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psnet.ahrq.gov/node/39781/psn-pdf
November 23, 2016 - Advancing Effective Communication, Cultural
Competence, and Patient- and Family-Centered Care: A
Roadmap for Hospitals.
November 23, 2016
Oakbrook Terrace, IL: The Joint Commission; 2010.
https://psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and-
family-centered-care
This…
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psnet.ahrq.gov/node/35047/psn-pdf
November 04, 2015 - Managing patients with identical names in the same ward.
November 4, 2015
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care
Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
https://psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
This case rep…
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psnet.ahrq.gov/node/866322/psn-pdf
July 17, 2024 - UCSF Coordinating Center for Diagnostic Excellence
(CoDEx).
July 17, 2024
University of California, San Francisco.
https://psnet.ahrq.gov/issue/ucsf-coordinating-center-diagnostic-excellence-codex
Diagnostic excellence is an emergent field of study that aligns with diagnostic error reduction efforts. This
center …
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psnet.ahrq.gov/node/37824/psn-pdf
June 11, 2008 - Residents' perspective on the impact of the 80-hour
workweek policy.
June 11, 2008
Woods SE, Zabat E, Talen MR, et al. Residents' perspective on the impact of the 80-hour workweek policy.
Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584.
https://psnet.ahrq.gov/issue/residents-perspective-impact-80-…
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psnet.ahrq.gov/node/44720/psn-pdf
December 16, 2015 - The persistent problem of diagnostic error.
December 16, 2015
Lundberg GD. Medscape. December 1, 2015.
https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error
Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a
patient safety problem, this commentary out…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth_research.pdf
January 01, 2020 - FRN 22: Future Research Needs for Strategies To Reduce Cesarean Birth in Low-Risk Women
Future Research Needs Paper
Number 22
Future Research Needs
for Strategies To Reduce
Cesarean Birth in Low-
Risk Women
Future Research Needs Paper
Number 22
Future Research Needs for Strategies To Reduce
Cesarean Birth …
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Liver Biopsy: Proceed With Caution
Citation Text:
Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-qa-012518.pdf
January 25, 2018 - A National Web Conference on Reducing Provider Burden through Better Health IT Design - Q&As
AHRQ National Web Conference on Reducing Provider
Burden through Better Health IT Design
January 25, 2018
Questions and Answers
QUESTION:
How was the activity system defined within an organization? Does the definiti…
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psnet.ahrq.gov/node/33814/psn-pdf
September 01, 2016 - In Conversation With… Reed V. Tuckson, MD
September 1, 2016
In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
Editor's note: Dr. Tuckson is Managing Director of Tuckson Health Connections, LLC, and President of
the American Telemed…
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digital.ahrq.gov/sites/default/files/docs/hit-aging-adults-qa-071717.pdf
July 17, 2017 - A National Web Conference on Use of Health IT for Aging Adults - Q&As
A National Web Conference on the Use of Health IT to Improve
Care Planning and Communication With Aging Adults…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - Rural Healthcare Quality Network (RHQN) - Final Report
Grant Final Report
Grant ID: R01 HS 015188
Rural Healthcare Quality Network (RHQN)
Inclusive dates: 09/17/04 - 08/31/08
Principal Investigator:
Jacqueline Huck
Performing …
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20Planning%20and%20Reporting%20Tool_0.pdf
January 01, 2024 - PC CDS Planning, Implementation, and Reporting Checklist
Measurement and Outcomes
Workgroup: Patient-Centered
Clinical Decision Support Planning
and Reporting Tool
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
P…
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psnet.ahrq.gov/node/36545/psn-pdf
January 10, 2011 - Transition of care for hospitalized elderly
patients—development of a discharge checklist for
hospitalists.
January 10, 2011
Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly
patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6).
doi:10.1002/…
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psnet.ahrq.gov/node/46617/psn-pdf
February 21, 2018 - Supporting second victims.
February 21, 2018
Quick Safety. January 22, 2018;(39):1-3.
https://psnet.ahrq.gov/issue/supporting-second-victims
Involvement in patient harm can result in serious psychological consequences for health care workers. This
newsletter article describes problems second victims may experience…
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psnet.ahrq.gov/node/72655/psn-pdf
January 20, 2021 - A night in the hospital, from both ends of the
stethoscope.
January 20, 2021
Ofri D. New York Times. January 5, 2021.
https://psnet.ahrq.gov/issue/night-hospital-both-ends-stethoscope
Physicians have unique perspectives when exposed to health care delivery problems as patients
themselves or as caregivers. T…
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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/42132/psn-pdf
July 03, 2014 - Surgeon-reported conflict with intensivists about
postoperative goals of care.
July 3, 2014
Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative
goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403.
https://psnet.ahrq.gov/issue/surgeon-re…
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psnet.ahrq.gov/node/39747/psn-pdf
August 11, 2010 - Wrong-site sinus surgery in otolaryngology.
August 11, 2010
Shah RK, Nussenbaum B, Kienstra M, et al. Wrong-site sinus surgery in otolaryngology. Otolaryngol Head
Neck Surg. 2010;143(1):37-41. doi:10.1016/j.otohns.2010.04.003.
https://psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology
This survey of otol…
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psnet.ahrq.gov/node/39728/psn-pdf
January 03, 2017 - Diffusing aviation innovations in a hospital in the
Netherlands.
January 3, 2017
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The
Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…
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psnet.ahrq.gov/node/39807/psn-pdf
December 29, 2014 - Perspectives in quality: designing the WHO Surgical
Safety Checklist.
December 29, 2014
Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety
Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039.
https://psnet.ahrq.gov/issue/perspectives-qual…