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3581. 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: …

3582. 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…

3583. 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: …

3584. 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…

3585. 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 …

3586. 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…

3587. 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…

3588. 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…

3589. 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…

3590. 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…

3591. 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 …

3592. 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 …

3593. 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…

3594. 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 …

3595. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet
      psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
      May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

3596. There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. | PSNet
      psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
      December 19, 2014 - Commentary There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Citation Text: Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…

3597. Dual Therapy Debacle | PSNet
      psnet.ahrq.gov/web-mm/dual-therapy-debacle
      February 01, 2007 - Dual Therapy Debacle Citation Text: Kayser SR. Dual Therapy Debacle. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

3598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - An Untimely End Despite End-of-Life Care Planning August 1, 2018 Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning The Case A 76-year-old man was admitted to the intensive care unit (…

3599. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - project final report targeted two important processes of patient care: infection control practices and communications … structure was based on the following functional areas: • content development and dissemination • communications

3600. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
      January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training Virtual Healthcare Environments Versus Traditional Interactive Team Training Principal Investigator: Jeffrey M. Taekman, MD Investigative Team: Noa Segall, PhD David Turner, MD Gene Hobbs, CHT Cheryl Jacobs Barb…