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4741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42030/psn-pdf
      April 18, 2013 - Reducing hospital errors: interventions that build safety culture. April 18, 2013 Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439. https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…

4742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35951/psn-pdf
      June 14, 2011 - Errors in thyroid gland fine-needle aspiration. June 14, 2011 Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4. https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration This AHRQ–funded study used roo…

4743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43214/psn-pdf
      May 28, 2014 - What a doctor may miss by reaching for the MRI first. May 28, 2014 Boodman SG, Kaiser Health News. Washington Post. May 19, 2014. https://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first This newspaper article reports how lack of competency with performing physical examinations and over- reliance on te…

4744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47977/psn-pdf
      August 14, 2019 - Reducing Diagnostic Error: Measurement Considerations. August 14, 2019 National Quality Forum https://psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations This website tracks the progress of a project focused on the development and review of measures to enhance viability, reporting, accountabi…

4745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38755/psn-pdf
      July 01, 2009 - Review of Patient Safety for Children and Young People. July 1, 2009 London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071. https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety …

4746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47053/psn-pdf
      May 23, 2018 - TeamSTEPPS Canada. May 23, 2018 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/teamstepps-canada The TeamSTEPPS program was developed to support effective communication and teamwork skills in various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will pre…

4747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43107/psn-pdf
      March 14, 2016 - Researchers' roles in patient safety improvement. March 14, 2016 Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096. https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement Through a self-…

4748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72788/psn-pdf
      February 24, 2021 - Harmed Patient Alliance. February 24, 2021 United Kingdom. https://psnet.ahrq.gov/issue/harmed-patient-alliance Patients and families that experience medical harm have unique support needs. This organization works to improve health system and clinician response to harmed patients. Their efforts aim to create a dee…

4749. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866984
      January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…

4750. Expanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care - Arora - 2010 - Hepatology - Wiley Online Library
      digital.ahrq.gov/sites/default/files/docs/library/full_0.html
      September 01, 2010 - The ECHO Model of learning incorporates each of these three components, with a particular emphasis on enhancing

4751. Expanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care - Arora - 2010 - Hepatology - Wiley Online Library
      digital.ahrq.gov/sites/default/files/docs/library/full_1.html
      September 01, 2010 - The ECHO Model of learning incorporates each of these three components, with a particular emphasis on enhancing

4752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49688/psn-pdf
      August 21, 2013 - Discharge Instructions in the PACU: Who Remembers? August 21, 2013 Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers The Case A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …

4753. Exhibit 3.10. Other Training Offered | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-10.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.10. Other Training Offered Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospit…

4754. Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
      July 01, 2023 - Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership AHRQ Safety Program for Perinatal Care Purpose: To enhance communication and shared problem solving between clinical staff and senior executives with respect to patient safety issues on the labor and delivery unit. …

4755. Planning for Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/enhanced-recovery/planning.html
      June 01, 2023 - Planning for Sustainability Tools and Resources To Help Hospitals Sustain an ISCR Program You have reached sustainability when the Improving Surgical Care and Recovery (ISCR) pathway components are part of daily practice and little to no effort is needed to change behavior. The tools included in this section …

4756. The foundational capabilities of large language models in predicting postoperative risks using clinical notes. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo/citation/foundational
      January 01, 2025 - The foundational capabilities of large language models in predicting postoperative risks using clinical notes. Citation Alba C, Xue B, Abraham J, Kannampallil T, Lu C. The foundational capabilities of large language models in predicting postoperative risks using clinical notes. NPJ Digit Med. 2025 Feb…

4757. Variation in information needs and quality: implications for public health surveillance and biomedical informatics. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/variation
      January 01, 2023 - Variation in information needs and quality: implications for public health surveillance and biomedical informatics. Citation Dixon BE, Lai PT, Grannis SJ. Variation in information needs and quality: implications for public health surveillance and biomedical informatics. AMIA Annu Symp Proc 2013 Nov 16…

4758. Towards public health decision support: a systematic review of bidirectional communication approaches. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/review
      January 01, 2023 - Towards public health decision support: a systematic review of bidirectional communication approaches. Citation Dixon B, Gamache R, Grannis S. Towards public health decision support: a systematic review of bidirectional communication approaches. J Am Med Inform Assoc 2013 May 1;20(3):577-83. Lin…

4759. Estimating increased electronic laboratory reporting volumes for meaningful use: implications for the public health workforce. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/estimating-increased-electronic-laboratory-reporting-volumes-for-meaningful-use-implications-for-the-public-health-workforce
      January 01, 2023 - Estimating increased electronic laboratory reporting volumes for meaningful use: implications for the public health workforce. Citation Dixon BE, Gibson PJ, Grannis SJ. Estimating increased electronic laboratory reporting volumes for meaningful use: implications for the public health workforce. Online…

4760. Leveraging health information exchange to improve population health reporting processes: lessons in using a collaborative-participatory design process. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation-0
      January 01, 2023 - Leveraging health information exchange to improve population health reporting processes: lessons in using a collaborative-participatory design process. Citation Revere D, Dixon BE, Hills R, et al. Leveraging health information exchange to improve population health reporting processes: lessons in usin…