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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/node/45437/psn-pdf
September 01, 2018 - Decreasing malpractice claims by reducing preventable
perinatal harm.
September 1, 2018
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal
Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
https://psnet.ahrq.gov/issue/decreasing-malpr…
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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and
Estimates of Cost Savings and Deaths Averted From 2010
to 2013.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; October 2015. AHRQ Publication No.16-
0006-EF.
https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-est…
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/node/46111/psn-pdf
May 17, 2017 - Implementation and adaptation of the Re-Engineered
Discharge (RED) in five California hospitals: a qualitative
research study.
May 17, 2017
Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge
(RED) in five California hospitals: a qualitative research study. BMC He…
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psnet.ahrq.gov/node/42947/psn-pdf
February 19, 2014 - Is the skillset obtained in surgical simulation transferable
to the operating theatre?
February 19, 2014
Buckley CE, Kavanagh DO, Traynor O, et al. Is the skillset obtained in surgical simulation transferable to
the operating theatre? Am J Surg. 2014;207(1):146-57. doi:10.1016/j.amjsurg.2013.06.017.
https://psnet.…
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psnet.ahrq.gov/node/43911/psn-pdf
April 15, 2016 - Trust, temporality and systems: how do patients
understand patient safety in primary care? A qualitative
study.
April 15, 2016
Rhodes P, Campbell S, Sanders C. Trust, temporality and systems: how do patients understand patient
safety in primary care? A qualitative study. Health Expect. 2016;19(2):253-263. doi:10.1…
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psnet.ahrq.gov/node/837202/psn-pdf
May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of
non-conveyed patients: a mixed-methods study.
May 25, 2022
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-
conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi:10.1186/s12873-022-
006…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/7znsvf2us43QAcApKbPWdA
Primary Care Interventions to Prevent Child Maltreatment: Clinical Summary of USPSTF Recommendation
PRIMARY CARE INTERVENTIONS TO PREVENT CHILD MALTREATMENT
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
Population Children and adolescents aged 0 to 18 years without signs or symptom…
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digital.ahrq.gov/national-webinars/improving-diagnosis-and-treatment-adult-depression-through-digital-healthcare
January 01, 2023 - Improving Diagnosis and Treatment of Adult Depression Through Digital Healthcare
Event Date:
June 15, 2022 | 2:30pm – 4:00pm ET
Event Materials:
Presentation Slides ( PDF , 6 MB). Q&As ( PDF , 105 KB)
Your browser does not support inline frames. Please go to https:…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/unlocking-potential-pros-clinical-notes-treating-rheumatoid
January 01, 2018 - Unlocking the Potential of PROs in Clinical Notes for Treating Rheumatoid Arthritis
Significance and Potential Impact
Use of NLP and PROs has the potential to transform the care of patients with RA, and to reduce health disparities for underserved and minority populations.
Rheumatoid arthritis (RA) affect…
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psnet.ahrq.gov/submit-your-training-landing
January 01, 2025 - Breadcrumb
Home
Training and Education
Training Catalog
Training Submissions
PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…
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psnet.ahrq.gov/node/36909/psn-pdf
January 05, 2017 - Medical team training: applying crew resource
management in the Veterans Health Administration.
January 5, 2017
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the
Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325.
https://psnet.ahrq.gov/i…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/contingency-diagram
January 01, 2023 - Contingency Diagram
Description
The contingency diagram uses brainstorming to generate a list of problems that could arise from a process. Once problems are identified, then solutions to the problems are determined.
Uses
When identifying causes of potential problems.
When developing soluti…
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/wong.html
November 01, 2022 - Subcommittee Member: Charlene Wong
Charlene Wong, M.D.
Assistant Secretary for Children and Families
North Carolina Department of Health and Human Services
Associate Professor, Pediatrics and Public Policy
Duke University
Charlene Wong, M.D., serves as the assistant secretary for children and families…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/sessums.html
November 01, 2022 - AHRQ Staff: Laura L. Sessums
Laura L. Sessums, J.D., M.D.
Chief Medical Officer
Office of the Director
Agency for Healthcare Research and Quality
Laura L. Sessums, J.D., M.D., is a national leader in primary care health policy and the implementation of advanced primary care. She became the Agency for Hea…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-written-statement.pdf
June 02, 2025 - Written Statement
Intellectual Property Rights Statement
Re: Measure Number 0146: Adolescent Assessment of Preparation for Transition
(ADAPT) to Adult-Focused Health Care
This work was funded by the Agency for Healthcare Research and Quality (AHRQ) and
the Centers for Medicare & Medicaid Services (CMS) under th…
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psnet.ahrq.gov/node/45461/psn-pdf
January 03, 2017 - Operating room–to-ICU patient handovers: a
multidisciplinary human-centered design approach.
January 3, 2017
Segall N, Bonifacio AS, Barbeito A, et al. Operating Room-to-ICU Patient Handovers: A Multidisciplinary
Human-Centered Design Approach. Jt Comm J Qual Patient Saf. 2016;42(9):400-14.
https://psnet.ahrq.gov/…
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www.ahrq.gov/cpi/centers/cfact/szuvekas-bio.html
August 01, 2025 - Samuel H. Zuvekas, Ph.D.
Director, Center for Financing, Access and Cost Trends
Samuel H. Zuvekas, Ph.D., directs a staff of health economists, statisticians, social scientists, and support staff conducting analyses and supporting extramural research on issues related to health care access, costs, and financi…