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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - In summary, research suggests a number of concrete actions that leaders can take to help promote cultural … Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - Professor at the Dell Medical School at The University of Texas at Austin as well as the CEO [Chief Executive … Vol. 1, Executive Summary; August 1985. 31. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation Text:
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
April 24, 2018 - Patient Safety Innovations
Rescue Improvement Conference Innovation Summary
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psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
November 07, 2012 - Study
Classic
Consequences of inadequate sign-out for patient care.
Citation Text:
Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755.
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psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
January 06, 2018 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - (2)
• Frameworks such as SPIKES (Setting, Permission, Invitation,
Knowledge, Emotion, and Support/Summary … Patient Safety and
Communication
41
Improving Patient Safety and Communication (1)
• An alternative summary
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - – or RCA Squared (RCA 2 ) –an online self-paced course IHI offers, as well as the Patient Safety Executive … Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - Executive Summary
Since the emergence of the COVID-19 pandemic and resulting social distancing safety
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Summary
MTT is an effective tool, moving health care toward high reliability, establishing a "fair
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Summary
MTT is an effective tool, moving health care toward high reliability, establishing a "fair
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Summary of the HIPAA Privacy Rule. Washington, DC: US Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - SD : That's a very good summary.
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - SPOTLIGHT CASE
Medication Reconciliation With a Twist (or Dare We Say, a Patch?)
Citation Text:
Kwan JL. Medication Reconciliation With a Twist (or Dare We Say, a Patch?). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - federal Mammography Quality Standards Act has long required facilities that perform mammograms to send a summary
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - My very brief summary of Australia would be that it's more similar to the United States compared to New
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - SPOTLIGHT CASE
Triple Handoff
Citation Text:
Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - striving to keep radiation doses as low as possible during fluoroscopy of pediatric patients—a white paper executive … summary.