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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43094/psn-pdf
    May 28, 2015 - Implementing human factors in clinical practice. May 28, 2015 Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203. https://psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice Human factors approache…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37806/psn-pdf
    July 14, 2010 - Impact of patient safety mandates on medical education in the United States. July 14, 2010 Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5. https://psnet.ahrq.gov/issue/impact-patient-safety-m…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36961/psn-pdf
    September 13, 2011 - Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. September 13, 2011 Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771. https://psnet.ahrq.gov/issue/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33705/psn-pdf
    January 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety Perspective In 1990, a Harvard-based research team reported the incidence of medical errors …

  5. Implement Teamwork and Communication Alternative Text | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
    April 01, 2013 - Implement Teamwork and Communication Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Teamwork and Collaboration” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient sa…

  6. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ptmgmt/references.html
    September 01, 2018 - Patient Self-Management Support Programs: An Evaluation References Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology Design Options for a Self-Management Support Progra…

  7. Module 2: Component Kit (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
    May 01, 2017 - Module 2: Component Kit AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 2: Daily Huddles AHRQ’s Safety Program for Ambulatory Daily Huddle Component Kit Contents 1. Why a Daily Huddle? 2 2. “Know What, Know How, Know Why” for Daily Huddle 4 3. Plan-Do-Study-Act “Ramp”: …

  8. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Auditing Your Briefings and Debriefings Process Slide 2: Learning Objectives Recap the briefings and debriefings process. Adapt a briefing a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33880/psn-pdf
    May 01, 2019 - Safety in the Prehospital Emergency Medical Services Setting May 1, 2019 Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting Perspective Emergency medical services (E…

  10. HCUP State Data Use Agreement (pdf file)

    hcup-us.ahrq.gov/team/StateDUA.pdf
    May 31, 2025 - HCUP State Data Use Agreement Data Use Agreement for HCUP State Databases 1 DATA USE AGREEMENT for the State Databases from the Healthcare Cost and Utilization Project Agency for Healthcare Research and Quality 8/20/2023 This Data Use Agreement (“Agreement”) governs the disclosure and use of data in the HCUP St…

  11. McCormack-notes-151008 copy - Teresa (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/mccormack-presentation.pdf
    October 08, 2025 - McCormack-notes-151008 copy - Teresa My talk today is about engaging patients with  low health  literacy. 1 Health literacy is a key factor in securing access to healthcare services. So in my talk today, I’ll talk a little bit about health literacy and what it is, how we measure health literacy and the sta…

  12. Procedural Mishap: Learning Curve? | PSNet

    psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
    April 28, 2021 - Procedural Mishap: Learning Curve? Citation Text: Gibbs VC, Leape L. Procedural Mishap: Learning Curve?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  13. Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
    June 01, 2010 - Ideal measure that should be developed and evaluated: HCBS providers are trained to recognize pain in

  14. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet

    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - Addressing system level challenges such as sufficient numbers of trained nurses to provide adequate staffing

  15. National Healthcare Safety Network (NHSN) Laboratory-Identified Event (LabID Event): Surveillance for C. difficile Infection (CDI) and Drug-Resistant Organisms (MDROs) | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/nhsn-lab-id-event.html
    April 01, 2022 - National Healthcare Safety Network (NHSN) Laboratory-Identified Event (LabID Event): Surveillance for C. difficile Infection (CDI) and Drug-Resistant Organisms (MDROs) Resource: National Healthcare Safety Network (NHSN) Laboratory-identified Event (LabID Event): Surveillance for C. difficile infection (CDI) an…

  16. Tracking Infections in Long-Term Care Facilities (LTCFs) Using the National Healthcare Safety Network (NHSN) Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/tracking-infections.html
    April 01, 2022 - Tracking Infections in Long-Term Care Facilities (LTCFs) Using the National Healthcare Safety Network (NHSN) Overview Resource: Tracking Infections in Long-Term Care Facilities (LTCFs) Using the National Healthcare Safety Network (NHSN) Overview ​This training presentation defines the National Healthcare Saf…

  17. For Systems Decisionmakers | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
    August 01, 2020 - For Systems Decisionmakers Integrating the efforts of clinicians, health care systems, insurers, and purchasers provides an opportunity to increase rates of delivering tobacco dependence treatments, quit attempts, and successful smoking cessation. This Systems Change material will help advance that endeavor. …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41063/psn-pdf
    January 27, 2012 - Perspective: ten thousand hours to patient safety, sooner or later. January 27, 2012 Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. https://psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42875/psn-pdf
    January 22, 2014 - Communication in the operating theatre. January 22, 2014 Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332. https://psnet.ahrq.gov/issue/communication-operating-theatre This systematic review of communication in the operating…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42180/psn-pdf
    April 22, 2013 - Building collaborative teams in neonatal intensive care. April 22, 2013 Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. https://psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care An i…
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