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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) is a set of evidence-based … Team Strategies and Tools to Enhance Performance and Patient Safety at primary healthcare units: Effect
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - safety grounds, highlighting the value of the CUS tool from TeamSTEPPS ( Team Strategies & Tools to Enhance … N Engl J Med . 1994;330(9):651-655. [ Free full text ]
Team Strategies & Tools to Enhance Performance
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Trainings like TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) can … challenges in reporting and sharing will help facilitate the shift toward developing learning systems to enhance
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - These teams are designed to enhance the involvement of the patient's primary care provider or team by … institution has an RRT, (ii) the RRT will be involved in the care of deteriorating patients in an effort to enhance
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - These teams are designed to enhance the involvement of the patient's primary care provider or team by … institution has an RRT, (ii) the RRT will be involved in the care of deteriorating patients in an effort to enhance
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - Improvement Organizations also implemented initiatives designed to promote PFE that were designed to enhance … measures can help organizations identify concrete areas where they need to target their efforts to enhance
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Feeling No Pain
July 1, 2003
Bogner MS. Feeling No Pain. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/feeling-no-pain
The Case
A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the
patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - The Role of Health Literacy in Patient Safety
March 1, 2009
Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
Perspective
Clear health communication is increasingly recognized as essential for promoting …
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Fo…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - Annual Perspective
Accountability in Patient Safety
Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - In this regard, another important system approach to enhance analgesic safety is to ensure that prescribers
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - Enhance the Role of Health IT in Intrahospital Transfers Current recommendations on intrahospital transfers
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - intake Increased green leafy vegetables in diet Drug interactions Drugs that enhance
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - In an attempt to enhance patient safety, in 2011 the clinical work and educational hour requirements
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - help, establishing systems to ensure that supervision is built into the structure of care delivery may enhance
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - performance data become available, individuals and teams can structure videotaped performance review to enhance
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - inflict on patients when we’re
trying at all costs to prevent a death, rather than trying to prolong or enhance