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3961. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
      July 01, 2018 - prophylaxis rate resulting in a decrease in hospital-acquired deep vein thrombosis at a tertiary-care teaching … Improving the use of venous thromboembolism prophylaxis in an Australian teaching hospital. … Implementing guidelines for venous thromboembolism prophylaxis in a large Italian teaching hospital: … prophylaxis rate resulting in a decrease in hospital-acquired deep vein thrombosis at a tertiary-care teaching

3962. Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
      January 12, 2022 - Commentary Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. Citation Text: Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):…

3963. Warm Handoff | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
      May 01, 2017 - Warm Handoff Patient and Family Engagement in Primary Care Slide 1: Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in …

3964. Section 2: Explanation of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
      June 01, 2023 - Section 2: Explanation of Mutual Support Key Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS mutual support concepts and tools. If you teach this content or want additional insights into how the material can be mor…

3965. Warm Handoff (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-webinar-slides.pdf
      June 02, 2025 - Warm Handoff 1 Warm Handoff AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging Patients and Families kel…

3966. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
      August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix C Gap Analysis Structured Interview Guide To produce more consistently useful results, use structured interview questions. The facilitator should review the questions in advance to determine which questions are appropriate for each focus group session. It may help to…

3967. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp.html
      October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools…

3968. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
      April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of …

3969. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/tools/index.html?page=0
      December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

3970. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/tools/index.html
      December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

3971. Current State of Diagnosis Education | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
      March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Current State of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To …

3972. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201518.html
      July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety Search All Impact Case Studies July 2015 Description New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…

3973. Prologue: The Shift toward Performance and Tools (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Prologue_Keyes_Vol3.pdf
      June 02, 2025 - Prologue: The Shift toward Performance and Tools Prologue The Shift toward Performance and Tools Margaret A. Keyes, M.A. The articles in this volume provide a number of perspectives on performance and tools used to improve the safe delivery of health care. They include a wide variety of approaches that …

3974. Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet
      psnet.ahrq.gov/issue/using-clinical-simulation-study-how-improve-quality-and-safety-healthcare
      March 31, 2021 - Review Classic Using clinical simulation to study how to improve quality and safety in healthcare. Citation Text: Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2)…

3975. Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. | PSNet
      psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
      January 17, 2019 - Study Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. Citation Text: Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…

3976. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
      psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
      December 16, 2015 - Commentary When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. Citation Text: Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…

3977. Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet
      psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness
      December 21, 2018 - Study Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. Citation Text: Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…

3978. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. | PSNet
      psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing
      March 17, 2021 - Study Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use. Citation Text: Rapp T, Sicsic J, Tavassoli N, et al. Do not PIMP my nursing home ride! The impact of Potentially Inappropriate Medications Prescribing…

3979. Diagnostic errors by medical students: results of a prospective qualitative study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
      May 18, 2022 - Study Diagnostic errors by medical students: results of a prospective qualitative study. Citation Text: Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.…

3980. A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet
      psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
      August 02, 2011 - Study A new safety event reporting system improves physician reporting in the surgical intensive care unit. Citation Text: Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…