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psnet.ahrq.gov/node/47902/psn-pdf
April 24, 2019 - Recommendations from a national panel on quality
improvement in obstetrics.
April 24, 2019
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality
Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to
Prevent Harm.
November 15, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
The National Patient Safety Foundation issued these guidelines for improving root cause a…
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance
Performance and Patient Safety.
July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of
Defense.
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
Effective teamwo…
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psnet.ahrq.gov/node/43496/psn-pdf
November 01, 2016 - Designing and Delivering Whole-Person Transitional
Care: Hospital Guide to Reducing Medicaid
Readmissions.
November 1, 2016
Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2016. AHRQ Publication No. 16-0047-EF.
https://psnet.ahrq.gov/issue/designing-…
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psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
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psnet.ahrq.gov/node/47637/psn-pdf
January 16, 2019 - Case-based simulation empowering pediatric residents to
communicate about diagnostic uncertainty.
January 16, 2019
Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to
communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4):243-248. doi:10.1515/dx-2018-
…
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psnet.ahrq.gov/node/837502/psn-pdf
June 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial.
June 22, 2022
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022-
00311…
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psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
February 04, 2025 - Multi-use Website
Center for Consumer Health Care Information Patient Safety Center.
Save
Save to your library
Print
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Share
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March 6, 2005
The Center's efforts for pati…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/836985/psn-pdf
April 27, 2022 - Standardized assessment of medication reconciliation in
post-acute care.
April 27, 2022
Fischer SH, Shih RA, McMullen TL, et al. Standardized assessment of medication reconciliation in post?
acute care. J Am Geriatr Soc. 2022;70(4):1047-1056. doi:10.1111/jgs.17655.
https://psnet.ahrq.gov/issue/standardized-assessm…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/851458/psn-pdf
July 19, 2023 - Improving handoffs in the perioperative environment: a
conceptual framework of key theories, system factors,
methods, and core interventions to ensure success.
July 19, 2023
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a
conceptual framework of key theories, syste…
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psnet.ahrq.gov/node/849330/psn-pdf
May 24, 2023 - Using sociotechnical theory to understand medication
safety work in primary care and prescribers' use of
clinical decision support: a qualitative study.
May 24, 2023
Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in
primary care and prescribers’ use of clin…
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psnet.ahrq.gov/node/73317/psn-pdf
May 26, 2021 - Clinical and economic impacts of explicit tools detecting
prescribing errors: a systematic review.
May 26, 2021
Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing
errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408.
ht…
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psnet.ahrq.gov/node/60184/psn-pdf
April 01, 2020 - Patient perspectives on the use of artificial intelligence
for skin cancer screening: a qualitative study.
April 1, 2020
Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for
skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156(5):501-512.
doi:1…
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psnet.ahrq.gov/node/73443/psn-pdf
June 30, 2021 - Impact of technological and departmental changes on
incident rates in radiation oncology over a seventeen-year
period.
June 30, 2021
Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates
in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/47250/psn-pdf
September 26, 2018 - Hospital-acquired infections under pay-for-performance
systems: an administrative perspective on management
and change.
September 26, 2018
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an
Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
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psnet.ahrq.gov/node/40025/psn-pdf
December 21, 2014 - Evaluating an evidence-based bundle for preventing
surgical site infection.
December 21, 2014
Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical
site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.2010.249.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/73865/psn-pdf
September 22, 2021 - Second victims among baccalaureate nursing students in
the aftermath of a patient safety incident: an exploratory
cross-sectional study.
September 22, 2021
Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in
the aftermath of a patient safety incident: an explorato…