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3501. Error reduction through team leadership: applying aviation's CRM model in the OR. | PSNet
      psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
      September 25, 2013 - Commentary Error reduction through team leadership: applying aviation's CRM model in the OR. Citation Text: Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. Copy Citation Format: …

3502. Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. | PSNet
      psnet.ahrq.gov/issue/malpractice-liability-patient-safety-and-personification-medical-injury-opportunities
      February 03, 2011 - Commentary Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. Citation Text: Sage WM. Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. Acad Med. 200…

3503. Patient safety in surgery: non-technical aspects of safe surgical performance. | PSNet
      psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
      June 12, 2008 - Review Patient safety in surgery: non-technical aspects of safe surgical performance. Citation Text: Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4. Copy Citation Format: …

3504. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
      January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…

3505. Full disclosure and apology—an idea whose time has come. | PSNet
      psnet.ahrq.gov/issue/full-disclosure-and-apology-idea-whose-time-has-come
      November 02, 2014 - Newspaper/Magazine Article Full disclosure and apology—an idea whose time has come. Citation Text: Leape L. Full disclosure and apology--an idea whose time has come. Physician Exec. 2006;32(2):16-18. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

3506. Large-scale Coordination: Health Care. | PSNet
      psnet.ahrq.gov/issue/large-scale-coordination-health-care
      August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…

3507. Diagnostic Safety Toolkit. | PSNet
      psnet.ahrq.gov/issue/diagnostic-safety-toolkit
      December 05, 2024 - Toolkit Diagnostic Safety Toolkit. Citation Text: Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

3508. Public Health Notification from FDA: Vail Products Enclosed Bed Systems. | PSNet
      psnet.ahrq.gov/issue/public-health-notification-fda-vail-products-enclosed-bed-systems
      December 16, 2020 - Press Release/Announcement Public Health Notification from FDA: Vail Products Enclosed Bed Systems. Citation Text: Public Health Notification from FDA: Vail Products Enclosed Bed Systems. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; December 4, 2007. Copy …

3509. HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips0606.html
      October 01, 2014 - HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers Search All Impact Case Studies April 2006 HealthSouth, one of the nation's largest health care providers, implemented AHRQ's Hospital Survey on Patient Safety Culture in June 2005. Over 11,000 questionnaires were mailed to em…

3510. Electronic Patient Portals | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-2.html
      February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Electronic Patient Portals Previous Page Next Page Table of Contents Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments Introduction …

3511. What is Patient Experience and How Does CAHPS Measure It? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
      June 02, 2025 - What is Patient Experience and How Does CAHPS Measure It? WHAT IS PATIENT EXPERIENCE AND HOW DOES CAHPS MEASURE IT? Stephanie Fry Senior Study Director Westat 14 What is Patient Experience? Patient experience refers to what happened in a health care setting. It encompasses the range of interactions that pat…

3512. Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitator-roadmap.pdf
      February 01, 2022 - Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement This implementation roadmap provides an overview of the steps a course facilitator should follow for implementing the TeamSTEPPS® for Diagnosis Improvement Course and the …

3513. Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... | PSNet
      psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
      October 23, 2018 - Commentary Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... Citation Text: Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…

3514. The evolving story of overlapping surgery. | PSNet
      psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
      April 19, 2016 - Commentary The evolving story of overlapping surgery. Citation Text: Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

3515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38411/psn-pdf
      December 16, 2014 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. December 16, 2014 Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. https://psnet.ahrq.gov/issue/reengine…

3516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46995/psn-pdf
      January 01, 2021 - Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. April 18, 2018 Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and Advanced Practice …

3517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48095/psn-pdf
      June 26, 2019 - Exposure to incivility hinders clinical performance in a simulated operative crisis. June 26, 2019 Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598. https://psnet.ahrq.gov/issue/ex…

3518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40092/psn-pdf
      December 22, 2010 - The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010 Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. Chest. 2010;138(6):14…

3519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45319/psn-pdf
      September 01, 2018 - Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. September 1, 2018 Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648. https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability Medical liability refor…

3520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40393/psn-pdf
      December 21, 2014 - Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. December 21, 2014 O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Med. 2011;171(7):678-684. doi:10.1001/archinternmed.2011.128. http…