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  1. Exhibit 2.10. Project Team Composition: Door-to-Balloon Project | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-10.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.10. Project Team Composition: Door-to-Balloon Project Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthca…

  2. Table 5: Identifying Challenges and Addressing Barriers | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/table-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 5: Identifying Challenges and Addressing Barriers Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introducti…

  3. Core-Discussion (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 2 — Core Team Discussion Guide Clean Equipment and Environment: Knowledge and Practice Directions Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection practices at your facility. Discussion Questio…

  4. Plan To Help Incorporate the Role of Champions for Resident Physicians | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Plan To Help Incorporate the Role of Champions for Resident Physicians Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiolo…

  5. Tips for Implementing Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
    March 01, 2017 - Tips for Implementing Interventions These tips are to help educators prepare for a live training session and facilitate an interactive experience. Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…

  6. Conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
    September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Conclusion Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in …

  7. Exhibit 3.20. Major Factors that Inhibit Lean Success | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-20.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.20. Major Factors that Inhibit Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case …

  8. Table 5: Identifying Challenges and Addressing Barriers | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/table-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 5: Identifying Challenges and Addressing Barriers Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introducti…

  9. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapd.html
    April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix D. Vision and Mission Statements Sample vision and mission statements and objectives for patient advisory councils follow. Vision A safe, compassionate, innovative health care community that listens, learns, and responds colla…

  10. Using Root Cause Analysis to Improve Quality and Performance | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
    February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes  (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44611/psn-pdf
    November 04, 2015 - Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. November 4, 2015 Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):1094-101. doi:10.1177/000992281558492…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44235/psn-pdf
    January 22, 2016 - Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta- analysis. January 22, 2016 Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. Int J…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838029/psn-pdf
    September 07, 2022 - Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. September 7, 2022 ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6. https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr- downtime Unanticipated…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46548/psn-pdf
    April 16, 2018 - Nurses' communication of safety events to nursing home residents and families. April 16, 2018 Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002-01. https://psnet.ahrq.gov/issue…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47200/psn-pdf
    August 20, 2018 - Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit. August 20, 2018 Sedlock EW, Ottosen M, Nether K, et al. J Patient Saf Risk Manag. 2018;23:167–175. https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-har…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46955/psn-pdf
    May 30, 2018 - Governing the quality and safety of healthcare: a conceptual framework. May 30, 2018 Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. https://psnet.ahrq.gov/issue/governing-quality-and-safety-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867136/psn-pdf
    November 13, 2024 - Detecting clinical medication errors with AI enabled wearable cameras. November 13, 2024 Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. https://psnet.ahrq.gov/issue/detecting-clinical-medication…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35312/psn-pdf
    January 02, 2017 - Medication errors involving wrong administration technique. January 2, 2017 Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. https://psnet.ahrq.gov/issue/medication-errors-i…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43854/psn-pdf
    February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73086/psn-pdf
    January 01, 2022 - Barriers to incident reporting among nurses: a qualitative systematic review. March 31, 2021 Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic review. West J Nurs Res. 2022;44(5):506-523. doi:10.1177/0193945921999449. https://psnet.ahrq.gov/issue/barriers-incident-r…
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