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6901. ‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals | PSNet
      psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
      January 29, 2020 - Newspaper/Magazine Article ‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals Citation Text: ‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked repor…

6902. We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. | PSNet
      psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-advancing-patient
      June 01, 2023 - Webinar We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. Citation Text: We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. Patient Safety Movement…

6903. Utilizing pharmacogenomic testing can improve medication safety and prevent harm. | PSNet
      psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
      April 17, 2024 - Newspaper/Magazine Article Utilizing pharmacogenomic testing can improve medication safety and prevent harm. Citation Text: Utilizing pharmacogenomic testing can improve medication safety and prevent harm. ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. Copy Citation …

6904. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet
      psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
      May 07, 2014 - Newspaper/Magazine Article A mislabeling event with batched drugs: the unintended consequences of practice changes. Citation Text: A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…

6905. Promote a culture of safety with good catch reports. | PSNet
      psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
      November 06, 2015 - Newspaper/Magazine Article Promote a culture of safety with good catch reports. Citation Text: Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. Copy Citation Save Save to your librar…

6906. Resident And Family Engagement: What is my role as a leader? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
      March 01, 2017 - Resident And Family Engagement: What is my role as a leader? AHRQ Safety Program for Long-Term Care: HAIs/CAUTI What is resident and family engagement? Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…

6907. Patient Safety in Public Hospitals. | PSNet
      psnet.ahrq.gov/issue/patient-safety-public-hospitals
      November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

6908. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/intro.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Introduction Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in a Resident's Condition Module…

6909. Diagnostic Excellence Initiative. | PSNet
      psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
      October 06, 2022 - Multi-use Website Diagnostic Excellence Initiative. Citation Text: Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

6910. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-factsheet.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Did You Know? · Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). · In 2012, Luetz’s review article focusing on 14 stu…

6911. Key Driver Diagram | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
      July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Key Driver Diagram Previous Page Next Page Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Successful quality impr…

6912. Exhibit 3.2. Grand Hospital Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.2. Grand Hospital Center 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…

6913. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.docx
      March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI AHRQ Safety Program for Reducing CAUTI in Hospitals Frequently Asked Questions (FAQ) on Bath Basin Use in Long-Term Care Facilities Disclaimer: FAQ answers are based on a combination of scientific evidence and clinical experience …

6914. AHRQ quality and safety initiatives. | PSNet
      psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
      May 20, 2009 - Commentary AHRQ quality and safety initiatives. Citation Text: Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6915. Patient safety in nursing practice. | PSNet
      psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
      June 23, 2009 - Commentary Patient safety in nursing practice. Citation Text: Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6916. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet
      psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
      August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …

6917. Toolkit for Engaging Patients to Improve Diagnostic Safety. | PSNet
      psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety
      October 19, 2022 - Tools/Toolkit Toolkit for Engaging Patients to Improve Diagnostic Safety. Citation Text: Toolkit for Engaging Patients to Improve Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; August 2021. AHRQ Publication No. 21-0047-2-EF. Copy Citation …

6918. AHRQ's Safety Program for Ambulatory Surgery. | PSNet
      psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
      January 24, 2018 - Book/Report AHRQ's Safety Program for Ambulatory Surgery. Citation Text: AHRQ's Safety Program for Ambulatory Surgery. Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF. Copy Citation …

6919. ISMP Medication Errors Reporting Program. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
      January 26, 2023 - Measurement Tool/Indicator ISMP Medication Errors Reporting Program. Citation Text: ISMP Medication Errors Reporting Program. Institute for Safe Medication Practices Copy Citation Save Save to your library Print Download PDF Share Faceboo…

6920. ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. | PSNet
      psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
      June 13, 2018 - Toolkit ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Citation Text: ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018. Copy Citation Save Save to your library …