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8021. The increased incidence of anesthetic adverse events in late afternoon surgeries. | PSNet
      psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
      October 19, 2022 - Commentary The increased incidence of anesthetic adverse events in late afternoon surgeries. Citation Text: Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. Copy Citation Format:…

8022. Using Federal grants to build intellectual capital at the State level | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
      September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Using Federal grants to build intellectual capital at the State level Previous Page Next Page Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Intr…

8023. Exhibit 1.2. Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.2. Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …

8024. When Do You Need An Antibiotic? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
      March 01, 2017 - When Do You Need An Antibiotic? When Do You Need An Antibiotic? Taking antibiotics when you don’t need them is like leaving the lights on all the time. The lights may burn out, leaving you in the dark when you most need them. If you use antibiotics when you don’t need them, they may not work when you get s…

8025. When Do You Need An Antibiotic? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-brochure.html
      March 01, 2017 - When Do You Need An Antibiotic? AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Taking antibiotics when you don't need them is like leaving the lights on all the time. Don't Take Antibiotics for Granted It's easy to see why antibiotics are helpful, and now you know why sometimes you or a fam…

8026. Spike in fatal medication errors at the beginning of each month. | PSNet
      psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
      January 26, 2022 - Study Spike in fatal medication errors at the beginning of each month. Citation Text: Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month. Pharmacotherapy. 2005;25(1):1-9. Copy Citation Format: Google Scholar PubMed BibT…

8027. Sleep, science, and policy change. | PSNet
      psnet.ahrq.gov/issue/sleep-science-and-policy-change
      September 21, 2022 - Commentary Sleep, science, and policy change. Citation Text: Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…

8028. Tear Sheet. You Can Quit Smoking: Support and Advice from Your Clinician (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/tearsheet.pdf
      September 01, 2008 - Tear Sheet. You Can Quit Smoking: Support and Advice from Your Clinician QUITTING TAKES HARD WORK AND A LOT OF EFFORT, BUT— A PERSONALIZED QUIT PLAN FOR: SUPPORT AND ADVICE FROM YOUR CLINICIAN WANT TO QUIT? Nicotine is a powerful addiction. Quitting is hard, but don’t give up. You can do it. Many people try 2 or 3…

8029. About TalkingQuality | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/about/index.html
      August 01, 2016 - About TalkingQuality Purpose of TalkingQuality: To Improve Consumer Reports on Health Care Quality TalkingQuality is a comprehensive resource and guide for organizations that produce and disseminate reports to consumers on the quality of care provided by health care organizations (e.g., hospitals, health plan…

8030. Listen carefully: the risk of error in spoken medication orders. | PSNet
      psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
      November 16, 2022 - Study Listen carefully: the risk of error in spoken medication orders. Citation Text: Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042. Copy Citation Fo…

8031. Medically Induced Trauma Support Services (MITSS). | PSNet
      psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
      December 07, 2016 - Newspaper/Magazine Article Medically Induced Trauma Support Services (MITSS). Citation Text: Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013. Copy Citation Save Save to your library Print Do…

8032. The National Healthcare System Action Alliance for Patient and Workforce Safety. | PSNet
      psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
      April 01, 2024 - Multi-use Website The National Healthcare System Action Alliance for Patient and Workforce Safety. Citation Text: The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services. Copy Citation Save Save t…

8033. Impact of Disparities and Lack of Equity on Patient Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role3.html
      September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Impact of Disparities and Lack of Equity on Patient Engagement Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design …

8034. Needs Assessment for and Implementation of Technical Assistance for Health Information Technology and Health Information Exchange in Medicaid and the Children's Health Insurance Program | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/needs-assessment-and-implementation-technical-assistance-health-information
      January 01, 2023 - Needs Assessment for and Implementation of Technical Assistance for Health Information Technology and Health Information Exchange in Medicaid and the Children's Health Insurance Program Project Description Annual Summaries Publications Project Details - …

8035. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. | PSNet
      psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
      November 25, 2009 - Commentary Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. Citation Text: Sorensen A, Bernard SL. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborati…

8036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43108/psn-pdf
      September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report This annual report summarizes never events in Maryland hospit…

8037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43468/psn-pdf
      December 10, 2014 - Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? December 10, 2014 Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5…

8038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34058/psn-pdf
      September 29, 2017 - Research designs for studies evaluating the effectiveness of change and improvement strategies. September 29, 2017 Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. Qual Saf Health Care. 2003;12(1):47-52. https://psnet.ahrq.gov/…

8039. Exhibit 1.14. Lean Tools and Activities for Clinic Flow | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-14.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.14. Lean Tools and Activities for Clinic Flow 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…

8040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47773/psn-pdf
      April 17, 2019 - People, systems and safety: resilience and excellence in healthcare practice. April 17, 2019 Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/anae.14519. https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience…