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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41497/psn-pdf
    April 05, 2013 - Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. April 5, 2013 Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36975/psn-pdf
    March 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. …
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-teamstepps-webcast-sorra.pdf
    January 01, 2010 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Sorra Linking TeamSTEPPS and SOPS TeamSTEPPS and SOPS Research • Reviewed 14 articles in the SOPS Bibliography that used TeamSTEPPS training and SOPS as an outcome to assess patient safety culture Countries • 11 U.S. studies • 3 …
  4. www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …
  5. Boardchecklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
    June 02, 2025 - Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate. 2. Improve the safety and teamwork climate using valid measures. 3. Set expectation for unit-level culture assessment. 4. Require at least a 60 percent participation…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47303/psn-pdf
    March 18, 2019 - Transforming concepts in patient safety: a progress report. March 18, 2019 Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756. https://psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45225/psn-pdf
    June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44558/psn-pdf
    April 25, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. April 25, 2016 Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. doi:10.1136/emermed-2014- 204604. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38142/psn-pdf
    April 30, 2014 - Medical error disclosure among pediatricians: choosing carefully what we might say to parents. April 30, 2014 Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922. https://psnet.ahrq.gov/issue/medical-err…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45907/psn-pdf
    December 22, 2017 - Primary care collaboration to improve diagnosis and screening for colorectal cancer. December 22, 2017 Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004. https://ps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855429/psn-pdf
    November 15, 2023 - Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. November 15, 2023 O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patie…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44114/psn-pdf
    September 27, 2016 - Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. September 27, 2016 James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/safford.pdf
    December 17, 2014 - Using Comparative Effectiveness Reviews to Optimize Quality of Life for Persons with Diabetes and Chronic Pain Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Using Comparative Effectiveness Reviews to Optimize Quality of Life fo…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/malone.pdf
    September 29, 2013 - Innovative Diffusion of Comparative Effectiveness Research Research to Help Underserved Populations Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products Innovative Diffusion of Comparative Effectiveness Research Description The purpose of this study was to develop and…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867089/psn-pdf
    November 06, 2024 - Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. November 6, 2024 Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36201/psn-pdf
    July 10, 2008 - US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. July 10, 2008 Gallagher TH, Waterman AD, Garbutt J, et al. US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605-11. https://psnet.ahrq.gov/issu…
  18. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
    July 01, 2023 - Board Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork c…
  19. www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex12.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 12. Involving Patients and Family Members at the Hospital Level Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussio…
  20. Skills-Answer-Key (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/skills-answer-key.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 1—Skills Questions Answer Key The How-To’s of Hand Hygiene 1. How long should you rub your hands with soap when you are hand washing? a. At least 5 seconds b. At least 15 seconds c. At least 30 seconds d. At least 60 seconds 2. How long should you …