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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36010/psn-pdf
    January 02, 2017 - Operating room briefings: working on the same page. January 2, 2017 Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page The authors describe a tool fo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42112/psn-pdf
    March 13, 2013 - Anger management courses are a new tool for dealing with out-of-control doctors.   March 13, 2013 Boodman SG. Washington Post. March 4, 2013. https://psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors This newspaper article reports on how anger management courses can address phy…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41198/psn-pdf
    March 07, 2012 - A handoff is not a telegram: an understanding of the patient is co-constructed. March 7, 2012 Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co- constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. https://psnet.ahrq.gov/issue/handoff-not-telegram-under…
  4. psnet.ahrq.gov/training-catalog/care-forum
    July 07, 2025 - CARe Forum Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Betsy Lehman Center for Patient Safety Event Description: The annual CARe Forum is…
  5. www.ahrq.gov/nursing-home/resources/emotional-organizational-support.html
    August 01, 2022 - Emotional and Organizational Support for Staff Learning Module Series Resource:   Emotional and Organizational Support for Staff Learning Module Series This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, a…
  6. www.ahrq.gov/patient-safety/reports/issue-briefs/healthit-ed-figure1.html
    February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Figure 1. Potential applications of health technology and patient engagement in the ED diagnostic process Previous Page Next Page Table of Contents Health Information Technology for Engaging Pa…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38370/psn-pdf
    August 22, 2009 - Monitoring for medication errors in outpatient settings. August 22, 2009 Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39130/psn-pdf
    November 25, 2009 - Deaths in Acute Hospitals: Caring to the End? November 25, 2009 Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. https://psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end This United Kingdom report analyzed m…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
    January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD Abstract Objective: We report on the first in-home test of “Buddy…
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
    January 01, 2022 - 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook THE CAHPS DATABASES CAHPS Health Plan Survey Database 2022 Medicaid and Children's Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans and Medical Care CAHPS Health Plan Survey Database …
  11. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Final Report APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Principal Investigator: Wilson D. Pace, MD* Key Personnel: David West, PhD * Deborah S. Main, PhD* John Westfall, MD* Daniel Harris, PhD** Organizational Aff…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42225/psn-pdf
    April 24, 2013 - Brigham and Women's airing medical mistakes. April 24, 2013 Kowalczyk L. https://psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes This newspaper article describes how one hospital has fostered open communication about medical errors through a monthly newsletter that recounts mistakes in an effort to…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36955/psn-pdf
    September 13, 2011 - Patient safety in after-hours telephone medicine. September 13, 2011 Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med. 2007;39(6):404-9. https://psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine The investigators talked with patients who had used a fam…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37190/psn-pdf
    October 07, 2011 - Medical errors arising from outsourcing laboratory and radiology services. October 7, 2011 Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11. https://psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46852/psn-pdf
    March 07, 2018 - NHS Resolution. March 7, 2018 NHS Resolution. https://psnet.ahrq.gov/issue/nhs-resolution The National Health Service (NHS) is a global leader in patient safety improvement. This website coalesces information and activities generated by three NHS improvement efforts: patient compensation, performance assessment, …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38321/psn-pdf
    June 17, 2014 - No bad apples. June 17, 2014 Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1. https://psnet.ahrq.gov/issue/no-bad-apples This article provides context on a recent study and Joint Commission alert regarding how disruptive behavior may affect patient safety and describes steps hospitals ca…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37358/psn-pdf
    January 02, 2017 - Reducing surgical complications. January 2, 2017 Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. https://psnet.ahrq.gov/issue/reducing-surgical-complications The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by recommending several ch…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33894/psn-pdf
    April 11, 2011 - Prevention of medication errors in the pediatric inpatient setting. April 11, 2011 Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. Pediatrics. 2003;112(2):431-436. https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpat…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35527/psn-pdf
    June 29, 2011 - Patient-reported service quality on a medicine unit. June 29, 2011 Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit The investigators interviewed pati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42241/psn-pdf
    May 01, 2013 - Special Issue on Teamwork. May 1, 2013 Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.   https://psnet.ahrq.gov/issue/special-issue-teamwork Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork in health care. https://psnet.ahrq.gov/issue/special-…