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psnet.ahrq.gov/node/41296/psn-pdf
April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs.
April 11, 2012
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.
https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
Poor communication at…
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psnet.ahrq.gov/node/851059/psn-pdf
June 28, 2023 - Causes for medical errors in obstetrics and gynaecology.
June 28, 2023
Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare
(Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636.
https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
R…
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psnet.ahrq.gov/node/866530/psn-pdf
August 14, 2024 - Healthcare Simulation in Nursing Practice.
August 14, 2024
Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510.
https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
Simulation is an established method to examine nursing process resilience and develop non-techni…
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psnet.ahrq.gov/node/43069/psn-pdf
April 16, 2014 - Decimal numbers and safe interpretation of clinical
pathology results.
April 16, 2014
Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J
Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865.
https://psnet.ahrq.gov/issue/decimal-numbers-and-saf…
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psnet.ahrq.gov/node/44998/psn-pdf
April 20, 2016 - High reliability: excellent care every time.
April 20, 2016
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
Achieving high reliability has attracted attention as a goal in health care. This article provides an…
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psnet.ahrq.gov/node/43171/psn-pdf
May 14, 2014 - Fool me twice: delayed diagnoses in radiology with
emphasis on perpetuated errors.
May 14, 2014
Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated
errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493.
https://psnet.ahrq.gov/issue/fool-me-twice-dela…
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psnet.ahrq.gov/node/37679/psn-pdf
June 12, 2008 - Improving patient safety and uniformity of care by a
standardized regimen for the use of oxytocin.
June 12, 2008
Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the
use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1-7. doi:10.1016/j.ajog.2008.01.039.
https…
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psnet.ahrq.gov/node/42984/psn-pdf
February 26, 2014 - Delivering the truth: challenges and opportunities for
error disclosure in obstetrics.
February 26, 2014
Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3).
doi:10.1097/aog.0000000000000130.
https://psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-e…
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psnet.ahrq.gov/node/853980/psn-pdf
September 27, 2023 - RFID tags reduce restocking errors of anesthesia
medications.
September 27, 2023
Banks MA. Specialty Pharmacy Continuum. September 15, 2023.
https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
Radiofrequency identification (RFID) devices are being used to improve processes in the…
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psnet.ahrq.gov/node/43165/psn-pdf
May 07, 2014 - Disrespectful behaviors—part 1 and part 2.
May 7, 2014
ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
https://psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
The first article of this series reports the results of a survey investigating disruptive beh…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/citation/redesign
January 01, 2023 - Incorporating health information technology into workflow redesign.
Citation
Carayon P, Karsh B-T, Cartmill RS, et al. Incorporating health information technology into workflow redesign - summary report. (Prepared by the Center for Quality and Productivity Improvement, University of Wisconsin–Madison,…
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digital.ahrq.gov/principal-investigator/coleman-robert
January 01, 2023 - Coleman, Robert
Improving Care in a Rural Region with Consolidated Imaging - Final Report
Citation
Coleman R. Improving Care in a Rural Region with Consolidated Imaging - Final Report. (Prepared by Maine Medical Center under Grant No. UC1 HS015328). Rockville, MD: Agency for…
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digital.ahrq.gov/ahrq-funded-projects/improving-care-rural-region-consolidated-imaging/final-report
January 01, 2023 - Improving Care in a Rural Region with Consolidated Imaging - Final Report
Citation
Coleman R. Improving Care in a Rural Region with Consolidated Imaging - Final Report. (Prepared by Maine Medical Center under Grant No. UC1 HS015328). Rockville, MD: Agency for Healthcare Research and Quality, 2008.
…
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixA_Comm_Tech_For_AA_Women.pdf
February 01, 2010 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix A—Online Risk Assessment Tool
Appendix A: Online Risk Assessment Tool
Healthcare and programs
# Question Prereq Options Script
Programming
Notes
1 Do you have health insurance? Yes
1 Do you have hea…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013)
Webinar Transcript
Paul Tedrick
AHA – Chicago
December 10, 2013
11:00AM CT
Operator: This is a recording for the Paul Tedrick teleconference with American Hospital Association Chicago, Tuesday, Dec…
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effectivehealthcare.ahrq.gov/products/rural-telehealth/research
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effectivehealthcare.ahrq.gov/products/eccs-2011/series-overview
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effectivehealthcare.ahrq.gov/products/rural-telehealth/protocol
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - The surgical team members all have to work with each other, they have to communicate, and they have to
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - The surgical team members all have to work with each other, they have to communicate, and they have to