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psnet.ahrq.gov/node/37213/psn-pdf
October 13, 2011 - Human patient simulation: teaching students to provide
safe care.
October 13, 2011
Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide
safe care. Nurse Educ. 2007;32(5):212-7.
https://psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
T…
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www.ahrq.gov/sites/default/files/2024-12/lin-report.pdf
January 01, 2024 - decision-making process, influences
on the decision-making process (e.g, physician, family, friends, internet), experiences … Patients undergoing PCI had variable experiences with the decision-making process.
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cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Cholesterol Management Work Group
Meeting Summary
Date
05/09/2017
Time
5:00 – 7:00 PM EST
AGENDA
· Welcome
· Gather Feedback on Lookback Periods, Notifications for the USPSTF Artifacts and Value Sets
· CDS Connect Pilot Overview
· Statin CDS Demos: Options for Providing CDS Notifications
· Next Ste…
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psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - Charcoal Lavage of the Lungs
October 1, 2003
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
The Case
A 47-year-old man presented to an emergency department (ED) with altered mental status, and was
believed to have a probable overdose. He receiv…
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www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 2. Forming a Patient Flow Team
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
S…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-5.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
Clinic/Clinician-Community Resource Relationships
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Methodolog…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/vaccine-conversation-guide.pdf
June 02, 2025 - Vaccine Conversation Guide
A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs:
One-on-one Conversation Guide
1
Here are some specific recommendations for your one-on-one conversations
that draw on what we learned through this project.
One-on-one conversation guide
If they s…
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www.ahrq.gov/patient-safety/reports/liability/prologue.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Prologue
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Re…
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - Missed Nursing Care
June 15, 2024
Missed Nursing Care. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/missed-nursing-care
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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effectivehealthcare.ahrq.gov/sites/default/files/johnson_-ahrq-mcda-presentation.pdf
August 27, 2012 - Slide 1
Research Triangle Institute
RTI International is a trade name of Research Triangle Institute. www.rti.org
The Use of Conjoint Analysis to Elicit
Patient Preferences in Selecting
Treatment Endpoints
F. Reed Johnson, PhD
Distinguished Fellow and Principal Economist
Research Triangle Institute
I…
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digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/exploration
January 01, 2023 - An exploration of the association between inpatient access to tablets and patient satisfaction with hospital care.
Citation
Vink S, Fareed N, MacEwan SR, McAlearney AS. An exploration of the association between inpatient access to tablets and patient satisfaction with hospital care. Perspect Health In…
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psnet.ahrq.gov/node/34985/psn-pdf
July 14, 2010 - The role of automation in complex system failures.
July 14, 2010
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf.
2005;1(1):56-61.
https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Complex_System_Failures.10.aspx.
https://psnet…
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psnet.ahrq.gov/node/40431/psn-pdf
May 11, 2011 - A Call for Change: The 2011 Commonwealth Fund Survey
of Public Views of the U.S. Health System.
May 11, 2011
Stremikis K, Schoen C, Fryer AK. Issue Brief. Washington DC: The Commonwealth Fund; April 2011.
https://psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
This publ…
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psnet.ahrq.gov/node/43674/psn-pdf
November 12, 2014 - Living with cancer: not talking about medical mistakes.
November 12, 2014
Gubar S.
https://psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes
This newspaper article describes how surgical complications, health care–associated infections, and
ineffective patient–provider communication contributed…
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psnet.ahrq.gov/node/36908/psn-pdf
January 05, 2017 - Benefits of a rapid response system at a community
hospital.
January 5, 2017
Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal
on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7.
https://psnet.ahrq.gov/issue/benefits-rapid-response-system…
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psnet.ahrq.gov/node/50787/psn-pdf
January 08, 2020 - Q3 Health Innovation Partners.
January 8, 2020
New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem
Association of Pennsylvania.
https://psnet.ahrq.gov/issue/q3-health-innovation-partners
Local efforts that draw from the experience of its leaders serve an important role …
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psnet.ahrq.gov/node/43094/psn-pdf
May 28, 2015 - Implementing human factors in clinical practice.
May 28, 2015
Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J.
2015;32(5):368-72. doi:10.1136/emermed-2013-203203.
https://psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
Human factors approache…
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psnet.ahrq.gov/node/40959/psn-pdf
November 30, 2011 - Error detection and recovery in dialysis nursing.
November 30, 2011
Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf.
2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20.
https://psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
This study found tha…
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psnet.ahrq.gov/node/72642/psn-pdf
January 13, 2021 - Patient Safety
January 13, 2021
Zheng F ed. Surg Clin North Am. 2021;101(1):1-160.
https://psnet.ahrq.gov/issue/patient-safety-22
Surgical safety is a recognized area of emphasis in patient safety improvement. Articles in this special
issue cover topics such as human factors, checklists, teamwork, and telem…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.15. Outcomes by Category
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 Hospital…