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psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
May 20, 2019 - Study
Ensuring safe practice by late career physicians: institutional policies and implementation experiences.
Citation Text:
White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…
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psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
April 12, 2019 - Study
The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome.
Citation Text:
Weiner E, Bar J, Fainstein N, et al. The effect of a program to shorten the decision-to-delivery interval for emergent cesarean sectio…
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psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - Study
Debrief it all: a tool for inclusion of Safety-II.
Citation Text:
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
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psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
October 25, 2017 - Study
Exploring care left undone in pediatric nursing.
Citation Text:
Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044.
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psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
September 23, 2020 - Commentary
Time to take hearing loss seriously.
Citation Text:
Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003.
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
April 25, 2018 - Review
Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies.
Citation Text:
Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …
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digital.ahrq.gov/principal-investigator/lapane-kate
January 01, 2023 - Lapane, Kate
Appropriate prescribing in elderly people: how well can it be measured and optimised?
Citation
Spinewine A, Schmader KE, Barber N, et al. Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet 2007 Jul 14;370(9582):173-84. PMI…
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psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
December 16, 2020 - Study
Application of human factors methods to understand missed follow-up of abnormal test results.
Citation Text:
Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. do…
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
September 27, 2023 - Study
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Citation Text:
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…
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psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience
February 03, 2021 - Commentary
Classic
COVID-19: peer support and crisis communication strategies to promote institutional resilience.
Citation Text:
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Int…
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digital.ahrq.gov/care-setting/patient-home
January 01, 2023 - Patient Home
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Description
This research examines whether remote therapeutic monitoring can improve physica…
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digital.ahrq.gov/principal-investigator/cummins-mollie-rebecca
January 01, 2023 - Cummins, Mollie Rebecca
Legal aspects of information sharing and communication by poison centers in the United States.
Citation
McDonald A, Francis L, Crouch BI, Cummins M. Legal aspects of information sharing and communication by poison centers in the United States. Clin Toxi…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient as a Team Member in Clinical Care
Curated Library
Foundations
Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving
Patient Safety.
Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, F…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-269-respectful-maternity-care-summary.pdf
January 01, 2024 - Executive Summary_Comparative Effectiveness Review No. 269: Respectful Maternity Care
Comparative Effectiveness Review
Number 269
Respectful Maternity Care
Dissemination and Implementation of Perinatal Safety Culture
To Improve Equitable Maternal Healthcare Delivery and Outcomes
Executive Summary
…
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Improving Patient Safety Through Simulation Research: Funded Projects
Introduction
Simulation in health care creates a safe
learning environment that allows
researchers and practitioners to test new
clinical processes and enhance
individual and team skills before
encountering patients. Many simulation
applications in…
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - Workarounds and Resiliency on the Front Lines of Health
Care
August 1, 2009
Tucker AL. Workarounds and Resiliency on the Front Lines of Health Care. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
Perspective
Frontline health care providers are challen…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - SOPS Nursing Home Survey: What You Need To Know - Theresa Famolaro, MPS, MS, MBA
The SOPS Nursing Home Survey and
Database
Theresa Famolaro, MPS, MS, MBA
Senior Study Director and Database Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
Survey User’s Guide
• On the AHRQ SOPS W…
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
February 01, 2024 - Offering Two-Day Training Content
If you are teaching the Situation Monitoring Module as part of a two-day training, you should be able to perform all the activities noted below in around 60 minutes. Components to use in this section include:
Introductory Teamwork Exercise #2 : 8 minutes
Objectives and Int…