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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49492/psn-pdf
    November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37599/psn-pdf
    January 01, 2009 - Improving process while changing practice: FMEA and medication administration. March 12, 2008 Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…

  3. Blood Dashboard Data (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx
    January 01, 2024 - Blood Dashboard Data Introduction Introduction-Blood or Blood Product The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. They include the relative frequen…

  4. Frameworks for Determining Research Gaps During Systematic Reviews (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-future-research-steps-framework_research.pdf
    June 01, 2011 - Frameworks for Determining Research Gaps During Systematic Reviews Methods Future Research Needs Report Number 2 Frameworks for Determining Research Gaps During Systematic Reviews Methods Future Research Needs Report Number 2 Frameworks for Determining Research Gaps During Syste…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74183/psn-pdf
    December 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44865/psn-pdf
    July 11, 2017 - Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. July 11, 2017 Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I- PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10.1542/peds.2015-0166. https://psn…

  7. Exhibit 4.2. Suntown Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.2. Suntown Hospital 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 Ca…

  8. Care Transitions and Teamwork in Pediatric Trauma: Implications for HIT Design - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs023837-gurses-final-report-2021.pdf
    January 01, 2021 - This approach models information processing as distributed in the environment and in the team members

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39945/psn-pdf
    October 20, 2010 - Cleaning up the discharge process: a number of components—and personnel—are crucial to success. October 20, 2010 Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NAJ.0000388270.50252.7e. https://psnet.a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36653/psn-pdf
    January 18, 2011 - Enhancing patient safety: improving the patient handoff process through appreciative inquiry. January 18, 2011 Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104. https://psnet.ahrq.gov/issue/enhancing-pa…

  11. 7-Implementation-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
    June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Implementation Guide Purpose of This Guide This guide intends to help hospitals integrate an enhanced recovery pathway into their perioperative area as part of the AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). ISCR is a collaborativ…

  12. Deep-Rooting Your Data: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
    December 01, 2017 - Deep-Rooting Your Data: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Deep-Rooting Your Data Slide 2: Learning Objectives After this session, you will be able to– Identify surgical site infection (SSI) data sources. Define your audie…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36862/psn-pdf
    August 30, 2011 - Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. August 30, 2011 Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J Psychol. 2007;120(1):25-46. http…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38478/psn-pdf
    March 11, 2009 - Medication administration process assessment: applying lessons learned from commercial aviation. March 11, 2009 Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-83. doi:10.1097/NNA.0b013e318195a5e6. htt…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36815/psn-pdf
    March 28, 2011 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. March 28, 2011 Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 2007;16(2):90-4. https://psnet.ahrq.g…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…

  17. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Guide to Patient and Family Engagement Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 4: IDEAL Discharge Planning (Implementation …

  18. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - Strategy 4: IDEA Discharge Planning (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implementation Handbook) Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook Strategy 3: Bedside Shift Report (Implementation Handbook) Strategy 4: IDEAL Discharge Planning (Implem…

  19. Rethinking Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836916/psn-pdf
    April 13, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. April 13, 2022 Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1):23-30. doi:10.1097/jhq.000000000…
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