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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
August 20, 2018 - Commentary
Reflection on adverse event disclosure in the postsurgical hospital context.
Citation Text:
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
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psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers-descriptive-survey
November 02, 2016 - Study
Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey.
Citation Text:
Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:1…
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psnet.ahrq.gov/issue/interventions-improve-timely-cancer-diagnosis-integrative-review
May 25, 2022 - Study
Interventions to improve timely cancer diagnosis: an integrative review.
Citation Text:
Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113.
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psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review
January 16, 2010 - Review
Improving situation awareness to advance patient outcomes: a systematic literature review.
Citation Text:
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…
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psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
July 03, 2014 - Study
Epidemiology of adverse events in air medical transport.
Citation Text:
MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x.
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Format:
DOI Go…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
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psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
September 09, 2020 - Study
Long-term sustainability and adaptation of I-PASS handovers.
Citation Text:
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
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Format:
…
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psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps
March 28, 2018 - Study
Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.
Citation Text:
Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their p…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/smith-my-et-al-2007
January 01, 2007 - Smith MY et al. 2007 "Computerized decision-support systems for chronic pain management in primary care."
Reference
Smith MY, Depue JD, Rini C. Computerized decision-support systems for chronic pain management in primary care. Pain Med 2007;8:S155-S166.
Abstract
"Objective: Computerized decis…
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psnet.ahrq.gov/node/47738/psn-pdf
February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of
Medication Information.
February 6, 2019
Horsham, PA: Institute for Safe Medication Practices; January 2019.
https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
Inaccurate or incomplete data in electronic health reco…
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digital.ahrq.gov/ahrq-funded-projects/using-short-message-system-sms-improve-health-care-quality-and-outcomes-among/citation/final-report
January 01, 2023 - Communication-Focused Technologies: Health Messages for HIV-Positive Men Who Have Sex With Men - Final Report
Citation
Uhrig JD, Harris J, Furberg R, et al. Communication-Focused Technologies: Health Messages for HIV-Positive Men Who Have Sex With Men - Final Report. (Prepared by RTI International, un…
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psnet.ahrq.gov/node/44620/psn-pdf
November 04, 2015 - Laboratory testing in general practice: a patient safety
blind spot.
November 4, 2015
Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf.
2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644.
https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind…
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psnet.ahrq.gov/node/38587/psn-pdf
May 06, 2009 - Creating a better discharge summary: improvement in
quality and timeliness using an electronic discharge
summary.
May 6, 2009
O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality
and timeliness using an electronic discharge summary. J Hosp Med. 2009;4(4):219-225…
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psnet.ahrq.gov/node/866256/psn-pdf
July 10, 2024 - Disclosure programmes in the US--an inadequate
response to medical error.
July 10, 2024
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ.
2024;385:q1318. doi:10.1136/bmj.q1318.
https://psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
Communica…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex14.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 14. Topics Addressed by the Tools, Organized by Component
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Ne…
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digital.ahrq.gov/ahrq-funded-projects/connected-cancer-care-ehr-communication-networks-virtual-cancer-care-teams/final-report
January 01, 2023 - Connected Cancer Care: EHR Communication Networks in Virtual Cancer Care Teams - Final Report
Citation
Zhu X. Connected Cancer Care: EHR Communication Networks in Virtual Cancer Care Teams - Final Report. (Prepared by the University of Iowa under Grant No. R21 HS026075). Rockville, MD: Agency for Heal…
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - Signout Fallout
February 1, 2018
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/signout-fallout
Case Objectives
Understand the role of communication failures in medical errors and preventable adverse events.
Review the evidence in support of handoff improvement pr…
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017035-mehr-final-report-2011.pdf
January 01, 2011 - for 12 of the 18 patients with
discrepancies; in only one of these emails did the patient accurately communicate