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4541. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet
      psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
      July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 28, 2021 Innovation Contact …

4542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38134/psn-pdf
      December 30, 2008 - Developing expert medical teams: toward an evidence- based approach. December 30, 2008 Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence- based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. https://psnet.ahrq.gov/issue/developin…

4543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35036/psn-pdf
      March 29, 2007 - Escape Fire: Designs for the Future of Health Care. March 29, 2007 Berwick DM. San Francisco, CA: John Wiley & Sons; 2004. https://psnet.ahrq.gov/issue/escape-fire-designs-future-health-care This book presents a decade's worth of keynote speeches made by the Institute for Healthcare Improvement's cofounder and pre…

4544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40997/psn-pdf
      December 14, 2011 - Psychosocial influences on safety climate: evidence from community pharmacies. December 14, 2011 Phipps D, Ashcroft DM. Psychosocial influences on safety climate: evidence from community pharmacies. BMJ Qual Saf. 2011;20(12):1062-8. doi:10.1136/bmjqs.2011.051912. https://psnet.ahrq.gov/issue/psychosocial-influence…

4545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40397/psn-pdf
      January 22, 2017 - The Safe Tables Collaborative: a statewide experience. January 22, 2017 Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. https://psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience The authors, who won t…

4546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47614/psn-pdf
      October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…

4547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40451/psn-pdf
      May 11, 2011 - Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. May 11, 2011 Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.  https://psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research This special issue explores adverse events in nursing, including …

4548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34621/psn-pdf
      September 27, 2017 - Human Factors and Medical Devices. September 27, 2017 Center for Devices and Radiological Health, US Food and Drug Administration. https://psnet.ahrq.gov/issue/human-factors-and-medical-devices Human factors engineering (HFE) helps improve human performance and reduce the risks associated with use error. The U.S. …

4549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34632/psn-pdf
      March 28, 2005 - Keeping Each Patient Safe. March 28, 2005 University of Pittsburgh Schools of the Health Sciences https://psnet.ahrq.gov/issue/keeping-each-patient-safe A collection of three educational modules that address key areas of concern in patient safety. These include protecting patients from hospital-acquired infection,…

4550. National Action Alliance: Webinars | PSNet
      psnet.ahrq.gov/training-catalog/national-action-alliance-webinars
      August 10, 2025 - National Action Alliance: Webinars Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Agency for Healthcare Research and Quality (AHRQ) Event Des…

4551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72558/psn-pdf
      December 09, 2020 - Escape Room. December 9, 2020 Harrisburg, PA: Pennsylvania Safety Authority; 2020. https://psnet.ahrq.gov/issue/escape-room Time pressure can negatively impact critical thinking, information gathering, and communication abilities. This tool builds teamwork and decision-making skills by testing participants as they…

4552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50850/psn-pdf
      January 29, 2020 - Better Safer Care Victoria. January 29, 2020 Safer Care Victoria and Victorian Agency for Health Information. https://psnet.ahrq.gov/issue/better-safer-care-victoria Large scale tracking of adverse care incidents offers evidence that governments and organizations can use to target care process improvement efforts.…

4553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43318/psn-pdf
      July 02, 2014 - Sign up to Safety. July 2, 2014 National Health Service. https://psnet.ahrq.gov/issue/sign-safety Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service facilities.…

4554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46644/psn-pdf
      June 20, 2018 - The Science of Teamwork. June 20, 2018 McDaniel SH, Salas E, eds. Am Psychol. 2018;73:305-600. https://psnet.ahrq.gov/issue/science-teamwork Effective teams are core to safe practice in a wide range of work environments. This special issue explores team psychology with an emphasis on high-risk industries such as s…

4555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38126/psn-pdf
      December 23, 2012 - The MacArthur Fellows Program: Peter Pronovost. December 23, 2012 The John D. and Catherine T. MacArthur Foundation. https://psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost Through his work, Peter Pronovost, a critical care physician and professor at Johns Hopkins University School of Medicine, has …

4556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34943/psn-pdf
      November 11, 2015 - JCAHO to launch global patient safety center: the initial focus will be on reviewing and publicizing research findings. November 11, 2015 Robeznieks A https://psnet.ahrq.gov/issue/jcaho-launch-global-patient-safety-center-initial-focus-will-be-reviewing-and- publicizing This article reports on the launch of the …

4557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72788/psn-pdf
      February 24, 2021 - Harmed Patient Alliance. February 24, 2021 United Kingdom. https://psnet.ahrq.gov/issue/harmed-patient-alliance Patients and families that experience medical harm have unique support needs. This organization works to improve health system and clinician response to harmed patients. Their efforts aim to create a dee…

4558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39969/psn-pdf
      October 27, 2010 - The Preventable Harm Index: an effective motivator to facilitate the drive to zero. October 27, 2010 Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.2010.05.046. https://psnet.ahrq.gov/issue…

4559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48031/psn-pdf
      May 22, 2019 - In harm's way. May 22, 2019 Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037. https://psnet.ahrq.gov/issue/harms-way This commentary recommends that health care structure the work environment to address conditions that allow for failure. The authors discuss how increased…

4560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34756/psn-pdf
      October 12, 2016 - The Design of Everyday Things. October 12, 2016 Norman DA. New York, NY: Doubleday; 1988. ISBN: 9780385267748. https://psnet.ahrq.gov/issue/design-everyday-things Norman, a cognitive psychologist, outlines the elements of effective user-centered design, which include making the inner workings of devices visible, e…