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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
    June 02, 2025 - In warm handoffs, patients hear what is discussed, reinforcing their understanding of the diagnosis
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
    May 01, 2017 - The key safety elements discussed provide a comprehensive starting point for each unit to consider as
  3. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
    July 01, 2023 - The key safety elements discussed provide a comprehensive starting point for each unit to consider as
  4. effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-antigen-3-gene_research.pdf
    April 01, 2013 - Given the complexity of topics discussed in the CER, the decision to limit the future research needs … disciplines, which was important to provide a balanced and broad perspective on the research needs being discussed … nine research needs, made the suggestion that they be more detailed rather than generic, and also discussed … Given the complexity of topics discussed in the CER, the decision to limit the future research needs … disciplines, which was important to provide a balanced and broad perspective on the research needs being discussed
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46572/psn-pdf
    January 01, 2018 - Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. December 21, 2017 Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and …
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/swot-analysis
    January 01, 2023 - Strength, Weakness, Opportunities, and Threats Analysis Acronym SWOT Also Known As SWOT Analysis Description A strength, weakness, opportunities, and threats (SWOT) analysis is a strategic technique used to identify elements of strength, weakness, opportunity, and threats. The anal…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38347/psn-pdf
    May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. May 24, 2015 Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. https://psnet.ahrq.gov/issue/usin…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837900/psn-pdf
    August 24, 2022 - Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. August 24, 2022 Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Jt Comm J Qual Patient Saf. 2022;48(10):552-558. doi:10.1016…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43614/psn-pdf
    October 22, 2014 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. October 22, 2014 Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20. doi:10.1097/MOH.000…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48037/psn-pdf
    May 29, 2019 - Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. May 29, 2019 Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 2019;132(5):556-563. doi:10.1016/j.amj…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45129/psn-pdf
    August 03, 2016 - Sleep and circadian misalignment for the hospitalist: a review. August 3, 2016 Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903. https://psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review Given…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38290/psn-pdf
    February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. February 17, 2011 Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. https://psnet.ahrq.gov/issue/revisitin…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60794/psn-pdf
    August 12, 2020 - Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. August 12, 2020 Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checkli…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837505/psn-pdf
    June 22, 2022 - Parent participation in morbidity and mortality review: parent and physician perspectives. June 22, 2022 de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102674.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39795/psn-pdf
    June 06, 2018 - The elephant of patient safety: what you see depends on how you look. June 6, 2018 Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. https://psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look Health care i…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48087/psn-pdf
    July 10, 2019 - The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019 Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74210/psn-pdf
    December 22, 2021 - ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey December 22, 2021 Stahl K, Groene O. ASK ME!—Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey. PLoS ONE. 2021;16(12):e0259252. doi:10.1371/journal.pone.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60558/psn-pdf
    June 03, 2020 - Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. June 3, 2020 Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing. Br J Su…