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9881. Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. | PSNet
      psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety
      March 04, 2020 - Review Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. Citation Text: Daker-White G, Hays R, McSharry J, et al. Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of Qualitative Stu…

9882. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. | PSNet
      psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
      November 26, 2014 - Study Classic Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Citation Text: O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…

9883. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
      September 06, 2023 - Study Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. Citation Text: Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…

9884. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/tools/index.html?page=3
      March 01, 2013 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

9885. Perspectives about racism and patient-clinician communication among black adults with serious illness. | PSNet
      psnet.ahrq.gov/issue/perspectives-about-racism-and-patient-clinician-communication-among-black-adults-serious
      September 13, 2023 - Study Perspectives about racism and patient-clinician communication among black adults with serious illness. Citation Text: Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication among black adults with serious illness. JAMA Netw Open. 2023…

9886. Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. | PSNet
      psnet.ahrq.gov/issue/toward-increased-patient-safety-electronic-communication-medication-information-between
      June 23, 2021 - Study Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. Citation Text: Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Informat…

9887. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. | PSNet
      psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
      December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…

9888. Health literacy and systemic racism—using clear communication to reduce health care inequities. | PSNet
      psnet.ahrq.gov/issue/health-literacy-and-systemic-racism-using-clear-communication-reduce-health-care-inequities
      July 19, 2023 - Commentary Health literacy and systemic racism—using clear communication to reduce health care inequities. Citation Text: Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:…

9889. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. | PSNet
      psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
      November 28, 2018 - Study Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Citation Text: Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…

9890. Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet
      psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
      April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

9891. Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. | PSNet
      psnet.ahrq.gov/issue/defining-minimum-necessary-anticoagulation-related-communication-discharge-consensus-care
      March 04, 2020 - Study Defining minimum necessary anticoagulation-related communication at discharge: Consensus of the Care Transitions Task Force of the New York State Anticoagulation Coalition. Citation Text: Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Commu…

9892. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. | PSNet
      psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
      October 19, 2022 - Study Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Citation Text: Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…

9893. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet
      psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider
      June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

9894. The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet
      psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
      March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

9895. The impact of nontechnical skills on technical performance in surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-nontechnical-skills-technical-performance-surgery-systematic-review
      February 10, 2010 - Review The impact of nontechnical skills on technical performance in surgery: a systematic review. Citation Text: Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.…

9896. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet
      psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
      June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

9897. Step 2: Form an Advisory Group | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-an-Advisory-Group.html
      December 01, 2019 - Step 2: Form an Advisory Group Review all steps in the process of planning a survey project: Step 1: Form a Project Team .  Step 2: Form an Advisory Group.   Step 3: Define Your Goals . Step 4: Plan a Communications Strategy . Step 5: Set the Stage for Conducting the Survey . Step 6: Develop an Ev…

9898. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201419.html
      November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety Search All Impact Case Studies November 2014 Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…

9899. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
      May 31, 2023 - TeamSTEPPS Teamwork Attitudes Questionnaire TeamSTEPPS Teamwork Attitudes Questionnaire The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self- report tool uses 5…

9900. The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet
      psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
      March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…