-
psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
June 27, 2018 - Book/Report
Measuring the Success of the Regional Medication Safety Program for Hospitals.
Citation Text:
Measuring the Success of the Regional Medication Safety Program for Hospitals. Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
Copy C…
-
psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - Newspaper/Magazine Article
The rise of patient safety organizations.
Citation Text:
The rise of patient safety organizations. Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
Copy Citation
Save
Save to your library
Print
Download PDF
Share…
-
psnet.ahrq.gov/issue/california-pharmacies-are-making-millions-mistakes-theyre-fighting-keep-secret
October 14, 2020 - Newspaper/Magazine Article
California pharmacies are making millions of mistakes. They’re fighting to keep that secret.
Citation Text:
California pharmacies are making millions of mistakes. They’re fighting to keep that secret. Peterson M. Los Angeles Times. September 5, 2023.
Copy C…
-
psnet.ahrq.gov/issue/safe-handling-hazardous-drugs
January 02, 2011 - Clinical Guideline
Safe Handling of Hazardous Drugs.
Citation Text:
Safe Handling of Hazardous Drugs. Polovich M; Blecher CS; Glynn-Tucker EM; McDiarmid M; Newton SA
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
…
-
psnet.ahrq.gov/issue/apsf-stoelting-conference
September 19, 2024 - Audiovisual Presentation
APSF Stoelting Conference.
Citation Text:
APSF Stoelting Conference. Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024.
Copy Citation
Save
Save to your library
Print
Download PDF…
-
psnet.ahrq.gov/issue/nurses-role-communication-and-patient-safety
July 23, 2008 - Commentary
Nurses' role in communication and patient safety.
Citation Text:
Nadzam DM. Nurses' role in communication and patient safety. J Nurs Care Qual. 2009;24(3):184-188. doi:10.1097/01.NCQ.0000356905.87452.62.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX En…
-
psnet.ahrq.gov/issue/medication-errors-nursing-experience
May 26, 2011 - Book/Report
Classic
Medication Errors: The Nursing Experience.
Citation Text:
Medication Errors: The Nursing Experience. Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628.
Copy Citation
Save
Save to your library
Print…
-
psnet.ahrq.gov/issue/state-va-health-care
May 01, 2015 - Congressional Testimony
The State of VA Health Care.
Citation Text:
The State of VA Health Care. Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014).
Copy Citation
Save
Save to your library
Print
Downlo…
-
psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Citation Text:
Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
Copy Citation
Save
Save to your library…
-
psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
December 23, 2012 - Congressional Testimony
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment.
Citation Text:
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment. House Committee on Ways and Means. 109th Congress, 2nd Sess (December 6, 2006).…
-
psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - Government Resource
Serious Reportable Events.
Citation Text:
Serious Reportable Events. Nova Scotia Department of Health and Wellness.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
…
-
psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Link…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-teamstepps-webcast-bakdash.pdf
January 01, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
5
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-bas…
-
www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Reviewing the Team's Performance: Debrief
Research has shown that teams that effectively debrief their own performance can improve their teamwork in real time. 1 , 2 , 3 , 4 Although it is often difficult to find time for such reviews in healthcare, TeamSTEPPS advocates for after-action reviews; TeamSTEPPS ch…
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips36.html
October 01, 2014 - Iowa Hospital Integrates AHRQ TeamSTEPPS® Throughout Facility
Search All Impact Case Studies
April 2010
In 2008, staff from Clarinda Regional Health Center, a 25-bed critical access hospital in Clarinda, Iowa, participated in training on Team Strategies and Tools to Enhance Performance and Patient Safety (T…
-
psnet.ahrq.gov/issue/blaming-others-threatening-events
November 25, 2009 - Review
Classic
Blaming others for threatening events.
Citation Text:
Blaming others for threatening events. Tennen H; Affleck G.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter…
-
psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
June 21, 2023 - Audiovisual Presentation
The Sunday story: when hospitals don't say sorry.
Citation Text:
The Sunday story: when hospitals don't say sorry. Rascoe A, Gorenstein D. National Public Radio. January 21, 2024.
Copy Citation
Save
Save to your library
Print
Dow…
-
psnet.ahrq.gov/issue/state-science-safe-medication-administration
June 22, 2009 - Special or Theme Issue
The State of the Science on Safe Medication Administration.
Citation Text:
The State of the Science on Safe Medication Administration. Am J Nurs. 2005;105;(supp 5):2-55.
Copy Citation
Save
Save to your library
Print
Download P…
-
psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
August 08, 2007 - Book/Report
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.
Citation Text:
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
C…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.2. Heights Hospital
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
Ca…