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9781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38299/psn-pdf
      August 06, 2012 - Arrogant, abusive and disruptive — and a doctor. August 6, 2012 Tarkan L. https://psnet.ahrq.gov/issue/arrogant-abusive-and-disruptive-and-doctor This newspaper article discusses how disruptive physician behavior affects patient safety and describes policy and organizational efforts to curtail such conduct and fos…

9782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36585/psn-pdf
      June 17, 2014 - Under-mined. June 17, 2014 Greene J. Under-mined. Hospitals & health networks. 2006;80(12):38-40, 42, 44, 1. https://psnet.ahrq.gov/issue/under-mined This article describes some of the challenges in collecting, storing, coding, and sharing data to help inform patient safety work. https://psnet.ahrq.gov/issue/unde…

9783. Leading by Example Learning Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/leading-by-example.html
      August 01, 2022 - Leading by Example Learning Module Resource: Leading by Example Learning Module This learning module offers ideas to help boost morale, build trust, create a positive work environment, and practice open communication. Source: AHRQ Topic(s): Leadership & Management Audience(s): Managers, Clinical Lea…

9784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35151/psn-pdf
      March 29, 2007 - Identifying and Preventing Medication Errors. March 29, 2007 Institute of Medicine; IOM https://psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors The Institute of Medicine was directed by Congress to conduct a comprehensive study on medication safety and quality. This web site disseminates informat…

9785. Right Patient, Wrong Sample | PSNet
      psnet.ahrq.gov/web-mm/right-patient-wrong-sample
      June 01, 2004 - Right Patient, Wrong Sample Citation Text: Astion ML. Right Patient, Wrong Sample. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

9786. Mnpoavideotranscript (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/MNPOAvideotranscript.pdf
      September 24, 2010 - Michael on screen:     Michael speaking:  My name is Michael Pine.  I’m an academic cardiologist who, for the past  two decades, has been developing and applying new methods of measuring and    improving clinical quality.  Today I’ll be sharing some information with you  about what we, as physicians, need to know abou…

9787. Fagerlin-notes-151007 copy-Teresa (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/fagerlin-presentation.pdf
      May 29, 2025 - Fagerlin-notes-151007 copy-Teresa When  we talk about patient engagement and  shared  decision-­‐making there are a number of different problems that evolve. 1 First, patients often do not have information they need to make decisions, nor are they involved in the  decisions as much  as they would  …

9788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49527/psn-pdf
      December 01, 2006 - Right Patient, Wrong Sample December 1, 2006 Astion ML. Right Patient, Wrong Sample. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-patient-wrong-sample The Case A 54-year-old man was admitted to the hospital for preoperative evaluation and elective knee surgery. On the morning of surgery, the patien…

9789. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
      psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
      October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 …

9790. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/2014-final.html
      January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010–2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…

9791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33720/psn-pdf
      November 01, 2011 - In Conversation With… Eduardo Salas, PhD November 1, 2011 In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at the University of Ce…

9792. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
      May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Patient and Family Engagement in the Surgical Environment Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Patient and Family Engagement | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Learning Objectiv…

9793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72689/psn-pdf
      January 29, 2021 - But See the Patient First January 29, 2021 Sinigayan VR. But See the Patient First. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/see-patient-first The Case   A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief complaint of fever. Five days previously, he …

9794. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
      June 01, 2021 - Guide to Sustainability Planning: Long-Term Care Facilities AHRQ Safety Program for Improving Antibiotic Use Guide to Sustainability Planning: Long-Term Care Facilities Sustainability Planning 2 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Introduction Johns Hopkins Medicine and NOR…

9795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - Cognitive Overload in the ICU August 21, 2016 Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/cognitive-overload-icu Case Objectives Identify the role of cognitive overload—especially interruptions—in compromising quality of care and patient safety. List…

9796. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/2015-interim.html
      December 01, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer Summary Preliminary 1 estimates for 2015 show a 21 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 3.1 million fewer HACs were expe…

9797. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
      January 01, 2017 - Presentation: Program Overview Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-31-EF January 2017 TRIP Action Plan ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Obj…

9798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37129/psn-pdf
      August 22, 2007 - Hospitals boost patients' power as advisers. August 22, 2007 Landro L. Wall Street Journal. Aug. 8, 2007. https://psnet.ahrq.gov/issue/hospitals-boost-patients-power-advisers This article discusses the development of programs to actively involve patients in administrative, policy, and safety work in hospitals. ht…

9799. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/videos/01a-intro/index.html
      June 01, 2018 - Introduction The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Learn About CUSP [10 min. 10 sec.] YouTube…

9800. Spread | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/videos/10a-spread/index.html
      June 01, 2018 - Spread CUSP Toolkit The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit. Spread [11 min. 55 sec.] YouTube …