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  1. Wrong Catheter in the Right Patient | PSNet

    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

  2. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact-references.html
    July 01, 2024 - Nuance Communications.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49808/psn-pdf
    October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

  6. Module 4: Leadership

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
    January 05, 2022 - Module 4: Leadership Module 4 Leadership To Improve Diagnosis TeamSTEPPS® for Diagnosis Improvement Welcome to the TeamSTEPPS for Diagnosis Improvement course. This presentation will cover Module 4, Leadership To Improve Diagnosis, that you will review as the course facilitator.    Individuals who plan to take the…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73200/psn-pdf
    April 28, 2021 - A Sweet Case of Hidden Hydrogen Ions April 28, 2021 Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions The Case  A?24-year-old, Arabic-speaking?woman?with a history of type 1?diabetes?mellitus, gastroparesis,?and severe e…

  8. Establishing a Program of In Situ Simulations: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
    July 01, 2023 - Establishing a Program of In Situ Simulations: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Establishing a Program of In Situ Simulations Say: Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simu…

  9. Simulation Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations Establishing a Program of In Situ Simulations SAY: Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simulation and discusses the use of in situ sim…

  10. Chapter 6. Measure Maps and Profiles (continued, 22) | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6u.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 22) 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…

  11. Toolkit 1. Suspected UTI SBAR Toolkit (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
    October 01, 2016 - Toolkit 1. Suspected UTI SBAR Toolkit Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 1. Suspected UTI SBAR Toolkit Tool 4. Training Modules: Urinalysis and UTIs Improving Care Overview These training modules are designed to be flexible to meet your needs. Training coord…

  12. Communication-Focused Technologies for Improving the Health of Young African-American Women (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/CommFocusedTechYoungAAWomenFinal.pdf
    March 01, 2017 - Communication-Focused Technologies for Improving the Health of Young African-American Women Communication-Focused Technologies for Improving the Health of Young African-American Women Final ACTION Contract Report Final Report Communication-Focused Technologies for Improving the Health of Young African-American…

  13. Effect of communication errors during calls to an antimicrobial stewardship program. | PSNet

    psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
    June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …

  14. Lost opportunities: how physicians communicate about medical errors. | PSNet

    psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
    July 10, 2008 - Study Lost opportunities: how physicians communicate about medical errors. Citation Text: Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. Copy Citati…

  15. Communication elements supporting patient safety in psychiatric inpatient care. | PSNet

    psnet.ahrq.gov/issue/communication-elements-supporting-patient-safety-psychiatric-inpatient-care
    July 01, 2013 - Study Communication elements supporting patient safety in psychiatric inpatient care. Citation Text: Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12…

  16. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. | PSNet

    psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians
    March 02, 2022 - Commentary Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. Citation Text: Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…

  17. How to reduce stigma and bias in clinical communication: a narrative review. | PSNet

    psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review
    July 27, 2022 - Review How to reduce stigma and bias in clinical communication: a narrative review. Citation Text: Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y. Copy Cit…

  18. Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
    November 21, 2016 - Book/Report Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Citation Text: Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015. Copy Citation Save …

  19. The efficacy of computer-enabled discharge communication interventions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/efficacy-computer-enabled-discharge-communication-interventions-systematic-review
    November 16, 2022 - Review The efficacy of computer-enabled discharge communication interventions: a systematic review. Citation Text: Motamedi SM, Posadas-Calleja J, Straus SE, et al. The efficacy of computer-enabled discharge communication interventions: a systematic review. BMJ Qual Saf. 2011;20(5):403…

  20. ACOG Committee Opinion #517: communication strategies for patient handoffs. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-367-communication-strategies-patient-handoffs
    October 11, 2023 - Organizational Policy/Guidelines ACOG Committee Opinion #517: communication strategies for patient handoffs. Citation Text: Committee Opinion No. 517. Obstet Gynecol. 2012;119(2, Part 1):408-411. doi:10.1097/aog.0b013e318249ff4f. Copy Citation Format: DOI Google Scholar B…
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