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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47450/psn-pdf
    March 27, 2019 - A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. March 27, 2019 Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44393/psn-pdf
    August 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https…
  6. psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - Nurse–physician communications: the impact of disruptive behaviors of factors affecting decision making
  7. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
    January 10, 2022 - Module 5: Situation Monitoring Module 5 Situation Monitoring To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 5, Situation Monitoring To Improve Diagnosis, that you will review as the facilitator. Individual…
  8. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
    January 10, 2022 - TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                          …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50612/psn-pdf
    October 30, 2019 - The Safety Challenges of Supervision and Night Coverage in Academic Residency October 30, 2019 Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency The Case…
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
    March 20, 2017 - CAHPS Child Hospital Survey: Overview of the Questionnaire CAHPS® Child Hospital Survey and Instructions CAHPS Child Hospital Survey: Overview of the Questionnaire Document No. 950 Updated 3/20/2017 CAHPS® Child Hospital Survey: Overview of the Questionnaire Introduction..............................…
  11. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6m.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 14) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  12. effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-rapid-review-appendix-c.xlsx
    January 01, 2018 - List of Evidence Tables Category Evidence Table Characteristics Evidence Table C-1. Study characteristics of included primary studies Evidence Table C-2. Intervention characteristics of included primary studies Evidence Table C-3. Population characteristics of included primary studies Event reporting Evidence Ta…
  13. S23 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s23.pdf
    October 01, 2007 - ORIGINAL ARTICLE Improving Depiction of Benefits and Harms Analyses of Studies of Well-Known Therapeutics and Review of High-Impact Medical Journals Artyom Sedrakyan, MD, PhD,*†‡ and Chuck Shih, MHS* Abstract: The issues of weighing benefits and harms and of shared decision-making have become increasingly important…
  14. effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
    January 01, 2024 - Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Evidence-based Practice Center Rapid Review Protocol Project Title: Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care Review Question…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur in health care facilities require prompt action to ensure that further harm is mit…
  16. digital.ahrq.gov/ahrq-funded-projects/accessibility-and-beyond-designing-consumer-health-it-disabled-individuals
    January 01, 2023 - Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals Project Final Report ( PDF , 423.59 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 re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49536/psn-pdf
    May 01, 2007 - On the Other Hand May 1, 2007 Henneman EA. On the Other Hand. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/other-hand The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient had been diagnosed with Takayasu's a decade earlier. The disease results…
  18. www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
    July 01, 2023 - Section 2: Explanation and Value of the TeamSTEPPS Curriculum  This section contains explanations and illustrations to help you better understand and appreciate the structure and importance of the TeamSTEPPS curriculum and its key concepts. If you teach this content or want additional insights into how the mate…
  19. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
    May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module Slide 1: Patient and Family Engagement in the Surgical Environment Module Slide 2: Learning Objectives Image: Learning objectives are presented in a series of steps: Define patient and family engagement. Explain the importance of engagin…
  20. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
    March 01, 2017 - Facilitator Notes SAY: The Comprehensive LTC Safety Modules assist users with how to apply safety principles. This overview module explains the purpose of the toolkit and how it can be used in your facility’s quality improvement initiatives. SLIDE 1 SAY: The objectives of this module are to— · Describe the purpo…