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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. …
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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.
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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.…
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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…
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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.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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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.…
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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.
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DOI Google Scholar BibTeX E…
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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.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downlo…
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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.
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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
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Issue Brief 10
Reinforcing the Va…
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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…
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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…
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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…
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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.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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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 …
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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 …
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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…
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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
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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
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Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
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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…