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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43090/psn-pdf
    November 23, 2016 - Safety Is Personal: Partnering With Patients and Families for the Safest Care. November 23, 2016 NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National Patient Safety Foundation; March 2014. https://psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. July 23, 2014 Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35748/psn-pdf
    February 02, 2011 - Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. February 2, 2011 Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. JAMA.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43764/psn-pdf
    July 03, 2016 - Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. July 3, 2016 Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579. https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43651/psn-pdf
    November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. November 18, 2016 Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064. https://psn…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848809/psn-pdf
    May 10, 2023 - Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. May 10, 2023 Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.…
  7. www.ahrq.gov/talkingquality/translate/labels/index.html
    March 01, 2016 - Describing Health Care Quality Measures in User-Friendly Ways Most people are not familiar with even quite common health care quality measures. The typical “name” of most clinical measures is in medical language that many people do not understand or may actually misunderstand. At this stage in the development…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50778/psn-pdf
    January 08, 2020 - A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. January 8, 2020 Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73421/psn-pdf
    June 23, 2021 - Missing diagnoses during the COVID-19 pandemic: a year in review. June 23, 2021 Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335. https://psnet.ahrq.gov/issue/missing-di…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46001/psn-pdf
    July 19, 2017 - Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. July 19, 2017 Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850346/psn-pdf
    June 14, 2023 - The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. June 14, 2023 D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
  12. www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
    January 01, 2023 - Comparing Quality Scores to an Independent Standard Another approach would be to compare scores to an independent standard of what performance on this measure ideally should be . While implementing this approach is challenging, it has significant advantages. Advantages of Comparing to an Independent Standard…
  13. www.ahrq.gov/talkingquality/translate/compare/choose/benchmark.html
    March 01, 2016 - Comparing Quality Scores to a Benchmark Although the term “benchmark” is often thought to mean an “average,” the original meaning of this term in the context of quality improvement is performance that is known to be achievable because someone has achieved it. Comparing performance to a benchmark definitely sets…
  14. www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-17.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.17. Comparison of Clinician Responses to the Pre- and Postintervention Survey Indicating That They Recommend Various CRC Screening Modalities or Believe They Are Effec Previous Page Next Page Table of Contents Health Care Sys…
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
    January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady 6 Overview of AHRQ’s Patient Safety Priorities and Programs Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42351/psn-pdf
    June 19, 2013 - Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. June 19, 2013 Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population. J Patient …
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B12: Fall Interventions Monitor Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overvie…
  18. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-11.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Post-Implementation Strategies to Increase and Sustain Compliance Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconci…
  19. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4fig4-1.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 4-1: Census 2000 questions about language Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introd…
  20. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig11txt.html
    April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Figure 1-1. A Framework for Reducing Disparities in Health Care Systems (Text Description) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Imp…