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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45073/psn-pdf
    May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS initiative. May 11, 2016 Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60893/psn-pdf
    January 01, 2021 - When safety event reporting is seen as punitive: "I've been PSN-ed!" September 9, 2020 Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048. https://psnet.ahrq.gov/issue/when-safety-ev…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46671/psn-pdf
    June 25, 2018 - Twelve tips for embedding human factors and ergonomics principles in healthcare education. June 25, 2018 Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159x.2017.1387240. https://psnet.ahrq.gov/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46181/psn-pdf
    January 01, 2019 - Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. July 12, 2017 Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 2019;15(4):305-307. doi:10.1097/PTS.0…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39504/psn-pdf
    May 05, 2010 - Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. May 5, 2010 Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J Hosp Med. 2010;5(4):234-9. doi:10.100…
  6. 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…
  7. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix H Hierarchy of Solutions Do solutions meet the following criteria: Address the root cause/contributing factor. Are specific and concrete. Can be understood and implemented by a reader unfamiliar with the situation. Will be tested or simulated prior to…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45249/psn-pdf
    June 22, 2016 - PHSO Review: Quality of NHS Complaints Investigations. June 22, 2016 First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Office; May 24, 2016. Publication HC 94. https://psnet.ahrq.gov/issue/phso-review-quality-nhs-comp…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72486/psn-pdf
    November 18, 2020 - ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. November 18, 2020 ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. https://psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside- pharmacy Mistakes in …
  10. 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. effectivehealthcare.ahrq.gov/sites/default/files/related_files/lifecycle-assessment-disposition-comments.pdf
    November 20, 2024 - Disposition of Comments_Technical Brief No. 48_Use of Life Cycle Assessment in the Healthcare Industry: Environmental Impacts and Emissions Associated With Products, Processes and Waste Technical Brief Disposition of Comments Report Title: Use of Life Cycle Assessment in the Healthcare Industry: Environmental Impac…
  12. www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
    January 01, 2024 - Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety Principal Investigator: Lambert, Bruce L. (Grant No. U19HS021093) Northwestern University TOP-MEDS CERT: Tools for Optimizing Medication Safety Final Report, September 1, 2011, to August 30, 2017 Submitted November 20, 2017 This proje…
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
    January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I e SURVEYS ON PATIENT SAFETY CULTURE®(SOPS)® Nursing Home Survey: 2025 User Database Report Surveys on Patient Safety Culture® PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety Cultu…
  14. effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
    July 05, 2011 - Peer Reviewer #3 Results Similarly, the statement “In the United States, pediatric surgeons are trained
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
    December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training Instructor Guide—Implementation of the Prevention Reports Note: This part of the training primarily consists of exercises and does not have any associated slides. Introduction Say: Yesterday you were introdu…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Improving Communication and Teamwork in the Surgical Environment Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Communication and Teamwork | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Objectives …
  17. www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
    October 01, 2014 - Fiscal Year 2011 Research on Child and Adolescent Health New Starts This fact sheet summarizes new grants and contracts focused on child and adolescent health and health care—including research, conference, and training projects, as well as other initiatives—funded in FY 2011 by the Agency for Hea…
  18. digital.ahrq.gov/sites/default/files/docs/publication/r03hs018220-fleming-final-report-2011.pdf
    January 01, 2011 - Exploring Financial and Non-Financial Costs and Benefits of Health Information Technology: The Impact of an Ambulatory Electronic Health Record on Financial and Workflow in Primary Care Practices and Costs of Implementation Grant Final Report Grant ID: R03HS018220-01 Exploring Financial and Non-Financial …
  19. www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
    January 01, 2016 - AHRQ Surveys on Patient Safety Culture Examples of process measures include:  Number of staff trained
  20. www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
    January 01, 2024 - the clinical realism, a Page 8 of 11 Final Report: 5K08HS014012-03 "standardized team member" (trained