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psnet.ahrq.gov/node/50714/psn-pdf
December 04, 2019 - Suicidal patient slips through the cracks.
December 4, 2019
Oakbrook Terrace, IL: Joint Commission: October 2019.
https://psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
Inpatient suicide is increasing as a safety concern. This case analysis offers two levels of examination of a
hypothetical patient sui…
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psnet.ahrq.gov/node/37494/psn-pdf
January 23, 2008 - Physician-Owned Specialty Hospital's Ability to Manage
Medical Emergencies.
January 23, 2008
Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector
General. January 2008, OEI-02-06-00310.
https://psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medic…
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psnet.ahrq.gov/node/37370/psn-pdf
March 28, 2012 - Communication skills and error in the intensive care unit.
March 28, 2012
Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin
Crit Care. 2007;13(6):732-6.
https://psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit
This article examines how ef…
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psnet.ahrq.gov/node/36930/psn-pdf
September 09, 2011 - Team structure and adverse events in home health care.
September 9, 2011
Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care.
2007;45(6):553-61.
https://psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care
The investigators examined the role of team var…
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psnet.ahrq.gov/node/36396/psn-pdf
December 22, 2010 - Interdisciplinary communication: an uncharted source of
medical error?
December 22, 2010
Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care.
2006;21(3):236-42; discussion 242.
https://psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-…
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psnet.ahrq.gov/node/37967/psn-pdf
August 27, 2009 - Life after death: the aftermath of perioperative
catastrophes.
August 27, 2009
Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth
Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77.
https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-ca…
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psnet.ahrq.gov/node/33968/psn-pdf
July 08, 2016 - Health Literacy: A Prescription to End Confusion.
July 8, 2016
Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of
Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328.
https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/folic-acid-prevent-neural-tube-defects-preventive-medication-1996
January 01, 1996 - Share to Facebook
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archived
Final Recommendation Statement
Folic Acid/Folate Prophylaxis to Prevent Neural Tube Defects: Preventive Medication, 1996
January 01, 1996
Recommendations made …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - An Employee Questionnaire for Assessing Patient Safety in Outpatient Surgery
461
An Employee Questionnaire
for Assessing Patient Safety
in Outpatient Surgery
Pascale Carayon, Carla J. Alvarado, Ann Schoofs Hundt, Scott Springman,
Amanda Borgsdorf, Peter L.T. Hoonakker
Abstract
This paper provides informa…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening
February 13, 2018 - Share to Facebook
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Print
Final Recommendation Statement
Ovarian Cancer: Screening
February 13, 2018
Recommendations made by the USPSTF are independent of the U.S. government. They should not be co…
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hcup-us.ahrq.gov/datainnovations/CaseStudy_QDRanalysis04072017.pdf
April 07, 2017 - Because the QDR focuses on examining trends in health care in the United States, it is
essential to … Ability to Test for Significant Differences in QI Trends
Because the QDR focuses on examining trends
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www.ahrq.gov/nursing-home/resources/frontline-workers-survey.html
September 01, 2021 - Frontline Health Care Workers Survey
Resource: Frontline Health Care Workers Survey (PDF, 3.3 MB)
The partnership survey from the Kaiser Family Foundation and The Washington Post examines the experiences and attitudes of frontline healthcare workers during the coronavirus pandemic. This report highlights f…
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www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
July 01, 2018 - Medical/Patient Care
Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective.
Date: ____________ Location: _______________________ Team member: __________________________
General
Observations:
…
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psnet.ahrq.gov/node/42239/psn-pdf
May 01, 2013 - The impossible workload for doctors in training.
May 1, 2013
Chen PW.
https://psnet.ahrq.gov/issue/impossible-workload-doctors-training
This newspaper article examines how duty hour restrictions have not necessarily led to trainees getting
more sleep but have resulted in trainees needing to do more work in less ti…
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psnet.ahrq.gov/node/38383/psn-pdf
June 30, 2011 - A system analysis of a suboptimal surgical experience.
June 30, 2011
Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg.
2009;3(1):1. doi:10.1186/1754-9493-3-1.
https://psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
A post-surgical complicatio…
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psnet.ahrq.gov/node/34906/psn-pdf
June 27, 2011 - System weaknesses as contributing causes of accidents
in health care.
June 27, 2011
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual
Health Care. 2005;17(1):5-13.
https://psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
The aut…
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psnet.ahrq.gov/node/38262/psn-pdf
September 29, 2017 - Roadmap for patient safety research: approaches and
roadforks.
September 29, 2017
Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public
Health. 2008;36(8):812-7. doi:10.1177/1403494808096168.
https://psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-ro…
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psnet.ahrq.gov/node/34038/psn-pdf
December 22, 2008 - Whither Challenger, wither Columbia: management
decision making and the knowledge analytic.
December 22, 2008
Garrett TM.
https://psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-
knowledge-analytic
The decision making of management for the Challenger and Columbia shuttle mis…
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psnet.ahrq.gov/node/37600/psn-pdf
March 19, 2008 - Medical emergency team: a review of the literature.
March 19, 2008
Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85.
doi:10.1111/j.1478-5153.2007.00258.x.
https://psnet.ahrq.gov/issue/medical-emergency-team-review-literature
This review examines the literature…
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psnet.ahrq.gov/node/37503/psn-pdf
January 06, 2017 - Addressing postdischarge adverse events: a neglected
area.
January 6, 2017
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf.
2008;34(2):85-97.
https://psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
This review examined the literatur…