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  1. Dorr_Care_Mgmt_Disc_Guide (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Dorr_Care_Mgmt_Disc_Guide.pdf
    November 18, 2008 - Dorr_Care_Mgmt_Disc_Guide             OHSU Care Management (CMP) Discussion Guide Ver4.0 CMP Team 11/18/2008 Life of a case under Care Management Outline 1. Introduction (15 minutes) 2. Day in the life (30 minutes) 3. Process mapping (30 minutes) 4. Bene…

  2. Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
    December 01, 2017 - Turning Data Into Action—Using HSOPS and SSI Data as Part of a Meaningful Change: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change Slide 2:  Using Safety Culture Surv…

  3. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality

    www.ahrq.gov/action-alliance/resources/foundational-area.html
    March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…

  4. Making Just Culture a Reality: One Organization's Approach | PSNet

    psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - come back and stand behind that because they cannot tolerate a reckless group or a reckless individual working

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40654/psn-pdf
    January 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50818/psn-pdf
    January 22, 2020 - Burnout in pediatric residents: three years of national survey January 22, 2020 Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds.2019-1030. https://psnet.ahrq.gov/issue/burnout-pediatric-residents-three…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46019/psn-pdf
    April 26, 2017 - Certified registered nurse anesthetist perceptions of factors impacting patient safety. April 26, 2017 McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. https://psnet.ahrq.gov/issue/certified-registered-nu…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850341/psn-pdf
    June 14, 2023 - Impact of fatigue on anaesthesia providers: a scoping review. June 14, 2023 Scholliers A, Cornelis S, Tosi M, et al. Impact of fatigue on anaesthesia providers: a scoping review. Br J Anaesth. 2023;130(5):622-635. doi:10.1016/j.bja.2022.12.011. https://psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scop…

  9. Exhibit 6.15. Major Factors that Inhibited Lean Success | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.15. Major Factors that Inhibited Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Cas…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46268/psn-pdf
    September 27, 2017 - Learning from incidents in health care: critique from a Safety-II perspective. September 27, 2017 Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121. https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective Studying what works well to design safer systems is gaining tra…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35253/psn-pdf
    April 06, 2011 - Real time patient safety audits: improving safety every day. April 6, 2011 Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day This p…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45982/psn-pdf
    August 03, 2017 - Workplace factors associated with burnout of family physicians. August 3, 2017 Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391. https://psnet.ahrq.gov/issue/workplace-factors-associa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72472/psn-pdf
    November 18, 2020 - Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. November 18, 2020 Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:103636. doi:10.1016/j.ijnurstu.2…

  14. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/assess/index.html
    September 01, 2019 - Assess Your Health Care Quality Reporting Project Reporting comparative quality information to consumers is typically not a one-time event but an ongoing activity. For this reason, evaluation is a key part of your work, an aspect that has to be thought about and, in some cases, acted upon from the outset. An …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73369/psn-pdf
    June 09, 2021 - SEIPS 101 and seven simple SEIPS tools. June 9, 2021 Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538. https://psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools Since the SEIPS (Systems Engineering Initiative for Patient Safety…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46798/psn-pdf
    March 14, 2018 - NHTSA Fatigue in EMS Project. March 14, 2018 Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118. https://psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project Health care worker fatigue is a persistent threat to patient safety. Articles in this special issue cover the results of a National Highway Traffic Safet…

  17. Release Form for AHRQ To Use Copyrighted Material (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Copyright-fillable-form.pdf
    April 01, 2024 - Release Form for AHRQ To Use Copyrighted Material Instructions This form must be completed by Contractors when requesting use of copyrighted materials from publishers or authors. Release Form for AHRQ To Use Copyrighted Material The undersigned hereby grants permission to the Agency for Healthcare Research and …

  18. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
    March 01, 2013 - Apply Module Slide Presentation Text Descriptions Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Apply CUSP” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules pr…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering 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 safe…

  20. S16 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s16.pdf
    October 01, 2007 - ORIGINAL ARTICLE Creating and Synthesizing Evidence With Decision Makers in Mind Integrating Evidence From Clinical Trials and Other Study Designs David Atkins, MD, MPH Background: Randomized controlled trials (RCTs) remain the ac- cepted “gold standard” for determining the efficacy of new drugs or medical procedur…
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