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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - Nursing and Patient Safety
April 21, 2021
Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/nursing-and-patient-safety
Updated in March 2021. Originally published in December 2011 by researchers at the University of
California, San Francisco. …
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Nursing and Patient Safety
Citation Text:
Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/node/40632/psn-pdf
July 20, 2011 - Limiting resident physicians' work hours to save lives.
July 20, 2011
Leape L, Haskell H. Los Angeles Times. July 1, 2011.
https://psnet.ahrq.gov/issue/limiting-resident-physicians-work-hours-save-lives
This editorial discusses the 2011 resident duty-hours and suggests they don't fully address the problem of
resid…
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www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
January 01, 2024 - AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare
FINAL PROGRESS/STATUS REPORT
18 December 2006
IMPACTS OF THE PHYSICAL ENVIRONMENT ON HEALTHCARE
AHRQ Grant Identification Number: #1R13HS015962-01
Dates of the project: 9/1/2005–8/31/2006
Total amount of the project: $25,000
Goal of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Comprehensive LTC Safety Modules assist users with how to apply safety principles. This overview module explains the purpose of the toolkit and how it can be used in your facility’s quality improvement initiatives.
SLIDE 1
SAY:
The objectives of this module are to—
· Describe the purpo…
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cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Cholesterol Management Work Group
Meeting Summary
Date
05/09/2017
Time
5:00 – 7:00 PM EST
AGENDA
· Welcome
· Gather Feedback on Lookback Periods, Notifications for the USPSTF Artifacts and Value Sets
· CDS Connect Pilot Overview
· Statin CDS Demos: Options for Providing CDS Notifications
· Next Ste…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/071-dec-patient-talking-points-bathing.docx
October 01, 2024 - Talking Points for Patients: Chlorhexidine Bathing
AHRQ Safety Program for MRSA Prevention
Talking Points for Patients: Chlorhexidine Gluconate Bathing
Feel free to customize this handout to your unit’s current practices. To avoid confusion, remove questions that do not apply to your unit.
Patients may have questions …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-slides.html
March 01, 2017 - Module 2: Senior Leader Engagement
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 2: Senior Leader Engagement
Slide 2: Objectives
Identify characteristics of successful senior leaders.
List five practices of effective leaders.
Describe the responsibilities of senior leaders. …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-19-kickoff-meetings.pdf
September 01, 2015 - Module 19: Conducting a Kickoff Meeting
Primary Care
Practice Facilitation
Curriculum
Module 19: Conducting a Kickoff Meeting
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
…
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psnet.ahrq.gov/node/35085/psn-pdf
July 24, 2018 - Working Knowledge: How Organizations Manage What
They Know.
July 24, 2018
Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556.
https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
Two innovators in management consulting introduce core concepts …
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www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
January 01, 2025 - Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System
Immersive Simulation for Design and Evaluation of an
Emergency Department IT System
Principal Investigator:
Ann Bisantz, PhD1
Co-Investigators:
Rollin J. Terry Fairbanks, MD1, 2,5
Li Lin, PhD1
A. Zachary He…
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Van CM, Mossb…
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety
Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Essay
View more articles from the same authors. …
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/reid.html
October 01, 2015 - Transforming Primary Care: Evaluating the Spread of Group Health’s Medical Home
Principal Investigator: Robert Reid, MD, MPH, PhD
Institution: Group Health Cooperative
AHRQ Grant Number: R18 HS019129
Number and Type of Practices
This project included 26 practices in an integrated…
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www.ahrq.gov/opioids/about.html
August 01, 2021 - About AHRQ's Work on Opioids and Substance Use Disorders
Deaths from drug overdoses have risen steadily over the past two decades and have become a leading cause of injury death in the United States. The rise in drug overdose deaths was initially driven by misuse of prescription opioids but is now also fueled …
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psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
October 02, 2013 - Review
Work-arounds in health care settings: literature review and research agenda.
Citation Text:
Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - Book/Report
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.
Citation Text:
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - Sustaining and Spreading Surgical Safety Improvements: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Sustaining and Spreading Surgical Safety Improvements
Slide 2: Learning Objectives
After this session, you will be able to–
Define sus…
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psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
June 09, 2021 - Commentary
Human factors of complex sociotechnical systems.
Citation Text:
Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
December 09, 2009 - Fact Sheet/FAQs
Classic
10 Patient Safety Tips for Hospitals.
Citation Text:
10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008.
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