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psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - Commentary
Kaiser Permanente's innovation on the front lines.
Citation Text:
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - How to enter Data Manually Into an Antibiogram Template
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Not All “Infections” Need Antibiotics!
What is the UTI SBAR form? What does it include?
• The Suspected Urinary Tract Infection
(UTI) Situation, Background,
Ass…
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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…
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www.ahrq.gov/hai/patient-safety-resources/cli-checklist/index.html
February 01, 2024 - Central Line Insertion Care Team Checklist
This checklist provides sequential critical steps that have shown to reduce central line-associated infections.
Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been …
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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…
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psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
March 23, 2012 - Book/Report
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.
Citation Text:
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 19…
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - Book/Report
Making Healthcare Safe: The Story of the Patient Safety Movement.
Citation Text:
Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252.
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
May 28, 2014 - Book/Report
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
Citation Text:
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…
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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
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
August 09, 2017 - Book/Report
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.
Citation Text:
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…
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psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
September 06, 2017 - Book/Report
Classic
IHI Framework for Improving Joy in Work.
Citation Text:
IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
November 18, 2011 - Book/Report
Addressing the Opioid Crisis in the United States.
Citation Text:
Addressing the Opioid Crisis in the United States. Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016.
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psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
April 29, 2018 - Newspaper/Magazine Article
If safety is your yardstick, measuring culture from the top down must be a priority.
Citation Text:
If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007.
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psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
October 07, 2008 - Book/Report
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
Citation Text:
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - Book/Report
The Care We Need
Citation Text:
The Care We Need Washington DC: National Quality Forum; 2020.
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psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Book/Report
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019.
Citation Text:
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019.
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psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
January 10, 2018 - Book/Report
Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
Citation Text:
Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. Hines S, Luna K, Lofthus J, et al. Rockville, MD: Agency for Healthcare Research and Quality; F…
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psnet.ahrq.gov/issue/improving-diagnosis
November 28, 2018 - Special or Theme Issue
Improving Diagnosis.
Citation Text:
Improving Diagnosis. Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70.
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