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psnet.ahrq.gov/node/38344/psn-pdf
January 21, 2009 - The error of omission: a simple checklist approach for
improving operating room safety.
January 21, 2009
Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room
safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/39390/psn-pdf
March 23, 2011 - Teamwork behaviours and errors during neonatal
resuscitation.
March 23, 2011
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.
https://psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-d…
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psnet.ahrq.gov/node/40114/psn-pdf
December 21, 2014 - A human factors curriculum for surgical clerkship
students.
December 21, 2014
Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg.
2010;145(12):1151-7. doi:10.1001/archsurg.2010.252.
https://psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-stud…
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psnet.ahrq.gov/node/37028/psn-pdf
April 11, 2009 - Multidisciplinary crisis simulations: the way forward for
training surgical teams.
April 11, 2009
Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training
surgical teams. World J Surg. 2007;31(9):1843-53.
https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…
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digital.ahrq.gov/topics-az/p
January 01, 2023 - Topics A-Z
A
B
C
D
E
G
H
I
K
L
M
N
P
Q
R
S
T
U
V
W
Patient Education
Patient Engagement
Patient Portal
Patient Safety
Patient-Centered Care
…
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/citation/hospitals
January 01, 2023 - How hospitals reengineer their discharge processes to reduce readmissions.
Citation
Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. J Healthc Qual. 2016 Mar-Apr;38(2):116-26. PMID: 26042743.
Link
https://www.ncbi.nlm.nih.gov/p…
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-americ-6
January 01, 2023 - Reaching women through health information technology: the gabby preconception care system.
Citation
Gardiner P, Hempstead MB, Ring L, et al. Reaching women through health information technology: the gabby preconception care system. Am J Health Promot 2013 Jan-Feb;27(3 Suppl):eS11-20.
Link
http…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - It also may help the staff feel valued and increase the likelihood that they will communicate changes
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - The surgical team
members all have to work with each other, they have to communicate, and they have
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
January 01, 2014 - These professionals have
differences of knowledge, skills, and culture but they need to effectively communicate … and vendors conform with those standards, HHAs would be able to acquire health
IT systems that can communicate
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_II.pdf
June 01, 2003 - !Directions Fall 03
Fall
2003
Volume 5, No. 4
Directions
Tools and ideas to improve your group practice —
from the Medical Group Management Association Health Care Consulting Group
Info Technology
Self-Assessment – Part II
Enhance clinical operations with technology –
Stepping stones to an EMR
See “Info…
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effectivehealthcare.ahrq.gov/sites/default/files/zikmund.pdf
May 29, 2025 - Zikmund
Slide
1: The
Right Tool is What They
Need, Not What We
Have: A Taxonomy
of Appropriate
Levels of Precision in Patient Risk Communication
Brian J. Zikmund-‐Fisher, Ph.D.
Assistant Professor, Health Behavior & Health Education
University of Michigan School of…
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digital.ahrq.gov/ahrq-funded-projects/holomua-project-improving-transitional-care-hawaii
January 01, 2023 - Holomua Project Improving Transitional Care in Hawaii
Project Final Report ( PDF , 228 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No…
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digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - Rural Trial of Clinic Order Entry with Decision Support - 2008
Project Name
Rural Trial of Clinic Order Entry with Decision Support
Principal Investigator
Samore, Matthew
Organization
University of Utah
Funding Mechanism
RFA: HS04-012: Demonstrating the Value of Hea…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking5.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
References
Previous Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Future Vision …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Spotlight Case July 2008
Spotlight Case
Duty to Disclose Someone Else’s Error
*
*
Source and Credits
This presentation is based on the May 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas H. Gallagher, MD University of Washington
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
June 02, 2025 - Community Pharmacy Survey on Patient Safety
SOPSTM Community Pharmacy Survey
Version: 1.0
Language: English
Note
· For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey, and preparing and analyzin…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
June 02, 2025 - Ambulatory Procedure/Surgery Center Survey on Patient Safety
SOPS™ Ambulatory Surgery Center Survey
Version: 1.0
Language: English
Note
For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based survey,…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation
Engineering Safety into Practice through
Implementation of the 2025 SAFER Guides
NATIONAL WEBINAR SERIES
JANUARY 21, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on …