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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
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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
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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
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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
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
…
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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…
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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.…
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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…
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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…
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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.…
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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…