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  1. 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…
  2. 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…
  3. 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…
  4. 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 …
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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…
  10. 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).…
  11. 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 …
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…