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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72697/psn-pdfFebruary 03, 2021 - Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021 Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72607/psn-pdfDecember 23, 2020 - Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. December 23, 2020 Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-21-160R. https://psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety- concerns Clin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42997/psn-pdfMay 28, 2014 - Exploring perinatal shift-to-shift handover communication and process: an observational study. May 28, 2014 Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166-75. doi:10.1111/jep.12103. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46457/psn-pdfDecember 20, 2017 - Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. December 20, 2017 Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851199/psn-pdfJuly 05, 2023 - Understanding the root cause analysis process to increase safety event reporting. July 5, 2023 Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-inc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44940/psn-pdfSeptember 20, 2016 - Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. September 20, 2016 Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.1136/bmjqs-2015-004417. https://p… -
Human Resources Issues (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdfJanuary 01, 2011 - Human Resources Issues Human Resources Issues February 2012 Podcast Speaker Wendy Leebov, Ed.D., CEO Leebov Golde & Associates Moderator Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group Presentation Available https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx Li… -
Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdfMay 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865532/psn-pdfApril 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act. April 10, 2024 Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act In situ simulation can identi… -
www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.htmlJuly 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation Previous Page Next Page Table of Contents Medications at Trans…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.htmlJuly 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation Previous Page Next Page Table of Contents Medications at Trans…
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Care Management (CMP) Discussion Guide (pdf file)
digital.ahrq.gov/sites/default/files/docs/survey/care-management-discussion-guide.pdfNovember 18, 2008 - Care Management (CMP) Discussion Guide Care Management (CMP) Discussion Guide Oregon Health and Science University, Portland OR This is an interview guide designed to be conducted with nurses, physicians, and office staff in an ambulatory setting. The tool includes questions to assess the current state of electron… -
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.htmlFebruary 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.htmlFebruary 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 2. Analyze Care Delivery Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery Chapter…
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Workflow Assessment (pdf file)
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdfJanuary 01, 2007 - Workflow Assessment Workflow Assessment Clinic name: Individuals interviewed: Assessors: Assessment date: Front Desk How are appointments made? What are the steps for each type? Phone in advance Phone for same day appointment Previous visit… -
www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.htmlDecember 01, 2017 - Identifying Key Areas for Delivery Systems Research Slide Presentation by Lawrence Casalino On February 16, Lawrence Casalino made this slide presentation at the AHRQ Expert Meeting on the Challenge and Promise of Delivery System Research. Sign up: Quality Measure Tools Email updates Slide 1 Identif…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46226/psn-pdfOctober 29, 2017 - Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. October 29, 2017 Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apology. Glob Qual Nurs Res. 2017;4:233339… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47796/psn-pdfMarch 13, 2019 - Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders. March 13, 2019 Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 2018;24(8):609-616. doi:10.1177/107815521… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72735/psn-pdfFebruary 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No. 20-01521-48. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45588/psn-pdfJanuary 23, 2017 - Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. January 23, 2017 Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839. https://psnet.ahrq…
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