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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - Tools/Toolkit
A check-up for safety culture in "my patient care area."
Citation Text:
Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x.
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psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
January 09, 2019 - Book/Report
No Place Like Home: Advancing the Safety of Care in the Home.
Citation Text:
No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
August 02, 2016 - Book/Report
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare.
Citation Text:
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 97…
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psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
August 02, 2016 - Book/Report
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health.
Citation Text:
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 97807546…
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - Walking Out of a Hospital After Attempted Suicide
September 27, 2023
Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
The Case
A 42-year-old man with history of posttraumatic stress disorder …
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
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psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
October 21, 2020 - Study
Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study
Citation Text:
Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an ele…
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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - Walking Out of a Hospital After Attempted Suicide
Citation Text:
Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - A Fumbled Handoff to Inpatient Rehab
Citation Text:
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - timing and duration of monitoring can differ among organizations. 30 Societies agree that the timing of assessments
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psnet.ahrq.gov/node/50814/psn-pdf
January 22, 2020 - Evaluation of the extended-release/long-acting opioid
prescribing Risk Evaluation and Mitigation Strategy
Program by the US Food and Drug Administration: a
review.
January 22, 2020
Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid
Prescribing Risk Evaluation and Mitig…
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psnet.ahrq.gov/node/849595/psn-pdf
May 31, 2023 - Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster
randomized clinical trial.
May 31, 2023
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster randomized c…
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psnet.ahrq.gov/node/45101/psn-pdf
July 01, 2017 - A systematic review of patient safety measures in adult
primary care.
July 1, 2017
Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care.
Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328.
https://psnet.ahrq.gov/issue/systematic-review-patient-safety-…
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psnet.ahrq.gov/node/43697/psn-pdf
March 26, 2015 - Establishing an international baseline for medication
safety in oncology: findings from the 2012 ISMP
International Medication Safety Self Assessment for
Oncology.
March 26, 2015
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in
oncology: Findings from the 201…
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes.
November 27, 2012
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in
nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/issue/objective-structured-clinical-examination-educational-tool-patient-safety
May 01, 2014 - Study
The Objective Structured Clinical Examination as an educational tool in patient safety.
Citation Text:
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53.
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psnet.ahrq.gov/issue/evaluating-teamwork-simulated-obstetric-environment
November 04, 2009 - Study
Evaluating teamwork in a simulated obstetric environment.
Citation Text:
Morgan PJ, Pittini R, Regehr G, et al. Evaluating teamwork in a simulated obstetric environment. Anesthesiology. 2007;106(5):907-915.
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psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool
March 09, 2009 - Commentary
Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool.
Citation Text:
Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Pat…