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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - The summaries also offer tips from experienced developers, recipients, and observers of feedback reporting … effectiveness of physician feedback reports but are based on weaker or less direct evidence, as well as tips … effectiveness of physician feedback reports but are based on weaker or less direct evidence, as well as tips … Many of the formatting tips gleaned from literature on best practices in designing public reports for … effectiveness of physician feedback reports but are based on weaker or less direct evidence, as well as tips
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psnet.ahrq.gov/node/46039/psn-pdf
April 05, 2017 - Retained lumbar catheter tip.
April 5, 2017
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270.
doi:10.1001/jama.2017.1713.
https://psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
Retained surgical items are considered a sentinel event. Discussing an incident involvi…
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psnet.ahrq.gov/node/38493/psn-pdf
March 18, 2009 - finding-way-ask-doctors-tough-questions
This article encourages patients to be assertive about their care and provides tips
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psnet.ahrq.gov/node/43313/psn-pdf
April 22, 2015 - Stress on the ward: evidence of safety tipping points in
hospitals.
April 22, 2015
Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals.
Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917.
https://psnet.ahrq.gov/issue/stress-ward-evidence-safety-tipping-points-hospit…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
June 01, 2017 - Findings from IHI’s Pilot Testing
Say:
The IHI team uncovered a number of insights and practical tips … You’ll find these tips throughout the modules in this series. … You can find more information about the system in a set of “component kits” which offer you practical tips
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 02, 2025 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders
Staffing During the COVID-19 Pandemic:
A Guide for Nursing Home Leaders
Introduction
This resource guide was written by and for directors of nursing, administrators, and other nursing home
leaders. It outlines steps to reduce or elimi…
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psnet.ahrq.gov/node/39129/psn-pdf
November 25, 2009 - how-avoid-falling-victim-hospital-mistake
This news story describes an incident of patient misidentification and offers tips
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psnet.ahrq.gov/node/41655/psn-pdf
February 01, 2015 - project-jessica
This video chronicles how an undiagnosed heart condition led to a teenager's death and offers tips
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psnet.ahrq.gov/node/37553/psn-pdf
February 20, 2008 - This publication discusses patient safety in ambulatory care and provides business cases, technology tips
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psnet.ahrq.gov/node/37741/psn-pdf
January 10, 2017 - Error-avoidance recommendations for tubing
misconnections when using luer-tip connectors: a
statement by the USP Safe Medication Use Expert
Committee.
January 10, 2017
Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections
when using Luer-tip connectors: a statement…
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psnet.ahrq.gov/node/40631/psn-pdf
July 27, 2011 - magazine article discusses several cases of misdiagnosis, explores reasons for errors, and provides
tips
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psnet.ahrq.gov/node/39593/psn-pdf
June 09, 2010 - look-alike-sound-alike-drugs-trigger-dangers
This news piece details errors involving medication name confusion and presents tips
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psnet.ahrq.gov/node/41529/psn-pdf
July 18, 2012 - error disclosure, describes the emotional impact medical errors can
have on physicians, and provides tips
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www.ahrq.gov/nursing-home/resources/tip-57.html
May 01, 2021 - TIP 57 Trauma-Informed Care in Behavioral Health Services
Resource: TIP 57 Trauma-Informed Care in Behavioral Health Services (PDF, 3.8 MB)
This comprehensive resource assists in creating a trauma-informed organization and workforce.
Source: SAMHSA
Topic(s): Staff and Resident Well-being; Leadership …
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www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
July 01, 2022 - Recent Releases
Fall TIPS: A Patient-Centered Fall Prevention Toolkit .
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psnet.ahrq.gov/node/33898/psn-pdf
October 03, 2012 - Quick Tips for Buying Medicines Over the Internet.
October 3, 2012
Food and Drug Administration.
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psnet.ahrq.gov/node/34123/psn-pdf
November 02, 2014 - This patient fact sheet outlines
practical tips to minimize risk.
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psnet.ahrq.gov/node/40591/psn-pdf
July 06, 2011 - discusses a case of diagnostic error, explores the complexity of the diagnostic
process, and provides tips
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www.ahrq.gov/talkingquality/explain/communicate/index.html
November 01, 2018 - To learn about design principles in the context of report cards, go to Tips on Designing a Quality Report
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psnet.ahrq.gov/node/35075/psn-pdf
August 24, 2005 - The
text is interspersed with relevant stories from patients and tips to minimize opportunities for