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psnet.ahrq.gov/node/41389/psn-pdf
June 27, 2012 - Can we make postoperative patient handovers safer? A
systematic review of the literature.
June 27, 2012
Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A
systematic review of the literature. Anesth Analg. 2012;115(1):102-15.
doi:10.1213/ANE.0b013e318253af4b.
https:/…
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psnet.ahrq.gov/node/44666/psn-pdf
August 01, 2017 - Leveraging trainees to improve quality and safety at the
point of care: three models for engagement.
August 1, 2017
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care:
Three Models for Engagement. Acad Med. 2016;91(4):503-9. doi:10.1097/ACM.0000000000000975.
https…
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psnet.ahrq.gov/node/854981/psn-pdf
November 01, 2023 - Defining a high-quality and effective morbidity and
mortality conference: a systematic review.
November 1, 2023
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and
mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-1343.
doi:10.1001/jamasurg.2023.…
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psnet.ahrq.gov/node/60686/psn-pdf
July 15, 2020 - The scientific literature on Coronaviruses, COVID-19 and
its associated safety-related research dimensions: a
scientometric analysis and scoping review.
July 15, 2020
Haghani M, Bliemer MCJ, Goerlandt F, et al. The scientific literature on Coronaviruses, COVID-19 and its
associated safety-related research dimensio…
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psnet.ahrq.gov/node/60973/psn-pdf
September 30, 2020 - During the pandemic, aspire to identify and prevent
medication errors and to avoid blaming attitudes.
September 30, 2020
ISMP Medication Safety Alert! Acute care edition. August 27, 2020;25(17).
https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-
blaming-attitudes
…
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www.ahrq.gov/patient-safety/settings/esrd/resource/engagement.html
December 01, 2014 - Patient and Family Engagement
ESRD Toolkit
The Patient and Family Engagement module of the ESRD Toolkit defines patient engagement in the context of end-stage renal disease facilities, discusses how to recognize and overcome obstacles to patient engagement, explains how to engage patients and their families i…
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www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.html
January 01, 2015 - Creating a Culture of Safety
ESRD Toolkit
The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers.
Presentation Slides ( PPTX, 20 M B)
Facilitator …
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psnet.ahrq.gov/node/60525/psn-pdf
May 27, 2020 - Public sector organizational failure: a study of collective
denial in the UK national health service.
May 27, 2020
Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national
health service. J Bus Ethics. 2020;2021;172:691–706. doi:10.1007/s10551-020-04517-1.
https://p…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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www.ahrq.gov/teamstepps-program/resources/patient/index.html
June 01, 2023 - TeamSTEPPS Patient Videos
In these three videos, patients describe their interactions with their doctors and medical teams and how their interactions relate to tools used as a part of TeamSTEPPS.
YouTube embedded video: https://www.youtube-nocookie.com/embed/qkJqcrLf8rM
TeamSTEPPS Patient Video: Tara (7:1…
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psnet.ahrq.gov/node/45935/psn-pdf
September 29, 2017 - Radiology research in quality and safety: current trends
and future needs.
September 29, 2017
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and
Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
https://psnet.ahrq.gov/issue/radiolog…
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psnet.ahrq.gov/node/848085/psn-pdf
April 26, 2023 - Understanding complexity in a safety critical setting: a
systems approach to medication administration.
April 26, 2023
Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems
approach to medication administration. Appl Ergon. 2023;110:104000. doi:10.1016/j.apergo.2023.1…
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psnet.ahrq.gov/node/43779/psn-pdf
May 28, 2015 - Debriefing in the emergency department after clinical
events: a practical guide.
May 28, 2015
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A
Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019.
https://psnet.ahrq.gov/issue/debri…
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - The potential for improved teamwork to reduce medical
errors in the emergency department.
June 24, 2015
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in
the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4.
https://ps…
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psnet.ahrq.gov/node/844057/psn-pdf
February 08, 2023 - Impact of medical education on patient safety: finding the
signal through the noise.
February 8, 2023
Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ
Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054.
https://psnet.ahrq.gov/issue/impact-medical-edu…
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psnet.ahrq.gov/node/44957/psn-pdf
March 09, 2016 - Government and industry fail to protect the public when
they suggest "carefully following instructions" is enough
to prevent vaccine errors.
March 9, 2016
ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5.
https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Conclusions
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. D…
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psnet.ahrq.gov/node/48034/psn-pdf
May 22, 2019 - Chasing zero harm in radiation oncology: using pre-
treatment peer review.
May 22, 2019
Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-
treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302.
https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…
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psnet.ahrq.gov/node/47461/psn-pdf
December 27, 2018 - IV push medications survey results—part 1 and part 2.
December 27, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
Errors in the administration of intravenous medications can r…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care
This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…