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psnet.ahrq.gov/node/40685/psn-pdf
August 10, 2011 - Safety considerations for IMRT.
August 10, 2011
Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.
https://psnet.ahrq.gov/issue/safety-considerations-imrt
This white paper reveals expert opinion from the American Society of Radiation Oncology on intensity-
modulated radiation …
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psnet.ahrq.gov/node/34579/psn-pdf
August 20, 2012 - Edgeware: Insights from Complexity Science for Health
Care Leaders. Second ed.
August 20, 2012
Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
https://psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
A workbook that presents a series of self-le…
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psnet.ahrq.gov/training-catalog/acs-quality-improvement-course-basics
ACS Quality Improvement Course: The Basics
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Organization:
Organization
American College of Surgeons (ACS)
Event Descriptio…
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psnet.ahrq.gov/issue/keeping-kidney-patients-safe
September 17, 2020 - Bibliography
Keeping Kidney Patients Safe.
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September 17, 2008
This Web site provides toolkits, educational modules, and an annotated bibliography t…
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psnet.ahrq.gov/node/34632/psn-pdf
March 28, 2005 - Keeping Each Patient Safe.
March 28, 2005
University of Pittsburgh Schools of the Health Sciences
https://psnet.ahrq.gov/issue/keeping-each-patient-safe
A collection of three educational modules that address key areas of concern in patient safety. These
include protecting patients from hospital-acquired infection,…
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psnet.ahrq.gov/node/60215/psn-pdf
April 08, 2020 - Pain Alleviation Toolkit.
April 8, 2020
American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020.
https://psnet.ahrq.gov/issue/pain-alleviation-toolkit
Communication and shared decision-making are fundamental tactics to guide clinical team and patient
efforts to minimize the …
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psnet.ahrq.gov/node/33946/psn-pdf
July 26, 2010 - AHRQ WebM&M: Morbidity & Mortality Rounds on the
Web.
July 26, 2010
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
The Agency for Healthcare Research and Quality's (AHRQ) online journal and forum on patient safety and
health care quality. The sit…
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders
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Organization:
Organization
Institute for Healthcare Improvement (IHI)
…
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psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
December 21, 2022 - Study
Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England.
Citation Text:
Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack o…
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psnet.ahrq.gov/node/35310/psn-pdf
January 02, 2017 - Using the AHRQ Quality Indicators to improve health care
quality.
January 2, 2017
Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality.
Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5.
https://psnet.ahrq.gov/issue/using-ahrq-quality…
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psnet.ahrq.gov/node/865704/psn-pdf
May 01, 2024 - Supporting error management and safety climate in
ambulatory care practices: the CIRSforte study.
May 1, 2024
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care
practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225.
…
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psnet.ahrq.gov/node/41396/psn-pdf
May 23, 2012 - In search of common ground in handoff documentation in
an intensive care unit.
May 23, 2012
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an
Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007.
https://psnet.ahrq.gov/issue/search-c…
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psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)
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…
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/42504/psn-pdf
August 14, 2014 - The effect of an organizational network for patient safety
on safety event reporting.
August 14, 2014
Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event
reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/0163278713491267.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44629/psn-pdf
December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals.
December 9, 2015
Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients.
This toolkit was …
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psnet.ahrq.gov/training-catalog/asc-infection-prevention-online-course
ASC Infection Prevention Online Course
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Organization:
Organization
Association of periOperative Registered Nurses (AORN)
…
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psnet.ahrq.gov/node/837208/psn-pdf
May 25, 2022 - Interprofessional model on speaking up behaviour in
healthcare professionals: a qualitative study.
May 25, 2022
Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare
professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407.
https://psne…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…