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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet4.html
October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 4. Evaluation Design
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Table of Contents
Hispanic Diabetes Disparities Learning Network in Community Health Centers
Chapter 1. Introduction
Chapter 2. Project Description
Chapter 3. Structu…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
January 01, 2020 - This project was grounded in the concept of sensemaking, and the idea that
understanding clinical sensemaking
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Maternal Safety
Curated Library
Foundations
Maternal Safety
Marla Shauer, PhD(c), MSN, CNM; Amy Nichols, EdD, RN, CNS, CHSE, ANEF; Audrey Lyndon, RN,
PhD, FAAN | January, 31 2024
Pregnancy, childbirth, and the postpartum year present a comp…
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Breadcrumb
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Patient as a Team Member in Clinical Care
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Created By: Lorri Zipperer, Cybraria…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
About the Measure
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Table of Contents
Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit
Introduction
Overview
About the Me…
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-35-asthma-self-management-comments.pdf
April 27, 2020 - Disposition of Comments for Technical Brief 35: Asthma Self-Management Education Packages
Technical Brief Disposition of Comments Report
Research Review Title: Characteristics of Existing Asthma Self-Management
Education Packages
Draft report available for public comment from November 26, 2019, …
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digital.ahrq.gov/snomed-ct
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Team Training: Classroom Training vs. High-Fidelity Simulation
Stephen D. Pratt, MD and Benjamin P. Sachs, MB | March 1, 2006
View more articles from the same authors.
Citation Text:
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulatio…
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psnet.ahrq.gov/node/42864/psn-pdf
January 15, 2014 - A unified model of patient safety (or "Who froze my
cheese?").
January 15, 2014
Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ.
2013;347:f7273. doi:10.1136/bmj.f7273.
https://psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
This comment…
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psnet.ahrq.gov/node/43376/psn-pdf
January 16, 2017 - Resilience and resilience engineering in health care.
January 16, 2017
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J
Qual Patient Saf. 2014;40(8):376-383.
https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
Resilience is a charac…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022728-zhou-final-report-2018.pdf
January 01, 2018 - Concept coverage also was assessed for these
two terminologies.
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psnet.ahrq.gov/node/842779/psn-pdf
January 12, 2011 - Resilience Engineering in Practice: a Guidebook.
January 12, 2011
Hollnagel E, Parie?s J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN:
9781472420749
https://psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
Safety-critical industries rely on organizational aptitude to respond to disr…
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed.
August 4, 2009
Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880.
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-
2nd-ed
Effec…
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psnet.ahrq.gov/node/46564/psn-pdf
December 06, 2017 - Can the aviation industry be useful in teaching oncology
about safety?
December 6, 2017
Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol
(R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007.
https://psnet.ahrq.gov/issue/can-aviation-industry-be…
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - Human error: models and management.
April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach with a system approach in
understanding the diff…
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psnet.ahrq.gov/node/44795/psn-pdf
June 29, 2016 - Human factors in healthcare: welcome progress, but still
scratching the surface.
June 29, 2016
Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface.
BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074.
https://psnet.ahrq.gov/issue/human-factors-healthca…
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Managing the Risks of Organizational Accidents.
March 28, 2005
Reason JT. Aldershot, Hants, England: Ashgate: 1997. ISBN: 9781840141047
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
Written 7 years after the publication of Human Error, this book demonstrates Reason's thinking at its finest
a…
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psnet.ahrq.gov/node/36559/psn-pdf
July 14, 2010 - Description and evaluation of an interprofessional patient
safety course for health professions and related sciences
students.
July 14, 2010
Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety
Course for Health Professions and Related Sciences Students. J Patie…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - Unintended Consequences: New Problems and New
Solutions.
July 11, 2017
Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
Unexpected effects associated with implementation and use of health information technolo…