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4601. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44663/psn-pdf
      September 27, 2016 - Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. September 27, 2016 Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. J Hosp Med. 2016;11(9):620-…

4602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47041/psn-pdf
      June 27, 2018 - Medicare takes aim at boomerang hospitalizations of nursing home patients. June 27, 2018 Rau J. Kaiser Health News. June 13, 2018. https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients Safety problems are common in nursing homes due to challenges such as poor safety cultu…

4603. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45815/psn-pdf
      January 25, 2017 - Handoffs: transitions of care for children in the emergency department. January 25, 2017 American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee. Pediatrics. 2016;138:…

4604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73870/psn-pdf
      September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. September 22, 2021 Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49. doi:10.1016…

4605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43744/psn-pdf
      December 03, 2014 - Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. December 3, 2014 Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way to improve handoff communication…

4606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45031/psn-pdf
      February 18, 2017 - Information transfer in multidisciplinary operating room teams: a simulation-based observational study. February 18, 2017 Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation- based observational study. BMJ Qual Saf. 2017;26(3):209-216. doi:10.1136/bmjqs-2015-00…

4607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43065/psn-pdf
      April 09, 2014 - Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. April 9, 2014 van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. A…

4608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73092/psn-pdf
      March 31, 2021 - SAFER Care: improving caregiver comprehension of discharge instructions. March 31, 2021 Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. https://psnet.ahrq.gov/issue/safer-care-improving-careg…

4609. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47975/psn-pdf
      May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…

4610. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41206/psn-pdf
      March 14, 2012 - SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. March 14, 2012 Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.…

4611. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50569/psn-pdf
      October 23, 2019 - Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. October 23, 2019 Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585. d…

4612. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844781/psn-pdf
      September 11, 2019 - Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. September 11, 2019 Botros S, Dunn J. Implementation and spread of a simple and effective way to improve the accuracy of medicine…

4613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60985/psn-pdf
      October 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. October 7, 2020 Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patient Saf. 2020;46(12):715-714. doi:10.1…

4614. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44373/psn-pdf
      August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. August 12, 2015 Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188. https://psnet.ahrq.gov/issue/healthcare-utilizing-del…

4615. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47990/psn-pdf
      June 18, 2019 - The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. June 18, 2019 Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department to Admitting Floor Communication.…

4616. TeamSTEPPS Research/Evidence Base: Nursing | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/nursing.html
      June 01, 2023 - TeamSTEPPS Research/Evidence Base: Nursing Creating a safe health care culture: Teaching communication skills and strategies. Nurse Educ . 2018;43(5):241. Epub 2018/08/24. doi: 10.1097/NNE.0000000000000522. PMID: 30138225. Fukuta D, Iitsuka M. Nontechnical skills training and patient safety in undergraduate …

4617. 2017 CAHPS Clinician & Group Survey Database Chartbook Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2017_cg_cahps_chartbook_execsummary.pdf
      January 01, 2017 - 2017 CAHPS Clinician & Group Survey Database Chartbook Executive Summary cahps® 2017 Clinician & Group Survey Database EXECUTIVE SUMMARY How patients from medical practices reported 5 measures of patient experience based on the 2017 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and…

4618. Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
      August 09, 2013 - Electronic communications can enhance and extend the personal connections patients have with their doc

4619. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - Surgeons on the Surgical Safety Team Identify surgeon leaders Explain this role Formalize plan for communications

4620. Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs021005-sorondo-final-report-2015.pdf
      January 01, 2015 - Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease - Final Report TITLE PAGE Title of Project: Evaluating the Effectiveness of an HIT Self-­‐Management Program for Chronic Disease Patients Principal Investigator and Team Members: PI: Barbara Sorondo,…