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2261. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
      November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

2262. Quality Indicators Care Coordination Measures Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project
      January 01, 2023 - Quality Indicators Care Coordination Measures Project Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-04-0020 Funding Mechanism(s) Support for Quality Indicators II …

2263. Still Failing the Frail. | PSNet
      psnet.ahrq.gov/issue/still-failing-frail
      March 29, 2010 - Newspaper/Magazine Article Still Failing the Frail. Citation Text: Still Failing the Frail. Simmons-Ritchie D. Penn Live. November 15, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…

2264. Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. | PSNet
      psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
      February 13, 2019 - Newspaper/Magazine Article Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. Citation Text: Good intention, uncertain outcome...our take on physician dispensing in offices and clinics. ISMP Medication Safety Alert! Acute care edition. March …

2265. I-PASS checklist: a powerful tool for patient handoffs. | PSNet
      psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
      November 21, 2018 - Newspaper/Magazine Article I-PASS checklist: a powerful tool for patient handoffs. Citation Text: I-PASS checklist: a powerful tool for patient handoffs. Peeples L. Pharmacy Practice News. October 10, 2018. Copy Citation Save Save to your library Print D…

2266. Understanding And Addressing Pre-Hospital Diagnostic Delays. | PSNet
      psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
      May 15, 2024 - Special or Theme Issue Understanding And Addressing Pre-Hospital Diagnostic Delays. Citation Text: Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023. Copy Citation Save Save to your library Print …

2267. Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. | PSNet
      psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition
      September 11, 2019 - Book/Report Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. Citation Text: Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. Agrawal A, Bhatt J, eds. Cham, Switzerland, Springer Nature; 2023. ISBN: 9783031359330. Copy Ci…

2268. Check your medical records for dangerous errors. | PSNet
      psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
      November 03, 2021 - Newspaper/Magazine Article Check your medical records for dangerous errors. Citation Text: Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018. Copy Citation Save Save to your library Print Download PDF …

2269. 20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. | PSNet
      psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency-can-save-lives
      December 11, 2019 - Press Release/Announcement 20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. Citation Text: 20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. Washington DC; National Quality Forum: 2019.…

2270. Patient and family advisory councils. The Massachusetts experience. | PSNet
      psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
      December 19, 2012 - Newspaper/Magazine Article Patient and family advisory councils. The Massachusetts experience. Citation Text: Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. Copy Citation Save Save to y…

2271. At US hospitals, a drug mix-up is just a few keystrokes away. | PSNet
      psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
      March 30, 2022 - Newspaper/Magazine Article At US hospitals, a drug mix-up is just a few keystrokes away. Citation Text: At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022. Copy Citation Save Save to your library Prin…

2272. Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. | PSNet
      psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
      May 04, 2015 - Legislation/Case Law Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. Citation Text: Enacting the Washington state patient safety act requiring hospital staffing plans for n…

2273. Speaking up, being heard: registered nurses' perceptions of workplace communication. | PSNet
      psnet.ahrq.gov/issue/speaking-being-heard-registered-nurses-perceptions-workplace-communication
      June 12, 2019 - Study Speaking up, being heard: registered nurses' perceptions of workplace communication. Citation Text: Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x. Copy Citation…

2274. AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
      October 01, 2014 - AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals Search All Impact Case Studies January 2012 Alliant/GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, used AHRQ's patient safety culture surveys and team training tools in tandem to help nursing homes an…

2275. Half of hospitals in Conn., Del. hit by Medicare's safety penalties. | PSNet
      psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
      December 12, 2018 - Newspaper/Magazine Article Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Citation Text: Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018. Copy Citation Save Save to your library …

2276. ISMP Medication Safety Intensive. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-safety-intensive
      February 05, 2025 - International Meeting/Conference ISMP Medication Safety Intensive. Citation Text: ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). Copy Citation Save Save to your library Print Do…

2277. Smith, Angela B. | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/smith-angela-b
      January 01, 2023 - Smith, Angela B. Impairment and longitudinal recovery of older adults treated with radical cystectomy for muscle invasive bladder cancer. Citation Osterman CK, Deal AM, McCloskey H, Nyrop KA, Bjurlin MA, Tan HJ, Nielsen ME, Milowsky MI, Muss HB, Smith AB. Impairment and longit…

2278. A Framework for Safe, Reliable, and Effective Care. | PSNet
      psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
      January 27, 2016 - Book/Report A Framework for Safe, Reliable, and Effective Care. Citation Text: A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. Copy Citation…

2279. The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
      August 01, 2012 - Audiovisual Presentation The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Citation Text: The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…

2280. National Patient Safety Alerting System. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-alerting-system
      April 15, 2020 - Government Resource National Patient Safety Alerting System. Citation Text: National Patient Safety Alerting System. National Health Service England Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …