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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37736/psn-pdf
    April 30, 2008 - Causes of near misses in critical care of neonates and children. April 30, 2008 Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x. https://psnet.ahrq.gov/issue/causes-near-misses-critical-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39588/psn-pdf
    December 04, 2016 - Reporting adverse events to patients: a step-by-step approach. December 4, 2016 Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. https://psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach This article discu…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38344/psn-pdf
    January 21, 2009 - The error of omission: a simple checklist approach for improving operating room safety. January 21, 2009 Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f. https://psnet.ahrq.go…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39390/psn-pdf
    March 23, 2011 - Teamwork behaviours and errors during neonatal resuscitation. March 23, 2011 Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. https://psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-d…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40114/psn-pdf
    December 21, 2014 - A human factors curriculum for surgical clerkship students. December 21, 2014 Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg. 2010;145(12):1151-7. doi:10.1001/archsurg.2010.252. https://psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-stud…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37028/psn-pdf
    April 11, 2009 - Multidisciplinary crisis simulations: the way forward for training surgical teams. April 11, 2009 Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. https://psnet.ahrq.gov/issue/multidisciplinary-crisis-simul…

  7. Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/best-mental-health.html
    June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…

  8. TeamSTEPPS Research/Evidence Base: Reproductive Health | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/reproductive.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Reproductive Health Dodge LE, Nippita S, Hacker MR, Intondi EM, Ozcelik G, Paul ME. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;38(4):44-54. Epub 2018/09/14. doi: 10.1002/jhrm.…

  9. Topics A-Z | Digital Healthcare Research

    digital.ahrq.gov/topics-az/p
    January 01, 2023 - Topics A-Z A B C D E G H I K L M N P Q R S T U V W Patient Education Patient Engagement Patient Portal Patient Safety Patient-Centered Care …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865490/psn-pdf
    January 01, 2002 - Safe operation as a social construct. January 1, 1999 Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884. https://psnet.ahrq.gov/issue/safe-operation-social-construct High reliability organizations (HRO) are organizations that operate in complex high-ha…

  11. Toolkit Pillars | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules.html
    July 01, 2023 - Toolkit Pillars Toolkit for Improving Perinatal Safety Each pillar contains PowerPoint slide sets, accompanying facilitator guides, and tools to support change at the unit level. Teamwork and Communication for Perinatal Safety This pillar presents six concepts of the Comprehensive Unit-based Safety Progra…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39281/psn-pdf
    March 05, 2010 - Health Care Leader Action Guide to Reduce Avoidable Readmissions. March 5, 2010 Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010. https://psnet.ahrq.gov/issue/health-care-leader-action-gui…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72558/psn-pdf
    December 09, 2020 - Escape Room. December 9, 2020 Harrisburg, PA: Pennsylvania Safety Authority; 2020. https://psnet.ahrq.gov/issue/escape-room Time pressure can negatively impact critical thinking, information gathering, and communication abilities. This tool builds teamwork and decision-making skills by testing participants as they…

  14. 2023 CAHPS Health Plan Survey Database Chartbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-hp-chartbook.pdf
    January 01, 2023 - 2023 CAHPS Health Plan Survey Database Chartbook The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey Database 2023 Medicaid and Children’s Health Insurance Program (CHIP) Chartbook What Enrollees Say About Their Experiences With Their Health Plans and Medical Care Authors…

  15. CERs Report cover (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/future05-breastcancer-10-5-2010final.pdf
    September 01, 2010 - CERs Report cover Future Research Needs Paper Number 5 Future Research Needs To Reduce the Risk of Primary Breast Cancer in Women This report is based on research conducted by the Oregon Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockv…

  16. Impact of electronic prescribing on medication use in ambulatory care. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/citation/impact
    January 01, 2023 - Impact of electronic prescribing on medication use in ambulatory care. Citation Bergeron AR, Webb JR, Serper M, et al. Impact of electronic prescribing on medication use in ambulatory care. Am J Manag Care 2013 Dec;19(12):1012-7. PMID: 24512036. Link https://www.ncbi.nlm.nih.gov/pubmed/2451203…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35230/psn-pdf
    January 02, 2017 - A morning briefing: setting the stage for a clinically and operationally good day. January 2, 2017 Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9. https://psnet.ahrq.gov/issue/morning-briefi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43674/psn-pdf
    November 12, 2014 - Living with cancer: not talking about medical mistakes. November 12, 2014 Gubar S. https://psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33982/psn-pdf
    December 22, 2008 - Patient safety: it's not just carefulness, it's a culture. December 22, 2008 Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211- 212. doi:10.1097/00129234-200409000-00001. https://psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture This e…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37786/psn-pdf
    March 23, 2011 - A theoretical framework and competency-based approach to improving handoffs. March 23, 2011 Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.018952. https://psnet.ahrq.gov/issue/theoret…
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