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4381. Nurses' perceptions of multidisciplinary team work in acute health-care. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
      January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…

4382. Laura Levis' death outside ER has changed hospital signage, lighting in Mass. | PSNet
      psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
      May 05, 2021 - Newspaper/Magazine Article Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Citation Text: Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Mullins L, Menard F. WBUR. April 27, 2023. Copy Citation Save Sa…

4383. Medication safety: look-alike/sound-alike drugs in home care. | PSNet
      psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
      February 03, 2021 - Commentary Medication safety: look-alike/sound-alike drugs in home care. Citation Text: Friedman MMG. Medication safety: look-alike/sound-alike drugs in home care. Home Healthc Nurse. 2005;23(4):243-253. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

4384. Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. | PSNet
      psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review-paediatrics
      March 29, 2010 - Review Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. Citation Text: Launay E, Morfouace M, Deneux-Tharaux C, et al. Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. Arch Dis Child. 2014…

4385. AHRQ focuses on ambulatory patient safety. | PSNet
      psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
      January 31, 2024 - Commentary AHRQ focuses on ambulatory patient safety. Citation Text: Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

4386. Teaching and medical errors: primary care preceptors' views. | PSNet
      psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
      August 05, 2009 - Study Teaching and medical errors: primary care preceptors' views. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

4387. Job Aid: Process Mapping (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
      June 02, 2025 - Job Aid: Process Mapping Primary Care Practice Facilitator Training Series 1 Job Aid: Process Mapping Overview Process mapping, also called workflow mapping, allows a practice to "see" an entire work process from beginning to end. When to use process mapping Use process mapping to help a p…

4388. Viewing health care delivery as science: challenges, benefits, and policy implications. | PSNet
      psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
      May 24, 2012 - Commentary Viewing health care delivery as science: challenges, benefits, and policy implications. Citation Text: Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…

4389. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
      June 01, 2023 - Section 1: Overview of Key Concepts and Tools This section provides an overview of the key concepts and tools in the Communication Module. More explanations and illustrations are provided in section 2 of this module ; methods for teaching the concepts and tools for this module are in section 3 . Information a…

4390. Observing Patient Care Rounds | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
      December 01, 2012 - Observing Patient Care Rounds CUSP Toolkit Communication among disciplines can be improved if viewed through the eyes of an objective observer. Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…

4391. Normalization of deviance is contrary to the principles of high reliability. | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
      June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

4392. Omission of high-alert medications: a hidden danger. | PSNet
      psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
      January 11, 2017 - Newspaper/Magazine Article Omission of high-alert medications: a hidden danger. Citation Text: Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. Copy Citation Save Save to your libra…

4393. Lessons from the war on cancer: the need for basic research on safety. | PSNet
      psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
      July 14, 2010 - Commentary Lessons from the war on cancer: the need for basic research on safety. Citation Text: Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8 Copy Citation Save Save to your library Print Do…

4394. Plan for quality to improve patient safety at the point of care. | PSNet
      psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
      February 01, 2017 - Review Plan for quality to improve patient safety at the point of care. Citation Text: Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203. Copy Citation Format: DOI Google Scholar BibTeX End…

4395. National Quality Strategy Priority: Care Affordability | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs7.html
      October 01, 2015 - Chartbook for Hispanic Health Care National Quality Strategy Priority: Care Affordability Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Quality Strategy Prio…

4396. Dangerous deception--hiding the evidence of adverse drug events. | PSNet
      psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
      November 09, 2022 - Commentary Dangerous deception--hiding the evidence of adverse drug events. Citation Text: Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

4397. Understanding communication during hospitalist service changes: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-methods-study
      December 14, 2022 - Study Understanding communication during hospitalist service changes: a mixed methods study. Citation Text: doi:10.1002/jhm.523. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …

4398. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. | PSNet
      psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
      September 27, 2016 - Commentary A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. Citation Text: Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22. Copy Citati…

4399. Ethical issues in patient safety. | PSNet
      psnet.ahrq.gov/issue/ethical-issues-patient-safety
      November 02, 2014 - Commentary Ethical issues in patient safety. Citation Text: Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

4400. Neuroscience critical care: the role of the advanced practice nurse in patient safety. | PSNet
      psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
      September 21, 2009 - Commentary Neuroscience critical care: the role of the advanced practice nurse in patient safety. Citation Text: Phillips J. Neuroscience critical care: the role of the advanced practice nurse in patient safety. AACN Clin Issues. 2005;16(4):581-592. Copy Citation Format: …