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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40658/psn-pdf
    August 03, 2011 - Development and validation of a tool to improve paediatric referral/consultation communication. August 3, 2011 Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781. https:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47475/psn-pdf
    January 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40677/psn-pdf
    August 10, 2011 - Board quality scorecards: measuring improvement. August 10, 2011 Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324. https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement Hospital boa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41185/psn-pdf
    March 24, 2012 - Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. March 24, 2012 Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss- cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256. https://psnet.ahrq.gov/issue/lea…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43495/psn-pdf
    December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47214/psn-pdf
    June 20, 2018 - Journal of Patient Safety and Risk Management. June 20, 2018 Wu AW, ed. Thousand Oaks, CA: SAGE Publications. ISSN: 2516-0435. https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management Risk management and legal issues can affect safety responses throughout a health care system. Articles in this publi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72538/psn-pdf
    December 02, 2020 - Workforce safety key to patient safety. December 2, 2020 McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50. https://psnet.ahrq.gov/issue/workforce-safety-key-patient-safety Health care workforce satisfaction is the responsibility of leadership and it is reliant on the organization…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60042/psn-pdf
    March 11, 2020 - At Walgreens, complaints of medication errors go missing. March 11, 2020 Gabler E. New York Times. February 23, 2020. https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing Response to reported safety concerns is a primary indicator of an organizational commitment to reducing and lear…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836788/psn-pdf
    March 23, 2022 - A widow’s mission to change NC dental sedation rules. March 23, 2022 Blythe A. NC Health News. March 10, 2022 https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication incident and the lack of …
  10. www.ahrq.gov/nursing-home/resources/support-staff-wellbeing-guide.html
    March 01, 2021 - Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic Resource:  Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic During the COVID-19 pandemic, healthcare leaders are working to support s…
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B1: The Falls Management Program Self-Assessment Tool Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introducti…
  12. digital.ahrq.gov/location/usa-ca-los-angeles
    January 01, 2023 - USA, CA, Los Angeles Using Artificial Intelligence to Support Efficient Same-Day Diagnostic Imaging in Breast Cancer Screening Description This research will develop, implement, and evaluate an artificial intelligence-enabled workflow that would allow for online reading and sa…
  13. www.ahrq.gov/hai/cusp/modules/nursing/index.html
    July 01, 2018 - The Role of the Nurse Manager The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module explains the– Responsibilities of the nurse manager. Leadership and management roles of the nurse manager. Key business an…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43371/psn-pdf
    June 19, 2019 - Medication Safety Officer's Handbook. June 19, 2019 Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. https://psnet.ahrq.gov/issue/medication-safety-officers-handbook This book provides information about medication errors and quality improvement to gui…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. September 2, 2009 Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
  16. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide164.html
    October 01, 2014 - 164. Treatment Recommendations: Intensive Treatment (continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Intensive counseling is especially effective. There is a strong dose-response relation between counseling intensity and quitting success. In general, the m…
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb4.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B7: Wheelchair Seating Assessment Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overv…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09log.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B9: FMP Entry Log Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2.…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb-2.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B2: Tracking Record for Improving Patient Safety (TRIPS) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introdu…
  20. digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
    August 01, 2011 - In the Assigned to, Date Assigned, and Progress fields, you can indicate the person or group responsible … incentive programs Multiple causation When a combination (or alternative combinations) of causes are responsible