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8221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34011/psn-pdf
      April 03, 2009 - AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. April 3, 2009 https://psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments- journey-excellence In the face of evidence that outlines the impact work environments play on providing…

8222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38966/psn-pdf
      September 23, 2009 - Information loss in emergency medical services handover of trauma patients. September 23, 2009 Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260. https://psnet.ahrq.gov/issue/informat…

8223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38615/psn-pdf
      May 06, 2009 - Developing a team performance framework for the intensive care unit. May 6, 2009 Reader TW, Flin R, Mearns K, et al. Developing a team performance framework for the intensive care unit. Crit Care Med. 2009;37(5):1787-1793. doi:10.1097/CCM.0b013e31819f0451. https://psnet.ahrq.gov/issue/developing-team-performance-f…

8224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40860/psn-pdf
      March 02, 2012 - Patient safety issues in advanced practice nursing students' care settings. March 2, 2012 Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Students? Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. https://psnet.ahrq.gov/issue/patient-safety-issues…

8225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47678/psn-pdf
      December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, …

8226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43338/psn-pdf
      July 09, 2014 - In military care, a pattern of errors but not scrutiny. July 9, 2014 LaFraniere S, Lehren AW. New York Times. June 28, 2014. https://psnet.ahrq.gov/issue/military-care-pattern-errors-not-scrutiny Reporting on serious lapses in the care provided by the military health system, this newspaper article highlights how s…

8227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47053/psn-pdf
      May 23, 2018 - TeamSTEPPS Canada. May 23, 2018 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/teamstepps-canada The TeamSTEPPS program was developed to support effective communication and teamwork skills in various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will pre…

8228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40630/psn-pdf
      September 07, 2016 - Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. September 7, 2016 Collins TR. The Hospitalist. July 2011. https://psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment- patterns This article discusses how drug shortages in hospi…

8229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46466/psn-pdf
      July 11, 2018 - Distinct newborn identification requirement. July 11, 2018 R3 Report. June 25, 2018;7:1-2. https://psnet.ahrq.gov/issue/distinct-newborn-identification-requirement Neonatal patients are at risk for misidentification due to communication challenges and lack of distinguishable features. This report highlights new Jo…

8230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40424/psn-pdf
      May 04, 2011 - Evaluation of postoperative handover using a tool to assess information transfer and teamwork. May 4, 2011 Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837. https://psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and- teamwork Handoffs of patients af…

8231. Medical/Advanced Patient Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/medadvcare.html
      July 01, 2018 - Medical/Advanced Patient Care Layout and potential use of former advanced care areas for potential general surge use. Evaluation for general surge capacity, not for original purposes. Date: ____________  Location: _______________________  Team member: __________________________ Operating Rooms Observation…

8232. Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/index.html
      Research EPC Evidence-Based Reports Search complete titles of released evidence reports MEPS Statistical Briefs The most complete data source on cost a…

8233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42070/psn-pdf
      March 11, 2013 - Implementing peer evaluation of handoffs: associations with experience and workload. March 11, 2013 Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. https://psnet.ahrq.gov/issue/implem…

8234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40460/psn-pdf
      April 30, 2024 - Patient Safety Authority Annual Reports. April 30, 2024 Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024. https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th…

8235. Organization & Contacts | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/organization/index.html
      July 01, 2025 - Organization & Contacts Information about AHRQ's organizational structure and contact information. About AHRQ Offices and Centers Center for Evidence and Practice Improvement (CEPI) Center for Financing, Access and Cost Trends (CFACT) Center for Quality Improvement and Patient Safety (CQuIPS) Office of the Di…

8236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50633/psn-pdf
      November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re…

8237. Zikmund (pdf file)
      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…

8238. Rural Trial of Clinic Order Entry with Decision Support - 2008 | Digital Healthcare Research
      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…

8239. !Directions Fall 03 (pdf file)
      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…

8240. Holomua Project Improving Transitional Care in Hawaii | Digital Healthcare Research
      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…