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7061. Program Overview: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
      December 01, 2017 - Program Overview: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Program Overview Slide 2: Mead Quotation "Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has." —Ma…

7062. Module 3: Staff Empowerment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-slides.html
      March 01, 2017 - Module 3: Staff Empowerment AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 3: Staff Empowerment Slide 2: Objectives Cite staff empowerment concepts. Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes and quality of life. Il…

7063. Evaluation of Clinical Information Systems Expectations and Experience (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006WakefieldHalbeslebenWard_051311comp.pdf
      June 16, 2021 - Evaluation of Clinical Information Systems Expectations and Experience Evaluation of Clinical Information Systems Expectations and Experience Douglas S. Wakefield, PhD1 Jonathon R. B. Halbesleben, PhD1 Marcia M. Ward, PhD2 Qian Qiu, MA2 Jane Brokel, RN, PhD3 Donald Crandall, MD4 1 University of Missouri Cente…

7064. The phantom menace of sleep-deprived doctors. | PSNet
      psnet.ahrq.gov/issue/phantom-menace-sleep-deprived-doctors
      February 06, 2013 - Newspaper/Magazine Article The phantom menace of sleep-deprived doctors. Citation Text: The phantom menace of sleep-deprived doctors. Sanghavi D. New York Times Magazine. August 5, 2011. Copy Citation Save Save to your library Print Download PDF …

7065. 067-Cusp-Monthly-Meeting-Prework (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/067-cusp-monthly-meeting-prework.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI CUSP Monthly Meeting Prework Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Use this meeting prework to support monthly Comprehensive Unit-based Safety Program (CUSP) meetings and the prevention of surgical site…

7066. 6Bb-Toolkit-Fasttrack-Complete (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
      October 01, 2021 - 1 OVERVIEW The Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care How-To- Implement Toolkit: Overview Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 Contract No. HHSP23320…

7067. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
      March 27, 2008 - High-Hanging Fruit: Improving Transitions in Health Care High-Hanging Fruit: Improving Transitions in Health Care Shawna J. Perry, MD; Robert L. Wears, MD, MS; Emily S. Patterson, PhD Abstract Discussions about enhancing the safety of transitions in health care have been disjointed. Respected health care …

7068. Flowcharts | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/examples/flowcharts
      January 01, 2023 - Flowcharts 1. Examples of flowcharts In-Office Prescribing - Paper System ( PDF , 22KB) Prescription Renewal Request - Paper System ( PDF , 25KB)   2. Why and how do we assess workflow using flowcharts when we are determining our clinic’s health it system requirements? A flow…

7069. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
      February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients Say: Today, we will give you an overview of the…

7070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33657/psn-pdf
      September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix September 1, 2007 Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix Perspective There is a slumbe…

7071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33718/psn-pdf
      October 01, 2011 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD October 1, 2011 In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd Editor's note: Dr. Shekelle is director of the Southern California Evidence-Based Practice Cen…

7072. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%202.pdf
      September 22, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Tuesday, September 22, 2009 Quality Engineering Day 2, Break Out Session E: Quality Engineering Re…

7073. Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. | PSNet
      psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
      December 21, 2016 - Study Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. Citation Text: Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.11…

7074. Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. | PSNet
      psnet.ahrq.gov/issue/resident-duty-hour-regulation-and-patient-safety-establishing-balance-between-concerns-about
      May 20, 2009 - Commentary Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. Citation Text: Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…

7075. Perspective: ten thousand hours to patient safety, sooner or later. | PSNet
      psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later
      June 23, 2009 - Commentary Perspective: ten thousand hours to patient safety, sooner or later. Citation Text: Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202. Copy Citation Format: DOI Google…

7076. Change in intern calls at night after a work hour restriction process change. | PSNet
      psnet.ahrq.gov/issue/change-intern-calls-night-after-work-hour-restriction-process-change
      September 01, 2017 - Study Change in intern calls at night after a work hour restriction process change. Citation Text: Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…

7077. “Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet
      psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
      September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…

7078. The role of continuous quality improvement and psychological safety in predicting work-arounds. | PSNet
      psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
      July 31, 2008 - Study The role of continuous quality improvement and psychological safety in predicting work-arounds. Citation Text: Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…

7079. Surgical Complication Prevention Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
      December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…

7080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33589/psn-pdf
      September 15, 2024 - High Reliability September 15, 2024 High Reliability. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/high-reliability PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …