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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - Book/Report
How to Talk About Patient Safety.
Citation Text:
How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - Commentary
I-CaRe: a case review tool focused on improving inpatient care.
Citation Text:
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
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psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
September 13, 2011 - Study
Teamwork behaviours and errors during neonatal resuscitation.
Citation Text:
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320.
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psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
April 03, 2019 - Book/Report
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.
Citation Text:
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…
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psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
May 03, 2023 - Book/Report
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities.
Citation Text:
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Commentary
Bending the patient safety curve: how much can AI help?
Citation Text:
Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5.
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www.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools
Search All Impact Case Studies
May 2015
St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ:
The Hospital Consumer Asses…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.html
July 01, 2018 - Guide to Patient and Family Engagement
Appendix C: List of Web Sites Reviewed
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
Next Steps
References
App…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - EHR Implementation Checklist
EHR Implementation Checklist
Establishment of Project Team
Physician champion(s)
Project manager
IT\EHR Lead
Super User
Workflow Coordinator
Development of Project Plan
Scope document
Implementation schedule/timeline
Roles and responsibilities
Change manageme…
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - Commentary
I-PASS, a mnemonic to standardize verbal handoffs.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966.
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psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education
March 23, 2011 - Study
Using simulation to teach patient safety behaviors in undergraduate nursing education.
Citation Text:
Gantt LT, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurs Educ. 2010;49(1):48-51. doi:10.3928/01484834-20090918-10. …
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psnet.ahrq.gov/issue/evaluation-drug-interaction-software-identify-alerts-transplant-medications
November 16, 2022 - Study
Evaluation of drug interaction software to identify alerts for transplant medications.
Citation Text:
Smith WD, Hatton RC, Fann AL, et al. Evaluation of drug interaction software to identify alerts for transplant medications. Ann Pharmacother. 2005;39(1):45-50.
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psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
July 14, 2010 - Study
Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions.
Citation Text:
Flanders S, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: lessons learned and future directions. J Patient Saf. 2009;5(1):3-8. doi:10.1097/P…
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psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
July 20, 2022 - Commentary
Engineering a foundation for partnership to improve medication safety during care transitions.
Citation Text:
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …
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psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
December 12, 2012 - Study
Incident reporting in one UK accident and emergency department.
Citation Text:
Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37.
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psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
January 19, 2016 - Study
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.
Citation Text:
Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…
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psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
September 29, 2010 - Study
A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.
Citation Text:
Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…
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psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
October 19, 2022 - Commentary
A patient safety checklist for the cardiac catheterisation laboratory.
Citation Text:
Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927.
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psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
February 17, 2011 - Review
Legal and policy interventions to improve patient safety.
Citation Text:
Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880.
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psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
January 22, 2016 - Study
Barriers and facilitators to nursing handoffs: recommendations for redesign.
Citation Text:
Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005.
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