical judgmen…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36139/psn-pdf
    September 29, 2010 - Trends influencing the cost of care and patient safety. September 29, 2010 Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):18, 20-1. https://psnet.ahrq.gov/issue/trends-influenc…
  6. www.ahrq.gov/evidencenow/heart-health/aspirin/treatment.html
    August 01, 2018 - Aspirin for Secondary Prevention of ASCVD: Guideline Resource title: Aspirin Treatment for Secondary and Primary Prevention of ASCVD Resource description: This presentation explains heart disease and the use of aspirin for primary and secondary prevention of heart disease. It also contains information on t…
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
    March 01, 2020 - analysis, which provided a foundation for effective workflow redesign, change management, and measurement
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 12. Infusion Pumps Infusion Pumps 12-1 12. Infusion Pumps Authors: Lynn Hoffman, M.A., M.P.H., and Olivia Bacon Introduction In this chapter, we discuss two system-level patient safety practices that aim to reduce medication errors associated with infusion pumps, including sma…
  9. www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
    February 01, 2020 - Use measurement and management's attention to keep the organization focused on the goals of QI efforts
  10. digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/citation/time-motion
    January 01, 2023 - A time-motion study of registered nurses' workflow in intensive care unit remote monitoring. Citation Tang Z, Mazabob L, Weavind E, et al. A time-motion study of registered nurses' workflow in intensive care unit remote monitoring. AMIA Annu Symp Proc 2006:759-63. PMID: 17238443. Link https://…
  11. digital.ahrq.gov/ahrq-funded-projects/crossing-quality-assessment-chasm-aligning-measured-and-true-quality-care-3
    January 01, 2023 - Physician influences on patient care: random vs fixed effects. Citation Field S, Weiner M, Long J. Physician influences on patient care: random vs fixed effects. Arch Intern Med 2009 Jan 26;169(2):202-3; author reply 204. Link Field S, Weiner M, Long J. Physician influences on patient care: ra…
  12. www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-slides-ny.html
    March 01, 2021 - EvidenceNOW: Recruitment Slides New York City Cooperative Resource: HealthyHearts NYC: Primary Care Partnerships Advancing Heart Health (PDF, 644 KB, 20 pages) This document provides an example of an EvidenceNOW Cooperative's recruitment slides that include a project summary, project goals and measures, e…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42143/psn-pdf
    October 07, 2015 - Re-Engineered Discharge (RED) Toolkit. October 7, 2015 Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. https://psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit This toolkit provides infor…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40111/psn-pdf
    December 14, 2012 - Disruptive behavior affects hospital financial health. December 14, 2012 Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2010;30(2):20-6. doi:10.1002/jhrm.20…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42260/psn-pdf
    August 13, 2013 - Toward the modelling of safety violations in healthcare systems. August 13, 2013 Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. https://psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems This comm…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36938/psn-pdf
    June 30, 2011 - The cost of pneumonia after acute stroke. June 30, 2011 Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45. https://psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke Neglecting measures to prevent pneumonia after str…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40870/psn-pdf
    October 19, 2011 - The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. October 19, 2011 Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030. https://psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety This lecture features Ka…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42737/psn-pdf
    November 20, 2019 - HANYS' Report on Report Cards. November 20, 2019 Rensselaer, NY: Healthcare Association of New York State; November 2019. https://psnet.ahrq.gov/issue/hanys-report-report-cards This publication assessed 12 widely disseminated hospital report cards by criteria including transparency of methodology, evidence-based m…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38338/psn-pdf
    January 14, 2009 - Implementation of patient safety rounds in a children's hospital. January 14, 2009 Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41. https://psnet.ahrq.gov/issue/implementation-patient-safety-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38382/psn-pdf
    September 26, 2016 - Interruptions and blood transfusion checks: lessons from the simulated operating room. September 26, 2016 Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0b013e31818e841a. https://psne…