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  1. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1 The Five Principles of Effective Primary Care-Based Care Coordination fo…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33725/psn-pdf
    February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension February 1, 2012 Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension Perspective Graduate Medical Education (GME) has changed …

  3. Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/944.html
    January 01, 2025 - Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability Issue Number 944 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. January 14, 2025 Editor’s Note:  AHRQ News Now will not publish next week. Our next issue will publish Jan. 28. AH…

  4. Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm7.jsp
    July 01, 2016 - Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals An official website of the Department of Health & Human Services Search All AHRQ Websites Careers …

  5. Welcome Guide for Trainers of Preprofessional Students | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/welcome-guides/preprofessional-students.html
    June 01, 2023 - Welcome Guide for Trainers of Preprofessional Students Welcome to the TeamSTEPPS ® curriculum. TeamSTEPPS (Team Strategies & Tools to Enhance Performance & Patient Safety) addresses many users with various levels of TeamSTEPPS knowledge. This Welcome Guide calls attention to information of particular interes…

  6. SRDR-Charter-140305 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data-repository-reviews-charter-140305.pdf
    June 01, 2012 - SRDR-Charter-140305 Charter  of SRDR V.10 Article I – Purpose/Goals of SRDR Article II – Governance Board   Article III – Operational Team of SRDR SRDR is being developed  and  maintained by the Brown EPC under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD   (Contract…

  7. Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference | PSNet

    psnet.ahrq.gov/training-catalog/artificial-intelligence-and-human-factors-health-care-quality-safety-conference
    Artificial Intelligence and Human Factors in Health Care Quality & Safety Conference Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Penn State College of Medicine…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60672/psn-pdf
    July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43334/psn-pdf
    July 16, 2014 - Changing our culture: adopting the military aviation safety system. July 16, 2014 Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847057/psn-pdf
    April 05, 2023 - Implement strategies to prevent persistent medication errors and hazards. April 5, 2023 ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards Medication mistakes are recognized contributors to p…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42089/psn-pdf
    March 06, 2013 - Organizational culture: an important context for addressing and improving hospital to community patient discharge. March 6, 2013 Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community patient discharge. Med Care. 2013;51(…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41934/psn-pdf
    May 24, 2016 - Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. May 24, 2016 Tucker AL. Cambridge, MA: Harvard Business School; November 19, 2012. (Revised September 2013). HBS Working Paper No. 13-044. https://psnet.ahrq.gov/issue/work-design-drive…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844792/psn-pdf
    January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74166/psn-pdf
    March 14, 2022 - Preventing home medication administration errors. March 14, 2022 Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors Children with comp…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840168/psn-pdf
    January 01, 2023 - The debrief imperative: building teaming competencies and team effectiveness. November 16, 2022 Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. https://psnet.ahrq.gov/issue/debrief-imperative-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43373/psn-pdf
    July 23, 2014 - From harm to hope and purposeful action: what could we do after Francis? July 23, 2014 Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. https://psnet.ahrq.gov/issue/harm-hope-and-purpo…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846167/psn-pdf
    March 15, 2023 - Diagnostic stewardship to prevent diagnostic error. March 15, 2023 Morgan DJ, Malani PN, Diekema DJ. Diagnostic stewardship to prevent diagnostic error. JAMA. 2023;329(15):1255-1256. doi:10.1001/jama.2023.1678. https://psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error The effective use of resour…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41438/psn-pdf
    January 03, 2017 - Implementing SBAR across a large multihospital health system. January 3, 2017 Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…
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