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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:…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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.…
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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…
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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…
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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.…
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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…
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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