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  1. psnet.ahrq.gov/issue/sorry-works
    November 15, 2024 - Multi-use Website Sorry Works! Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 Sorry Works! supports a full-disclosure approach to medical errors. They encourage…
  2. www.ahrq.gov/nursing-home/materials/leadership/index.html
    June 01, 2022 - Leadership, Management, and Quality Improvement Nursing home administrators and others may benefit from the following specific resources that address leadership and quality improvement. Leadership and Management Leading By Example Learning Module This learning module offers ideas to help boost mora…
  3. www.ahrq.gov/nursing-home/learning-modules/support.html
    December 01, 2022 - Emotional and Organizational Support for Staff series This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, and practice open communication. Module 1: Identifying & Overcoming Anxiety We all experience st…
  4. www.ahrq.gov/topics/transitions-care.html
    Transitions of Care AHRQ's tools and research to ensure safe and seamless transitions of patients from one care setting to another, reducing preventable adverse events, drug-related errors, and other problems.  Tools TeamSTEPPS  Module on Communication Toolkit to Engage High-Risk P…
  5. effectivehealthcare.ahrq.gov/sites/default/files/communicating_risk_media_wilkes.ppt
    April 01, 2006 - THIS IS OUR TEACHER! Communicating the Harms and Benefits of Medical Treatments: a look from both sides of the aisle… Prepared by michael wilkes and richard kravitz We learn about medicine through the media Press coverage is too often inaccurate, superficial, or sensationalized. Some of the most import…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60746/psn-pdf
    July 29, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy July 29, 2020 Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy The Case A 28-year-old woman arrived at the Emergency Department (ED) complaining o…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49802/psn-pdf
    August 01, 2017 - Add-on Case and the Missing Checklist August 1, 2017 Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist The Case A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic data and ima…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61080/psn-pdf
    October 28, 2020 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. October 28, 2020 DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33630/psn-pdf
    March 01, 2006 - Team Training: Classroom Training vs. High-Fidelity Simulation March 1, 2006 Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulation. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation Point–Counterpoint Editor's Note…
  10. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Partnering With a Senior Executive Long-Term Care Slide Title and Commentary Slide Number and Slide Partnering With a Senior Executive Long-Term Care SAY: Thank you for joining us. This presentation is titled “Partnering With a Senior Executive.” This is our f…
  11. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
    June 02, 2025 - TeamSTEPPS Learning Benchmarks TeamSTEPPS Learning Benchmarks Instructions: These questions focus on medical teamwork and communication and their effect on quality and safety in patient care. For each of the following questions, please circle the letter next to the one best answer. 1. A nurse is called t…
  12. psnet.ahrq.gov/primer/electronic-health-records
    March 15, 2025 - Electronic Health Records Citation Text: Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  13. psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
    June 16, 2021 - Looking for Meds in All the Wrong Places Citation Text: Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…
  14. cdsic.ahrq.gov/sites/default/files/2025-09/Final%20508_Measuring%20Patient%20Experience%20of%20PC%20CDS_0.pdf
    January 01, 2025 - Measuring Patient Experience of Patient-Centered Clinical Decision Support Stakeholder Center: Measuring Patient Experience of Patient-Centered Clinical Decision Support Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No: 75Q80120D00018 Prepared by: M…
  15. psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
    March 19, 2019 - Study How surgical trainees handle catastrophic errors: a qualitative study. Citation Text: Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. Copy Citation Fo…
  16. psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
    December 31, 2014 - Study Physicians and electronic health records: a statewide survey. Citation Text: Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. Copy Citation Format: Google Scholar PubMed BibTeX …
  17. psnet.ahrq.gov/issue/safeguarding-patients-complexity-science-high-reliability-organizations-and-implications-team
    March 31, 2021 - Commentary Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. Citation Text: McKeon LM, Oswaks JD, Cunningham PD. Safeguarding patients: complexity science, high reliability organizations, and implications for te…
  18. psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…
  19. psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
    March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…
  20. psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
    June 12, 2013 - Study Improving teamwork on general medical units: when teams do not work face-to-face. Citation Text: McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. Copy Ci…