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psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark
May 17, 2017 - Newspaper/Magazine Article
Lax oversight leaves surgery center regulators and patients in the dark.
Citation Text:
Lax oversight leaves surgery center regulators and patients in the dark. Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
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psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
April 19, 2016 - Commentary
The evolving story of overlapping surgery.
Citation Text:
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061.
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
March 23, 2022 - Special or Theme Issue
TQIP Mortality Reporting System Case Reports.
Citation Text:
TQIP Mortality Reporting System Case Reports. ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023.
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psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
September 23, 2020 - Commentary
Medication handling: towards a practical, human-centred approach.
Citation Text:
Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482.
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psnet.ahrq.gov/issue/cutting-out-human-error
February 25, 2009 - Commentary
Cutting out human error.
Citation Text:
Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370.
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psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
April 21, 2010 - Commentary
Using standardised patients in an objective structured clinical examination as a patient safety tool.
Citation Text:
Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - Commentary
Patient safety answers require outreach, in-reach, and partnerships.
Citation Text:
Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436.
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psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
February 11, 2015 - Book/Report
Patient Safety Organizations: Hospital Participation, Value, and Challenges.
Citation Text:
Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…
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psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
October 14, 2020 - Study
Creating a culture of safety in the emergency department: the value of teamwork training.
Citation Text:
Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e318…
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - Commentary
Implementation of the SBAR communication technique in a tertiary center.
Citation Text:
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
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psnet.ahrq.gov/issue/patient-safety-planting-seed
February 09, 2011 - Commentary
Patient safety: planting the seed.
Citation Text:
Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202.
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psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent
October 03, 2018 - Commentary
To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent.
Citation Text:
Wells RE, Kaptchuk TJ. To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent. Am J Bioeth…
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psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
June 17, 2014 - Commentary
Improving care transitions: optimizing medication reconciliation.
Citation Text:
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…
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psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
May 08, 2013 - Commentary
Top 10 patient safety issues: what more can we do?
Citation Text:
Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012.
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www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - of recent readmissions2
Focus groups with SNF patients and caregivers6
Interventions focused on enhancing … Specific attention should be paid to meeting the needs of
complex patients, enhancing communication, … Our
primary intervention, which focused on enhancing communication between the clinicians responsible
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …
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www.ahrq.gov/news/newsletters/e-newsletter/914.html
May 01, 2024 - AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care
Issue Number
914
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 21, 2024
AHRQ Stats Access more data on this topic in the associated statistical brief , plus a…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
February 01, 2022 - TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment
TeamSTEPPS® for Diagnosis Improvement
Knowledge Assessment
This knowledge assessment tests the participants’ knowledge of the teamwork principles
demonstrated in the TeamSTEPPS for Diagnosis Improvement course.
1. TeamSTEPPS provides resources to optimize…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter6.html
December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure
Chapter 6. Project Findings for Goal 2
Previous Page Next Page
Table of Contents
ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems fo…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Preface
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence …