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  1. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
    July 01, 2023 - CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive (C…

  2. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication Error Classification Previous Page   Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chap…

  3. Key Subject Area Index | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
    October 01, 2014 - Preventing Pressure Ulcers in Hospitals Key Subject Area Index Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure ulcer p…

  4. Subcommittee Member: Charlene Wong | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/pcortf-snac/wong.html
    November 01, 2022 - Subcommittee Member: Charlene Wong Charlene Wong, M.D. Assistant Secretary for Children and Families North Carolina Department of Health and Human Services Associate Professor, Pediatrics and Public Policy Duke University Charlene Wong, M.D., serves as the assistant secretary for children and families…

  5. Conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence7.html
    April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Conclusion Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowled…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40450/psn-pdf
    December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60320/psn-pdf
    May 13, 2020 - Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. May 13, 2020 Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with infec…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43262/psn-pdf
    April 06, 2015 - Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. April 6, 2015 Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Ann Surg. 2015;261(5):831-838. doi:…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43533/psn-pdf
    August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48187/psn-pdf
    August 21, 2019 - How medical error shapes physicians' perceptions of learning: an exploratory study. August 21, 2019 Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.0000000000002752. https://psnet.ahrq.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72709/psn-pdf
    February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. February 3, 2021 Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian observational cohort study. Int J…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47939/psn-pdf
    May 08, 2019 - Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). May 8, 2019 Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society of Radiology (ESR) and the European Fede…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847544/psn-pdf
    April 12, 2023 - A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals across the United States. April 12, 2023 Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals acr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72467/psn-pdf
    November 18, 2020 - Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. November 18, 2020 Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866248/psn-pdf
    July 10, 2024 - Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. July 10, 2024 Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? – an international…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46236/psn-pdf
    April 03, 2018 - The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. April 3, 2018 Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the consultation: perceptions of GPs and patients. BMC Med Inform Decis Mak. 2017;17(1):79. doi:10.1186/s12…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44750/psn-pdf
    January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. January 6, 2016 Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377. https://psnet.ahrq.gov/issue/simulation-exe…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46250/psn-pdf
    July 26, 2017 - Surgical residents' work hours and well-being in year 2 of the FIRST trial. July 26, 2017 Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812. https://psnet.ahrq.gov/issue/surgical-residents-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43132/psn-pdf
    April 23, 2014 - Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report. April 23, 2014 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2014. AHRQ Publication No. 14-0019-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-use…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866246/psn-pdf
    July 10, 2024 - "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. July 10, 2024 Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of hospital doctors’ experiences of …
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