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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. January 23, 2019 Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era Missed an…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37531/psn-pdf
    February 22, 2011 - Patient safety and telephone medicine: some lessons from closed claim case review. February 22, 2011 Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y. https://psnet.ahrq.g…

  3. Board Checklist | Agency for Healthcare Research and Quality

    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.     …

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46434/psn-pdf
    December 21, 2018 - Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. December 21, 2018 Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. In J Pharm P…

  6. Previous SOPS Webcasts | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/webcasts/previous.html
    June 01, 2023 - Previous SOPS Webcasts AHRQ sponsors webcasts to provide information about SOPS products and related resources, offer updates on the status of products in development, and provide support in using SOPS surveys and data. Visit SOPS webcasts to view more recent webcast materials. Understanding SOPS Surveys:…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43402/psn-pdf
    October 20, 2014 - The WHO surgical safety checklist: survey of patients' views. October 20, 2014 Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views T…

  8. Federal Balance Budget Act of 1997: Excerpts | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/fbba97.html
    December 01, 2017 - Federal Balance Budget Act of 1997: Excerpts Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.   The Federal Balanced Budget Act of 1997, Public Law 105-33, increased the attention given to performance monito…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41437/psn-pdf
    January 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47769/psn-pdf
    May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and innovative strategies. May 11, 2019 Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. https://psnet.ahrq.gov/issue/avoiding-chemotherapy…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44244/psn-pdf
    November 03, 2015 - Evaluation of outcomes from a national patient-initiated second-opinion program. November 3, 2015 Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second- opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. https://psnet.ahrq.gov/issue/evaluation-outcom…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50711/psn-pdf
    January 01, 2020 - Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. December 4, 2019 Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45907/psn-pdf
    December 22, 2017 - Primary care collaboration to improve diagnosis and screening for colorectal cancer. December 22, 2017 Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004. https://ps…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73704/psn-pdf
    September 15, 2021 - TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? September 15, 2021 Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? J Patient Saf. 2021;17(6):4…

  15. Exhibit 6.8. Kaizen Activities | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-8.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.8. Kaizen Activities Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital C…

  16. Board Checklist | Agency for Healthcare Research and Quality

    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…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844787/psn-pdf
    September 11, 2019 - TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. September 11, 2019 Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi:10.1097/PTS.0000000000000631.…

  18. Roll-Out Diagram Generic (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
    January 01, 2021 - R e si li e n ce P ro g ra m Le a d e r( s) S p e ci fi c D e p t/ U n it Le a d s M e n ta l H e a lt h C o n su lt a n t, i f A v a il a b le How to roll out the Battle Buddy program as part of a psychological resilience intervention Can stand alone* Specific nursing unit le…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73177/psn-pdf
    April 28, 2021 - The association of nursing home characteristics and quality with adverse events after a hospitalization. April 28, 2021 Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200. doi:10.…

  20. Exhibit 1.8. Kaizen Activities | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-8.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.8. Kaizen Activities Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital C…
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