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psnet.ahrq.gov/issue/handoff-communication
October 16, 2019 - Special or Theme Issue
Handoff Communication.
Citation Text:
Handoff Communication. APSF Newsletter. October 2017;32:29-56.
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psnet.ahrq.gov/issue/mothers-face-broken-addiction-treatment-system
January 25, 2023 - Newspaper/Magazine Article
Mothers face broken addiction treatment system.
Citation Text:
Mothers face broken addiction treatment system. D'Ambrosio A. MedPage Today. March 31, 2023.
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psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
July 22, 2020 - Special or Theme Issue
Emerging Classic
Digital Health and Patient Safety.
Citation Text:
Digital Health and Patient Safety. Health Informatics J. 2020;26:181-189;576-591;683-718;1017-1042;2295-2299;3123-3162.
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psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
July 30, 2008 - Commentary
WARNING health IT may be hazardous to your healthcare.
Citation Text:
WARNING health IT may be hazardous to your healthcare. Dimick C.
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psnet.ahrq.gov/issue/striving-diagnostic-excellence
January 09, 2018 - Audiovisual Presentation
Striving for diagnostic excellence.
Citation Text:
Striving for diagnostic excellence. Centor RM, Dhaliwal G. Annals On Call. July 2023.
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psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated
August 04, 2021 - Government Resource
Council recommendation on patient safety, including the prevention and control of healthcare associated infections.
Citation Text:
Council recommendation on patient safety, including the prevention and control of healthcare associated infections. Council of the Euro…
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psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
April 22, 2020 - Webinar
Recognizing Unsafe Care: What It Is and How to Report It.
Citation Text:
Recognizing Unsafe Care: What It Is and How to Report It. Patient Safety Foundation. August 26, 2021.
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psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery
June 15, 2011 - Special or Theme Issue
Simulation in Anaesthesia and Surgery.
Citation Text:
Simulation in Anaesthesia and Surgery. Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96.
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psnet.ahrq.gov/issue/patient-handoffs-0
November 23, 2024 - Review
Patient handoffs.
Citation Text:
Patient handoffs. Arora V, Farnan J. UpToDate. June 24, 2024.
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psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
November 08, 2017 - Meeting/Conference Proceedings
TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis?
Citation Text:
TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis? Society to Improve Diagnosis in Medicine. June 3, 2021.
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psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - Organizational Policy/Guidelines
2008 Recommendations for Pre-Anesthesia Checkout Procedures.
Citation Text:
2008 Recommendations for Pre-Anesthesia Checkout Procedures. ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.
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psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
November 03, 2015 - Study
Risk of medication errors at hospital discharge and barriers to problem resolution.
Citation Text:
Risk of medication errors at hospital discharge and barriers to problem resolution. Enguidanos SM; Brumley RD.
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psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
March 18, 2010 - Special or Theme Issue
Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.
Citation Text:
Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50. …
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - Newspaper/Magazine Article
Mistakes even good doctors make.
Citation Text:
Mistakes even good doctors make. Consumer Reports on Health. November 2013;25:6-7.
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3).
Citation Text:
Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3). American Society of Healthcare Risk Management; ASHRM
C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.pdf
June 02, 2025 - Gap Analysis
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.5
Gap Analysis
What is the purpose of this tool? The purpose of the gap analysis is to provide project teams
with a format in which to do the following:
• Compare the best practices with the p…
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psnet.ahrq.gov/issue/prescription-success-dont-bother-nurses
June 16, 2010 - Newspaper/Magazine Article
Prescription for success: don't bother nurses.
Citation Text:
Prescription for success: don't bother nurses. Colliver V. San Francisco Chronicle. October 28, 2009:A1.
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psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
October 23, 2019 - Multi-use Website
AHRQ Impact Case Studies: Patient Safety.
Citation Text:
AHRQ Impact Case Studies: Patient Safety. Agency for Healthcare Research and Quality. 2019-2023.
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psnet.ahrq.gov/issue/hospitals-put-emphasis-collection-medication-data
September 14, 2011 - Newspaper/Magazine Article
Hospitals put emphasis on collection of medication data.
Citation Text:
Hospitals put emphasis on collection of medication data. Krizner K. Managed Healthcare Executive. August 1, 2006.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_checklist.pdf
December 01, 2017 - Checklist to Prepare Patients for New Appointments
Checklist to Prepare Patients for
New Appointments
Once the team knows a patient has a new health care appointment, the checklist can be used to prompt team
members to reinforce key steps that promote patient engagement and preparation. This checklist includes ref…