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psnet.ahrq.gov/node/41842/psn-pdf
March 08, 2015 - Patient safety in the OR.
March 8, 2015
Stempniak M. Patient safety in the OR. Hospitals & health networks. 2012;86(10):8 p following 40.
https://psnet.ahrq.gov/issue/patient-safety-or-0
This article examines patient safety concerns in the operating room, including their causes and how
teamwork, checklists, and im…
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psnet.ahrq.gov/node/35895/psn-pdf
August 24, 2018 - Building a case for medication reconciliation.
August 24, 2018
ISMP Medication Safety Alert! Acute care edition. April 21, 2005.
https://psnet.ahrq.gov/issue/building-case-medication-reconciliation
This article presents examples of medication errors caused by failed communication, briefly reviews the
steps for med…
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psnet.ahrq.gov/node/40426/psn-pdf
May 04, 2011 - Doctors could learn something about medical handoffs
from the Navy.
May 4, 2011
Parikh R. Los Angeles Times. April 18, 2011.
https://psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy
This newspaper article describes how structured communication techniques borrowed from other fields
co…
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www.ahrq.gov/research/shuttered/toolkitchecklist/facancil.html
July 01, 2018 - Facilities/Ancillary Services
Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective.
Date: ____________ Location: _______________________ Team member: __________________________
Administrative Areas …
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www.ahrq.gov/nursing-home/resources/caring-communication.html
February 01, 2021 - Caring Messages Applicable During the COVID-19 Pandemic
Resource: Caring Messages Applicable During the COVID-19 Pandemic (PDF, 428 KB)
This document includes examples of caring communication in a variety of situations healthcare personnel are encountering today. These examples illustrate what it might sou…
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psnet.ahrq.gov/node/40669/psn-pdf
August 27, 2013 - STate Action on Avoidable Rehospitalizations.
August 27, 2013
Institute for Healthcare Improvement. 2009 -2013.
https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care
and communication betwe…
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psnet.ahrq.gov/node/36217/psn-pdf
March 04, 2015 - Will saying "I'm sorry" prevent a malpractice lawsuit?
March 4, 2015
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
https://psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
In the context of a malpractice lawsuit filed after a communicati…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/publication/workflow-toolkit
January 01, 2023 - Workflow Assessment for Health IT Toolkit.
Citation
University of Wisconsin-Madison’s Center for Quality and Productivity Improvement (CQPI). Workflow Assessment for Health IT Toolkit. Web based tool. Available at: https://digital.ahrq.gov/workflow
Link
https://digital.ahrq.gov/workflow
…
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Her agitation and hallucinations impaired her ability to communicate or answer
review of systems questions
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - begin implementation
and real-time data output for patients-providers to share decisions and better communicate
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021781-kelchner-final-report-2014.pdf
January 01, 2014 - to upload audio/video files and
complete questionnaires;
• Message board/chat module to securely communicate
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www.ahrq.gov/cahps/news-and-events/news/archive/index.html
June 01, 2024 - Selected results from the 2022 CAHPS Health Plan Survey Database include: How Well Doctors Communicate
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - Research
Search a database of peer-reviewed papers on workflow and health IT implementation in ambulatory care settings. Included articles were published in English between January 1980 and May 2009.
Displaying 1 - 208 of 208
Technology
EHR / EMR [46]
…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - Barriers and Facilitators to Implementation and Adoption of EHR in Home Care - Final Report
Grant Final Report
Grant ID: R21HS021008
Barriers and Facilitators to Implementation and
Adoption of EHR in Home Care
Inclusive Project Dates: 09/30/11 – 0…
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs024488-saleem-final-report-2018.pdf
January 01, 2018 - Ambulatory Clinic Exam Room Design with Respect to Computing Devices to Enhance Patient Centeredness - Final Report
Ambulatory Clinic Exam Room Design with
respect to Computing Devices to Enhance
Patient Cen…
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - Study
Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients.
Citation Text:
Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
April 14, 2011 - Review
Emerging Classic
Hierarchy and medical error: speaking up when witnessing an error.
Citation Text:
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
November 13, 2019 - Study
Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.
Citation Text:
Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note …
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psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study
June 14, 2023 - Study
Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study.
Citation Text:
Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …
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psnet.ahrq.gov/issue/latent-safety-threats-and-countermeasures-operating-theater-national-situ-simulation-based
February 22, 2023 - Study
Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.
Citation Text:
Long JA, Webster CS, Holliday T, et al. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-base…