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digital.ahrq.gov/ahrq-funded-projects/development-electronic-medical-record-integrated-enhanced-after-visit-summary/citation/patient
January 01, 2023 - Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design.
Citation
Federman AD, Sanchez-Munoz A, Jandorf L, et al. Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform…
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digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/notifiable
January 01, 2023 - Notifiable condition reporting practices: implications for public health agency participation in a health information exchange.
Citation
Revere D, Hills RH, Dixon BE, et al. Notifiable condition reporting practices: implications for public health agency participation in a health information exchange. …
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psnet.ahrq.gov/node/44232/psn-pdf
January 29, 2019 - Optimizing medication safety in the home.
January 29, 2019
LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319.
doi:10.1097/NHH.0000000000000246.
https://psnet.ahrq.gov/issue/optimizing-medication-safety-home
Patients who receive home care services are vulnerable to a…
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psnet.ahrq.gov/node/43371/psn-pdf
June 19, 2019 - Medication Safety Officer's Handbook.
June 19, 2019
Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN:
9781585282104.
https://psnet.ahrq.gov/issue/medication-safety-officers-handbook
This book provides information about medication errors and quality improvement to gui…
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psnet.ahrq.gov/node/37752/psn-pdf
May 07, 2019 - Guidance for the Safe Use of Automated Dispensing
Cabinets.
May 7, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents
associ…
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psnet.ahrq.gov/node/42595/psn-pdf
November 25, 2013 - Agency information collection activities: Assessing the
Impact of the National Implementation of TeamSTEPPS
Master Training Program; comment request.
November 25, 2013
Agency for Healthcare Research and Quality. Federal Register. August 27, 2013;78:52927-52929.
https://psnet.ahrq.gov/issue/agency-information-colle…
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psnet.ahrq.gov/node/42263/psn-pdf
January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an
unmet need for faculty development.
January 14, 2014
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need
for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082.
https://psnet.…
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psnet.ahrq.gov/node/44553/psn-pdf
October 07, 2015 - A medical detective story: why doctors make diagnostic
errors.
October 7, 2015
Landro L. Wall Street Journal. September 26, 2015.
https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
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psnet.ahrq.gov/node/40584/psn-pdf
July 25, 2011 - Crisis checklists for the operating room: development
and pilot testing.
July 25, 2011
Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot
testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031.
https://psnet.ahrq.gov/issue/crisi…
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psnet.ahrq.gov/node/41668/psn-pdf
December 21, 2014 - A surgical simulation curriculum for senior medical
students based on TeamSTEPPS.
December 21, 2014
Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students
based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41053/psn-pdf
December 30, 2014 - Time to accelerate integration of human factors and
ergonomics in patient safety.
December 30, 2014
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in
patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
https://psnet.ahrq.gov/issue/time-acc…
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psnet.ahrq.gov/node/46971/psn-pdf
July 18, 2018 - The Future of NHS Patient Safety Investigation.
July 18, 2018
NHS Improvement. London, UK: National Health Service; 2018.
https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation
Organizational processes to investigate adverse care incidents play an important part in generating the
learning needed for …
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psnet.ahrq.gov/node/42978/psn-pdf
February 26, 2014 - The Francis Report: One Year On.
February 26, 2014
Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.
https://psnet.ahrq.gov/issue/francis-report-one-year
This publication offers insights from acute care hospital staff in England regarding recommendations from
the Francis rep…
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psnet.ahrq.gov/node/73523/psn-pdf
July 21, 2021 - TeamSTEPPS Video Toolkit.
July 21, 2021
AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease
Control and Prevention; July 2021.
https://psnet.ahrq.gov/issue/teamstepps-video-toolkit
Problems in communication are common contributors to patient care mistakes. This t…
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psnet.ahrq.gov/node/45005/psn-pdf
May 04, 2016 - Leading High-Reliability Organizations in Healthcare.
May 4, 2016
Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883.
https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
High reliability has been recently adopted as a goal for health care. This book reviews the primar…
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - Learning from near misses: from quick fixes to closing off
the Swiss-cheese holes.
March 24, 2012
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-
cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256.
https://psnet.ahrq.gov/issue/lea…
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psnet.ahrq.gov/node/44770/psn-pdf
September 24, 2016 - Obstacles to research on the effects of interruptions in
healthcare.
September 24, 2016
Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in
healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083.
https://psnet.ahrq.gov/issue/obstacles-research-…
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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - Telehealth.
October 25, 2017
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592.
doi:10.1056/NEJMsr1503323.
https://psnet.ahrq.gov/issue/telehealth
Telemedicine can improve patient experience and access to health care. This commentary reviews the
current state of telehealth practi…
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psnet.ahrq.gov/node/42948/psn-pdf
February 19, 2014 - How hospital leaders contribute to patient safety through
the development of trust.
February 19, 2014
Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the
development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.0000000000000017.
https://psnet.ahrq.gov/issu…