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psnet.ahrq.gov/node/72663/psn-pdf
January 20, 2021 - Nursing home residents with dementia: association
between place of death and patient safety culture.
January 20, 2021
Orth J, Li Y, Simning A, et al. Nursing Home Residents With Dementia: Association Between Place of
Death and Patient Safety Culture. Gerontologist. 2021;61(8):1296-1306. doi:10.1093/geront/gnaa188.
…
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psnet.ahrq.gov/node/41322/psn-pdf
November 27, 2012 - Errors of medical interpretation and their potential clinical
consequences: a comparison of professional versus ad
hoc versus no interpreters.
November 27, 2012
Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical
consequences: a comparison of professional versus ad ho…
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psnet.ahrq.gov/node/837598/psn-pdf
June 29, 2022 - Visitor behaviors can influence the risk of patient harm:
an analysis of patient safety reports from 92 hospitals.
June 29, 2022
Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of
patient safety reports from 92 hospitals. Patient Safety. 2022;4(2):70-79. doi:10.3…
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psnet.ahrq.gov/node/46939/psn-pdf
July 23, 2018 - Underdiagnosis of dementia: an observational study of
patterns in diagnosis and awareness in US older adults.
July 23, 2018
Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in
Diagnosis and Awareness in US Older Adults. J Gen Intern Med. 2018;33(7):1131-1138.
doi:…
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psnet.ahrq.gov/node/45726/psn-pdf
December 14, 2016 - National Cancer Institute–American Society of Clinical
Oncology Teams in Cancer Care Project.
December 14, 2016
J Oncol Pract. 2016;12(11):955-1194.
https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer-
care-project
Team-based care has been adopted in various spec…
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psnet.ahrq.gov/node/38579/psn-pdf
February 18, 2011 - Transitions of Care Consensus Policy Statement
American College of Physicians-Society of General
Internal Medicine-Society of Hospital Medicine-American
Geriatrics Society-American College of Emergency
Physicians-Society of Academic Emergency Medicine.
February 18, 2011
Snow V, Beck D, Budnitz T, et al. Transitio…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-listening-voice-of-patient-webcast-intro.pdf
May 08, 2024 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Introduction
Listening to the Voice of the Patient:
Using Multiple Feedback Methods to Complement
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) Survey Data
A Webinar Presented by the…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/common-cold.html
September 01, 2022 - The "Never Antibiotics" Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold
After viewing or presenting this presentation, viewers will be able to—
Describe how to diagnose a viral upper respiratory infection, also known as the common cold.
Explain why antibiotic therapy is not useful …
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integrationacademy.ahrq.gov/sites/default/files/2020-07/mac_baird.docx
January 01, 2020 - Importance of a Solid Collaborative Care Team in Primary Care Clinics - Part 1
Mac Baird Transcript AHRQ Academy Video
Providers seek integrated care services and teammates once they begin to experience the results of that type of integrated service. So when they first start out after training they might have no idea …
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www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
February 01, 2025 - Hospitals and Health Systems
Tools and resources for Hospitals, Long-term Care Facilities, and Primary Care Facilities
Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Communication and O…
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digital.ahrq.gov/funding-mechanism/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional
January 01, 2023 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01)
The Role of Telehealth in COVID-19 Response
Description
This research, using data from the country’s largest telehealth provider and claims from a large commercial…
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psnet.ahrq.gov/node/867759/psn-pdf
March 12, 2025 - Intrahospital patient transport: checklists, adverse
events, and other considerations for the anesthesia
professional.
March 12, 2025
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other
considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26.
ht…
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psnet.ahrq.gov/node/47746/psn-pdf
July 19, 2019 - Characterising ICU–ward handoffs at three academic
medical centres: process and perceptions.
July 19, 2019
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical
centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328.
https://psn…
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psnet.ahrq.gov/node/837307/psn-pdf
June 01, 2022 - Adverse event reviews in healthcare: what matters to
patients and their family? A qualitative study exploring
the perspective of patients and family.
June 1, 2022
McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients
and their family? A qualitative study exploring th…
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psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
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psnet.ahrq.gov/node/73135/psn-pdf
April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II.
April 14, 2021
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul
(Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
Debriefing is a c…
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www.ahrq.gov/talkingquality/explain/communicate/story.html
November 01, 2018 - Tell a Story To Engage People in a Health Care Quality Report
If possible, your “front” page can also include a brief vignette that highlights one of the key messages you are trying to get across in more human and concrete terms. A story is an effective way to engage your readers emotionally and mentally.
Her…
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psnet.ahrq.gov/node/853073/psn-pdf
August 30, 2023 - Mind the power gap: how hierarchical leadership in
healthcare is a risk to patient safety.
August 30, 2023
Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child
Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197.
https://psnet.ahrq.gov/issue/mind-…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools
January 01, 2023 - All Workflow Tools
Although there are many different tools you can use to collect and analyze workflow information, appropriate use of the following tools will help you better understand current workflows, modify those workflows, or design new workflows that will make it eas…
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psnet.ahrq.gov/node/846150/psn-pdf
March 15, 2023 - Patient and health care professional perspectives on
stigma in integrated behavioral health: barriers and
recommendations.
March 15, 2023
Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in
integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…