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psnet.ahrq.gov/node/41200/psn-pdf
January 03, 2017 - Implementing a perioperative handoff tool to improve
postprocedural patient transfers.
January 3, 2017
Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve
postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42.
https://psnet.ahrq.gov/issue/implement…
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psnet.ahrq.gov/node/73123/psn-pdf
April 01, 2020 - Digital Healthcare Research.
April 1, 2020
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/digital-healthcare-research
An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and
health system improvement is still emerging. This website hi…
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psnet.ahrq.gov/node/43494/psn-pdf
November 17, 2014 - Read-back improves information transfer in simulated
clinical crises.
November 17, 2014
Boyd M, Cumin D, Lombard B, et al. Read-back improves information transfer in simulated clinical crises.
BMJ Qual Saf. 2014;23(12):989-93. doi:10.1136/bmjqs-2014-003096.
https://psnet.ahrq.gov/issue/read-back-improves-informati…
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psnet.ahrq.gov/node/850935/psn-pdf
June 21, 2023 - Non–operating room anesthesia challenges.
June 21, 2023
Smith MJ. Anesthesiology News. June 6, 2023.
https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
The use of office-based anesthesia presents both care improvements and risks for patients and clinical
teams. This article summarizes frontline …
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psnet.ahrq.gov/node/73860/psn-pdf
September 22, 2021 - A system safety approach to assessing risks in the sepsis
treatment process.
September 22, 2021
Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon.
2021;94:103408. doi:10.1016/j.apergo.2021.103408.
https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/workflow
January 01, 2023 - Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project.
Citation
Cutting EM, Overby CL, Banchero M, et al. Using workflow modeling to identify areas to improve genetic test processes in the University of Marylan…
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digital.ahrq.gov/year-survey/2015
January 01, 2015 - 2015
Health Information Technology and Provider Communication
Description
This is a questionnaire designed to be completed by physicians, nurse practitioners, and physician assistants in a perioperative/operative and hospital setting. The tool includes questions to assess the …
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digital.ahrq.gov/location/usa-ms-jackson
January 01, 2023 - USA, MS, Jackson
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology
Description
This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - The assistant director felt strongly that it would be easier to communicate and
implement ESI to the
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - For example, does the report clearly communicate instances in which a physician’s performance is significantly
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/palliative-care-tools_research-protocol.pdf
April 14, 2016 - palliative-care-protocol
Evidence-based Practice Center
Technical Brief Protocol
Project Title: Assessment Tools for Palli…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014903-reiter-final-report-2006.pdf
January 01, 2006 - Planning the Implementation of HIT in a Rural Setting - Final Report
1
Planning the Implementation of Health Information
Technology (HIT) in a Rural Setting
Principal Investigator:
William M. Reiter, MD, FACP
Project Team:
Lau…
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - In Conversation With… Sigall K. Bell, MD
September 1, 2018
Citation Text:
In Conversation With… Sigall K. Bell, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Fo…
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - WebM&M: Case Studies
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
June 02, 2025 - TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4
Video-Based Simulation:
Facilitator Guide
Mutual Support
Task Assistance
TeamSTEPPS Training Curriculum
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3
Table of Contents
SECTION I: INTRODUCTION TO VIDEO-BASED SIMULATION TRAINING 4
TeamSTEPPS 4
V…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - Prescribing Safety in Ambulatory Care: Physician Perspectives
161
Prescribing Safety in Ambulatory Care:
Physician Perspectives
Thomas G. Rundall, John Hsu, Jennifer Elston Lafata, Vicki Fung,
Kathryn A. Paez, Jan Simpkins, Steven R. Simon, Scott B. Robinson,
Connie Uratsu, Margaret J. Gunter, Stephen B. Sou…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety
151
Standardizing Ambulatory Care
Procedures in a Public Hospital
System to Improve Patient Safety
Myra A. Kleinpeter
Abstract
The Medical Center of Louisiana at New Orleans (MCLNO) provides care to
primarily in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
June 01, 2005 - An Ambulatory Care Curriculum for Advancing Patient Safety
313
An Ambulatory Care Curriculum
for Advancing Patient Safety
Christel Mottur-Pilson
Abstract
Objectives: The objective of this project was to develop and implement a seven
module ambulatory care continuing medical education (CME) curriculum and t…
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Workarounds and Resiliency on the Front Lines of Health Care
Anita L. Tucker, DBA, MS | August 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Tucker AL. Workarounds and Resiliency on the Front Lines of Health Care. PSN…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
March 01, 2020 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report
Potentially Preventable Readmissions:
Conceptual Framework To Rethink
the Role of Primary Care
Final Report
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Potentially Preventable Readmissions:
Conceptual Framewo…