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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
    October 01, 2024 - They noted an increase in C. difficile rates, with most cases occurring in rooms previously occupied
  2. www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
    January 01, 2024 - This effort was challenging, as the evolution of HIT is occurring concurrently with the establishment
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
    December 01, 2017 - Debriefings are often brief meetings immediately following a case, either regularly occurring or under
  4. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - These programs have largely focused on enhancing practices occurring within the hospital setting, including
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - information on errors, the prescriptive practices used to correct them, and evidence-based changes occurring
  6. psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72739/psn-pdf
    February 10, 2021 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring
  8. digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
    January 01, 2005 - This effort was challenging, as the evolution of HIT is occurring concurrently with the establishment
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
    May 28, 2008 - medications for their child(ren) with chronic disease and to describe possible prior medication errors occurring
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74030/psn-pdf
    November 03, 2021 - Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). November 3, 2021 Finney RE, Czinski S, Fjerstad K, et al. Evaluation of a second victim peer support…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836774/psn-pdf
    March 23, 2022 - Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022 Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Crit Care Me…
  12. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
    July 01, 2023 - Board Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork c…
  13. Ppe-Quiz-Key (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 3 Quiz Answer Key Personal Protective Equipment 1. Personal protective equipment (PPE) can reduce contamination of health care personnel hands and clothes. ☒ True ☐ False 2. PPE includes gloves, gowns, masks, and goggles. ☒ True ☐ False 3. Go…
  14. Ppe-Quiz (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 3 Quiz Personal Protective Equipment 1. Personal protective equipment (PPE) can reduce contamination of health care personnel hands and clothes. ☐ True ☐ False 2. PPE includes gloves, gowns, masks, and goggles. ☐ True ☐ False 3. Gowns should …
  15. www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-access-items.html
    March 01, 2017 - Supplemental Items for the CAHPS Cancer Care Survey: Access Population version: Adult Download these items: English ( Word [28 KB] ) Users of the CAHPS ® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. The…
  16. Boardchecklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
    June 02, 2025 - Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate. 2. Improve the safety and teamwork climate using valid measures. 3. Set expectation for unit-level culture assessment. 4. Require at least a 60 percent participation…
  17. www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60246/psn-pdf
    April 22, 2020 - The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. April 22, 2020 Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Patient Saf. 2020;16(4):255-258. do…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39315/psn-pdf
    March 21, 2017 - Risk managers, physicians, and disclosure of harmful medical errors. March 21, 2017 Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866583/psn-pdf
    August 28, 2024 - Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. August 28, 2024 D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and …