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  1. psnet.ahrq.gov/issue/malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers
    December 19, 2018 - Commentary Malpractice reform—opportunities for leadership by health care institutions and liability insurers. Citation Text: Mello MM, Gallagher TH. Malpractice reform--opportunities for leadership by health care institutions and liability insurers. N Engl J Med. 2010;362(15):1353-6. …
  2. psnet.ahrq.gov/issue/teamwork-and-team-training-icu-where-do-similarities-aviation-end
    March 28, 2012 - Commentary Teamwork and team training in the ICU: where do the similarities with aviation end? Citation Text: Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353. Copy Citation F…
  3. psnet.ahrq.gov/issue/what-whiteboards-trauma-center-operating-suite-can-teach-us-about-emergency-department
    August 29, 2011 - Study What whiteboards in a trauma center operating suite can teach us about emergency department communication. Citation Text: Xiao Y, Schenkel SM, Faraj S, et al. What whiteboards in a trauma center operating suite can teach us about emergency department communication. Ann Emerg Med.…
  4. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.html
    March 01, 2017 - Module 3: Staff Empowerment: Material Use Guide AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Learning Objectives: Cite staff empowerment concepts. Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes and quality of life. Illustrate t…
  5. psnet.ahrq.gov/issue/verbal-medication-orders-or
    March 06, 2024 - Commentary Verbal medication orders in the OR. Citation Text: Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…
  6. psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or
    November 08, 2017 - Commentary Time-out: the professional and organizational ethics of speaking up in the OR. Citation Text: Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609.…
  7. psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
    June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…
  8. psnet.ahrq.gov/issue/reducing-surgical-complications
    January 03, 2018 - Commentary Reducing surgical complications. Citation Text: Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…
  9. psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
    August 13, 2014 - Book/Report Coordination Between Emergency and Primary Care Physicians. Citation Text: Coordination Between Emergency and Primary Care Physicians. Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3. Copy Citation …
  10. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief Issue Brief 10 Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators PATIENT SAFETY e This page intentionally left blank. e Issue Brief 10 Reinforcing the Va…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863641/psn-pdf
    February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training February 28, 2024 Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49575/psn-pdf
    November 01, 2008 - Sick and Pregnant November 1, 2008 El-Ibiary S. Sick and Pregnant. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/sick-and-pregnant The Case A 35-year-old woman with chronic asthma presented to the emergency department (ED) with difficulty breathing. The patient informed the staff that she was 17 weeks pre…
  13. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 15) 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…
  14. psnet.ahrq.gov/web-mm/lp-or-not-lp
    February 01, 2018 - To LP or Not LP Citation Text: Landrigan CP. To LP or Not LP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …
  16. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How …
  17. www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care Downloadedfromhttp://journals.lww.com/journalpatientsafetybyBhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8KKGKV0Ymy+78=on04/27/2022 RE…
  18. psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - commercial airline cockpit, the language used in the delivery room often is not standardized, important communications
  19. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-6.html
    February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Future Directions and Research Priorities Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments …
  20. digital.ahrq.gov/technology/hardware
    January 01, 2023 - Hardware IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) – Final Report Citation Sun C. IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) – Final Report. (Prepared by Hunter College under Grant No. R03…