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psnet.ahrq.gov/node/45579/psn-pdf
November 01, 2017 - Factors influencing patient safety during postoperative
handover.
November 1, 2017
Rose M, Newman SD. AANA J. 2016;84:329-338.
https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
Patient handoffs between care teams are vulnerable to error. This scoping review explored the …
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ak
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Alaska
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-034
Funding Mechanism(s)
Health Information Security and Privacy Colla…
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psnet.ahrq.gov/node/838082/psn-pdf
September 14, 2022 - Organizational factors that promote error reporting in
healthcare: a scoping review.
September 14, 2022
Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping
review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166.
https://psnet.ahrq.gov/issue/organiz…
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psnet.ahrq.gov/node/840490/psn-pdf
February 14, 2006 - Evidence of bias and variation in diagnostic accuracy
studies.
February 14, 2006
Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies.
CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090.
https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…
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psnet.ahrq.gov/node/74269/psn-pdf
January 19, 2022 - Safety culture, safety climate, and safety performance in
healthcare facilities: a systematic review.
January 19, 2022
Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare
facilities: A systematic review. Safety Sci. 2022;147:105624. doi:10.1016/j.ssci.2021.10562…
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psnet.ahrq.gov/node/837910/psn-pdf
August 24, 2022 - How Safe is Your Care? Measurement and Monitoring of
Safety Through the Eyes of Patients and Their Care
Partners.
August 24, 2022
Jefs L, Kuluski K, MacLaurin A, et al. Ottawa, Ontario, Canada: Healthcare Excellence Canada; 2022.
https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-thr…
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psnet.ahrq.gov/node/73474/psn-pdf
July 07, 2021 - Resident and family engagement in medication
management in aged care facilities: a systematic review.
July 7, 2021
Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management
in aged care facilities: a systematic review. Expert Opin Drug Saf. 2021:1-19.
doi:10.1080/14740338.…
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psnet.ahrq.gov/node/47116/psn-pdf
August 15, 2018 - Thematic analysis of women's perspectives on the
meaning of safety during hospital-based birth.
August 15, 2018
Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety
During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;47(3):324-332.
doi:10.1016/j.jogn…
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psnet.ahrq.gov/node/836752/psn-pdf
March 16, 2022 - The necessary leadership skillsets for the high-reliability
organization framework adoption within acute healthcare
organizations.
March 16, 2022
Logan?Athmer AL. The necessary leadership skillsets for the high?reliability organization framework
adoption within acute healthcare organizations. J Healthc Risk Manag.…
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psnet.ahrq.gov/node/73416/psn-pdf
June 23, 2021 - An observational study of postoperative handoff
standardization failures.
June 23, 2021
Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization
failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458.
https://psnet.ahrq.gov/issue/observational-study…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
April 01, 2017 - Learn From Defects - Implementation Guide
AHRQ Safety Program for Ambulatory Surgery
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety.
Who should use this tool? Seni…
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psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - Ambulatory medication errors and adverse events
involved in medicine-related malpractice cases from 2011
to 2021.
March 5, 2025
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-
related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117.
doi:10…
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psnet.ahrq.gov/node/863225/psn-pdf
February 28, 2024 - Revealing Disparities: Health Care Workers’ Observations
of Discrimination Against Patients.
February 28, 2024
Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwealth Fund; February 15,
2024.
https://psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-a…
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digital.ahrq.gov/organizations/university-missouri
January 01, 2023 - University of Missouri
IQ Health Survey for Clinicians
Description
This is a questionnaire designed to be completed by nurses and physicians in an ambulatory setting. The tool includes questions to assess user's perceptions of personal health records and secure messaging.
…
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digital.ahrq.gov/document-type/checklist
January 01, 2023 - Checklist
GI Clinic Registry: Scripts, Protocols, Processes for Panel Managers
Description
This document is a comprehensive protocol for colorectal cancer screening followup using a population health management tool.
Document Source
Measuring and Improving Ambulatory…
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psnet.ahrq.gov/node/866166/psn-pdf
June 19, 2024 - Understanding risk factors for complaints against
pharmacists: a content analysis.
June 19, 2024
Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content
analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217.
https://psnet.ahrq.gov/issue/underst…
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psnet.ahrq.gov/node/35207/psn-pdf
December 19, 2009 - Patient safety concerns arising from test results that
return after hospital discharge.
December 19, 2009
Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital
discharge. Ann Intern Med. 2005;143(2):121-128.
https://psnet.ahrq.gov/issue/patient-safety-concer…
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psnet.ahrq.gov/node/861283/psn-pdf
January 24, 2024 - What and when to debrief: a scoping review examining
interprofessional clinical debriefing.
January 24, 2024
Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining
interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730.
https://p…
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psnet.ahrq.gov/node/36088/psn-pdf
September 28, 2010 - Impact and implications of disruptive behavior in the
perioperative arena.
September 28, 2010
Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am
Coll Surg. 2006;203(1):96-105.
https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…
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psnet.ahrq.gov/node/48073/psn-pdf
June 19, 2019 - Special Section on Human Factors and Ergonomics in the
Operating Room: Contributions That Advance Surgical
Practice.
June 19, 2019
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-
advance-surgical
Surg…