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psnet.ahrq.gov/node/42756/psn-pdf
November 20, 2013 - Removing the "me" from "MD."
November 20, 2013
Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722.
https://psnet.ahrq.gov/issue/removing-me-md
Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the
importance of interprofessional commu…
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psnet.ahrq.gov/node/36010/psn-pdf
January 02, 2017 - Operating room briefings: working on the same page.
January 2, 2017
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt
Comm J Qual Patient Saf. 2006;32(6):351-5.
https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
The authors describe a tool fo…
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psnet.ahrq.gov/node/42112/psn-pdf
March 13, 2013 - Anger management courses are a new tool for dealing
with out-of-control doctors.
March 13, 2013
Boodman SG. Washington Post. March 4, 2013.
https://psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors
This newspaper article reports on how anger management courses can address phy…
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psnet.ahrq.gov/node/41198/psn-pdf
March 07, 2012 - A handoff is not a telegram: an understanding of the
patient is co-constructed.
March 7, 2012
Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-
constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536.
https://psnet.ahrq.gov/issue/handoff-not-telegram-under…
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psnet.ahrq.gov/training-catalog/care-forum
July 07, 2025 - CARe Forum
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Organization:
Organization
Betsy Lehman Center for Patient Safety
Event Description: The annual CARe Forum is…
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www.ahrq.gov/nursing-home/resources/emotional-organizational-support.html
August 01, 2022 - Emotional and Organizational Support for Staff Learning Module Series
Resource: Emotional and Organizational Support for Staff Learning Module Series
This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, a…
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www.ahrq.gov/patient-safety/reports/issue-briefs/healthit-ed-figure1.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Figure 1. Potential applications of health technology and patient engagement in the ED diagnostic process
Previous Page Next Page
Table of Contents
Health Information Technology for Engaging Pa…
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psnet.ahrq.gov/node/38370/psn-pdf
August 22, 2009 - Monitoring for medication errors in outpatient settings.
August 22, 2009
Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J
Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487.
https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…
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psnet.ahrq.gov/node/39130/psn-pdf
November 25, 2009 - Deaths in Acute Hospitals: Caring to the End?
November 25, 2009
Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome
and Death; November 2009. ISBN: 9780956088222.
https://psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
This United Kingdom report analyzed m…
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digital.ahrq.gov/sites/default/files/docs/citation/europe-e-prescribing-report.pdf
February 01, 2011 - budget was drastically reduced, and as a consequence, the LHV no longer participates
in information and communications … said to be eased by “speaking a common language.”
16
– Improved communications … e-prescribing connectivity to
established networks
Establish bidirectional interfaces to support communications
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www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
Title Page
Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
PI: Elizabeth Schoenfeld, MD, MS
Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
January 01, 2022 - 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook
THE CAHPS DATABASES
CAHPS Health Plan Survey Database
2022 Medicaid and
Children's Health Insurance
Program (CHIP) Chartbook
What Enrollees Say About Their Experiences With Their
Health Plans and Medical Care
CAHPS Health Plan Survey Database …
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Final Report
APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Principal Investigator: Wilson D. Pace, MD*
Key Personnel: David West, PhD *
Deborah S. Main, PhD*
John Westfall, MD*
Daniel Harris, PhD**
Organizational Aff…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
February 01, 2020 - is important to support the
effectiveness of this provider-family relationship through thoughtful communications … Alerts could also be established to prompt communications with
parents pertaining to overweight status
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psnet.ahrq.gov/node/42225/psn-pdf
April 24, 2013 - Brigham and Women's airing medical mistakes.
April 24, 2013
Kowalczyk L.
https://psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes
This newspaper article describes how one hospital has fostered open communication about medical errors
through a monthly newsletter that recounts mistakes in an effort to…
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psnet.ahrq.gov/node/37190/psn-pdf
October 07, 2011 - Medical errors arising from outsourcing laboratory and
radiology services.
October 7, 2011
Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services.
Am J Med. 2007;120(9):819.e9-11.
https://psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radi…
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psnet.ahrq.gov/node/46852/psn-pdf
March 07, 2018 - NHS Resolution.
March 7, 2018
NHS Resolution.
https://psnet.ahrq.gov/issue/nhs-resolution
The National Health Service (NHS) is a global leader in patient safety improvement. This website
coalesces information and activities generated by three NHS improvement efforts: patient compensation,
performance assessment, …
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psnet.ahrq.gov/node/38321/psn-pdf
June 17, 2014 - No bad apples.
June 17, 2014
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
https://psnet.ahrq.gov/issue/no-bad-apples
This article provides context on a recent study and Joint Commission alert regarding how disruptive
behavior may affect patient safety and describes steps hospitals ca…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/33894/psn-pdf
April 11, 2011 - Prevention of medication errors in the pediatric inpatient
setting.
April 11, 2011
Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics
Committee on Hospital Care. Pediatrics. 2003;112(2):431-436.
https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpat…