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psnet.ahrq.gov/node/42940/psn-pdf
February 12, 2014 - Medical disrespect.
February 12, 2014
Yurkiewicz I. Aeon Magazine. January 29, 2014.
https://psnet.ahrq.gov/issue/medical-disrespect
Disruptive behavior is a well-known and pervasive issue in health care. Describing disrespectful behaviors
that clinicians face, such as sarcasm and intimidation, this magazine artic…
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psnet.ahrq.gov/node/36931/psn-pdf
September 09, 2011 - Customer focused incident monitoring in anaesthesia.
September 9, 2011
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-
90.
https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
The authors studied anesthesia-related incident reports at o…
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psnet.ahrq.gov/node/36421/psn-pdf
August 05, 2008 - What pilots can teach hospitals about patient safety.
August 5, 2008
Murphy K
https://psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
This article discusses lessons the airline industry has learned about communication, teamwork, and error
reporting and how they might be applicable to heal…
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digital.ahrq.gov/principal-investigator/bruni-sylvain
January 01, 2023 - Bruni, Sylvain
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that supp…
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www.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
July 01, 2023 - Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams
YouTube embedded video: https://www.youtube-nocookie.com/embed/ekX289e3-Uo
TeamSTEPPS: Check-Back in Inpatient Surgical Teams (15 seconds)
Checking to ensure medication instructions are described—and heard—correctly is an important saf…
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www.ahrq.gov/teamstepps-program/resources/additional/cus.html
July 01, 2023 - TeamSTEPPS Video: CUS in Labor and Delivery
YouTube embedded video: https://www.youtube-nocookie.com/embed/LvO-4qM_aig
TeamSTEPPS: CUS in Labor & Delivery (10 seconds)
CUS stands for C oncerned, U ncomfortable, and S afety issue. These words can be used in health care settings to draw attention—and a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/cus-tool.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
CUS Tool
As seen in TeamSTEPPS®
1AHRQ Pub. No. 16(17)-0019-02-EF
May 2017
[GRAB YOUR READER’S ATTENTION WITH A GREAT QUOTE FROM THE DOCUMENT OR USE THIS SPACE TO EMPHASI…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - PowerPoint Presentation
Spotlight
Pitfalls in Diagnosing Necrotizing Fasciitis
This presentation is based on the July/August 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Terence Goh, MBBS, Department of Plastic Surgery, Singapore General Hos…
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - In Conversation with... Christie Allen about Maternal
Safety and Perinatal Mental Health
March 28, 2023
In Conversation with.. Christie Allen about Maternal Safety and Perinatal Mental Health. PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal…
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs021925-pratt-final-report-2013.pdf
January 01, 2013 - Workshop on Interactive Systems in Healthcare (WISH) 2012 - Final Report
Small Grant Program for Conference Support (R13)
AHRQ Grant Final Progress Report
Title of Project: Workshop on Interactive Systems in Healthcare (WISH) 2012
Principal Investigator: Wanda Pratt, PhD …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
425
Systemwide Deployment of Medical
Team Training: Lessons Learned
in the Department of Defense
Heidi B. King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change. Teamw…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting: Training
the Next Generation of Physicians
Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne
Abstract
Physician reporting of adverse events and unsafe situations remains extremely
low, despite the increa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD
April 1, 2019
Citation Text:
In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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digital.ahrq.gov/sites/default/files/docs/page/Zimmerman.ppt
June 09, 2005 - No Slide Title
AHRQ Annual Meeting
June 9, 2005
3 U’s of Rhode Island’s Health Information Exchange: Useful, Usable and Used
Presented by
Amy Zimmerman, MPH
Rhode Island Department of Health
RI HIT Project Manager
HLN Consulting, LLC
Health Care Landscape in RI
2 State Agencies with major health responsibi…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-report.pdf
June 02, 2025 - Practice Progress Notes Template
1
Practice Progress Notes Template
Practice Contact Information
Practice ID:
Practice Name:
Date of Contact:
Support Type:
Support Provider:
Support Type Options
☐ Admin/paperwork
☐ Practice observation
☐ Academic detailing
☐ Quality feedback…
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psnet.ahrq.gov/node/33799/psn-pdf
January 01, 2015 - Burnout Among Health Professionals and Its Effect on
Patient Safety
January 1, 2015
Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
Annual Perspective 2015
Bur…
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - Advancing Health Information Exchange During Inter-Hospital Transfer to Improve Patient Outcomes
Project Description
Publications
Research Story
An enhanced health information exchange platform that improves workflow, interoperability, and visualization of data for …
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www.ahrq.gov/talkingquality/plan/partners/index.html
May 01, 2019 - Who Could Partner in a Health Care Quality Reporting Project?
In many cases, a quality reporting project is more effective when multiple organizations come together to make decisions, tackle the logistics, and combine money, talent, and other resources. This page discusses the benefits and challenges of collabo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4f
Selected Best Practices and Suggestions for Improvement
PSI 09: Postoperative Hemorrhage or Hematoma
Why Focus on Postoperative Hemorrhage and Hemat…