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7941. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet
      psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
      December 14, 2010 - Commentary Reducing latent errors, drift errors, and stakeholder dissonance. Citation Text: Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. Copy Citation Save Save to your library …

7942. Just culture: who gets to draw the line? | PSNet
      psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
      June 24, 2020 - Commentary Just culture: who gets to draw the line? Citation Text: Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

7943. On Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-4
      September 21, 2022 - Special or Theme Issue On Patient Safety. Citation Text: On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

7944. Manage staff fatigue to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
      March 01, 2007 - Newspaper/Magazine Article Manage staff fatigue to improve patient safety. Citation Text: Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

7945. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/14-engaging-stakeholders.pptx
      June 01, 2023 - PowerPoint Presentation AHRQ Safety Program for Improving Surgical Care and Recovery Engaging Stakeholders Developing a Vision for Your Improving Surgical Care and Recovery Program AHRQ Pub. No. 23-0052 June 2023 AHRQ Safety Program for Improving Surgical Care and Recovery 1 Visit AHRQ’s Comprehensive Unit-Ba…

7946. AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201414.html
      August 01, 2014 - AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts Search All Impact Case Studies August 2014 MedStar Washington Hospital Center, a 926-bed teaching and research hospital in Washington, D.C., has used AHRQ's Hospital Survey on Patient Safety Culture since…

7947. Human factors in patient safety as an innovation. | PSNet
      psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
      June 09, 2021 - Commentary Human factors in patient safety as an innovation. Citation Text: Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

7948. Tailoring Visits Using Person-Specific Patient-Reported Outcomes to Improve Care for People with HIV | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/tailoring-visits-using-person-specific-patient-reported-outcomes
      January 01, 2019 - Tailoring Visits Using Person-Specific Patient-Reported Outcomes to Improve Care for People with HIV By identifying and addressing PROs that matter most to patients, this research has the potential to maximize clinic time spent with patients with HIV and chronic conditions to tailor and improve their care. …

7949. Support and Advice From Your Clinician | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/tearsheet.html
      October 01, 2014 - Support and Advice From Your Clinician You Can Quit Smoking en español Quitting takes hard work and a lot of effort, but the benefits are explained below, as are the key steps to quitting successfully. All information is based on scientific research about what will give you the best chances of quitting. …

7950. Woman works to end Black maternal health crisis after daughter dies after giving birth. | PSNet
      psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
      May 27, 2020 - Newspaper/Magazine Article Woman works to end Black maternal health crisis after daughter dies after giving birth. Citation Text: Woman works to end Black maternal health crisis after daughter dies after giving birth. Kindelan K. ABC News. April 14, 2022. Copy Citation …

7951. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiexecsum.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

7952. Help for smokers and other tobacco users (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/helpsmokers.pdf
      May 01, 2008 - Help for smokers and other tobacco users HELP FOR SMOKERS AND OTHER TOBACCO USERS HELP FOR SMOKERS AND OTHER TOBACCO USERS 1 YOU CAN QUIT YOU CAN QUIT Quitting is hard. Many people try several times before they quit for good. But they do succeed. This booklet tells about ways you can quit. …

7953. AHRQ's Strategic Framework for the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/strategic-framework/index.html
      July 01, 2023 - AHRQ's Strategic Framework for the Patient-Centered Outcomes Research Trust Fund Next Page AHRQ has developed a strategic framework for the Agency's Patient-Centered Outcomes Research Trust Fund (PCORTF) investments through fiscal year 2029. Reauthorization of the PCORTF for ten years provided an oppo…

7954. HHS Guidance | PSO
      pso.ahrq.gov/resources/hhs-guidance
      August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Patient Safety Act Patient Safety Rule HHS Guidance Guides Other Educational Materials …

7955. Digital Tools to Support Care Coordination for People with Depression | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/digital-tools-support-care-coordination-people-depression
      January 01, 2023 - Digital Tools to Support Care Coordination for People with Depression Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Data Visualization to Improve Care Adaptation of a digital mental health intervention has the potential to improve the coordination of and access to men…

7956. Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-execsumm.pdf
      April 01, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I Executive Summary Surveys on Patient Safety Culture Executive Summary 2018 Medical Offices Survey Database Report This overview of survey findings summarized how medical office employees perceive 10 areas of patient safety cultu…

7957. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
      December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding The Science of Improving Patient Safety and Identifying Defects Slide 2: Learning Objectives After this session, you will be able to…

7958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33659/psn-pdf
      October 01, 2007 - Making Just Culture a Reality: One Organization's Approach October 1, 2007 Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach Perspective We've all been there...something goes wrong,…

7959. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - resulted in unintended consequences, whereas others have been shown to be highly context dependent, working

7960. Disclosure Policy and Form (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/epc-disclosure-policy-form.pdf
      March 01, 2023 - Disclosure Policy and Form AHRQ Evidence-based Practice Center Policy on Financial and Nonfinancial Interests Background and Purpose of Policy To maintain public confidence in the scientific integrity and credibility of work produced by the EPC Program, it is essential that all aspects of the process and metho…