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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862137/psn-pdf
    February 07, 2024 - What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis. February 7, 2024 Ong N, Lucien A, Long JC, et al. What do parents think about the quality and safety of care provided by hospi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46624/psn-pdf
    November 29, 2017 - Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. November 29, 2017 Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):31-39. doi:10.1080/15265161.20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39056/psn-pdf
    April 04, 2011 - Rate of undesirable events at beginning of academic year: retrospective cohort study. April 4, 2011 Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974. https://psnet.ahrq.gov/issue/rate-undesirable-eve…
  4. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
    January 01, 2023 - Contingency Diagram Description The contingency diagram uses brainstorming to generate a list of problems that could arise from a process. Once problems are identified, then solutions to the problems are determined. Uses When identifying causes of potential problems. When developing soluti…
  5. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/requirement-and-measures-tree
    January 01, 2023 - Requirements and Measures Tree Description The requirements and measures tree is a method for organizing customers, customer requirements, and related data for a product or service. The tree allows for a vsual representation of the relationships between these elements. Uses To visually repre…
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-added-analysis
    January 01, 2023 - Value-Added Analysis Description Value-added analysis is a method for identifying problems within a process. The analysis allows a team to examine individual process steps so it can separate the steps that add value for the user from the steps that do not. Uses When searching for sources of …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50458/psn-pdf
    October 09, 2019 - Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. October 9, 2019 Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37290/psn-pdf
    February 15, 2011 - Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. February 15, 2011 Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6. https://psnet.ahrq.gov/issue/medical-error…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41101/psn-pdf
    October 16, 2012 - System-related interventions to reduce diagnostic errors: a narrative review. October 16, 2012 Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. doi:10.1136/bmjqs-2011-000150. https://psnet.ahrq.gov/issue/system-rel…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39499/psn-pdf
    January 03, 2017 - Caring for our own: deploying a systemwide second victim rapid response team. January 3, 2017 Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-240. https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45067/psn-pdf
    May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. May 11, 2016 Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; March 2016. AHRQ Publication No. 16-00121-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-saf…
  13. psnet.ahrq.gov/issue/african-partnerships-patient-safety
    April 30, 2024 - Multi-use Website African Partnerships for Patient Safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 11, 2009 This Web site establishes a forum for hospitals in E…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866691/psn-pdf
    September 11, 2024 - Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. September 11, 2024 Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records with large language models (LLM): e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60174/psn-pdf
    March 30, 2020 - Making Healthcare Safer III Report March 30, 2020 Gaffey AD, Spurlock B, Fitall E, et al. Making Healthcare Safer III Report. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report What is the Making Healthcare Safer Report? The Making Healthcare Safer Report represents an ef…
  17. www.ahrq.gov/research/findings/final-reports/ssi/ssiapo.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix O. Nursing Focus Group Guides Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Admi…
  18. Teach-back (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback_webinar_slides.pdf
    November 08, 2016 - Teach-back 1 Teach-Back AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve Patient Safety in Primary Care Settings by Engaging Patients and Families kell…
  19. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-slides.html
    March 01, 2017 - Personal Protective Equipment AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Personal Protective Equipment Training Module 3 Slide 2: Learning Objectives Upon completion of this training, long-term care facility staff will be able to— Describe when to use personal protective equipme…
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/care-pathway.pdf
    June 02, 2025 - Urinary Incontinence Care Pathway ``` Urinary Incontinence Care Pathway EMPOWER Team – University Hospitals of Cleveland This project was funded under grant number 1U18HS0…