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psnet.ahrq.gov/node/42469/psn-pdf
August 07, 2013 - Characteristics of paid malpractice claims settled in and
out of court in the USA: a retrospective analysis.
August 7, 2013
Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a
retrospective analysis. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002985.
https:/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appb-final508.pdf
June 02, 2025 - The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | 22
Appendix B – Create a Safe Medicine List Together Implementation
Guidance
To help you plan and design your Create …
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-5.html
November 01, 2017 - Established Child Health Care Quality Measures--Title V of the Social Security Act
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Contents
Child Measures Included
Users
Comparisons and Trends
Ben…
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…
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digital.ahrq.gov/sites/default/files/docs/survey/provider-pre-implementation-survey.pdf
June 16, 2021 - Information Needs and Use Survey
Provider Pre-Implementation Survey: Information Needs and Use
University of Missouri, Columbia MO
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting.
The tool includes questions to assess functionality and needs of users electronic health re…
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks of falling and breaking a bone are greater
than the risks of side effects.
Your medication is: _______________________________________
Orally (by mouth)
I.V. (infusion)
D…
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cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionChairExercises.pdf
July 18, 2023 - Exercise Handouts w/ Drawings
These exercises will help you to improve your balance and get stronger.
Go online to homestrong.net for videos of each exercise and other tips.
Sitting up straight, extend one
leg as straight as you can.
Hold for a count of 3.
Slowly lower the leg down.
Repeat with your other leg.
1.
…
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cds.ahrq.gov/sites/default/files/cds/artifact/66551/Bisphosphonates%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Bisphosphonates are the safest choice for most people like you, who have thin
or fragile bones, because this risks of falling and breaking a bone are greater
than the risks of side effects.
Your medication is: _______________________________________
Orally (by mouth)
I.V. (infusion)
D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_7_Story_Hndout_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 7)
Strategy 1: Working with Patients & Families as Advisors
[Type text] [Type text] [Type text]
Strategy 1: Working With Patients & Families as Advisors (Tool 7)
Sharing My Story: A Planning Worksheet
Use this worksheet to help plan what you want to shar…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-pts-families-agenda-072523.pdf
July 25, 2023 - Involving Patients and Families in Safety: Agenda
National Action Alliance to Advance Patient Safety
Summer Webinar Series Agenda
Involving Patients and Families in Safety
Tuesday, July 25, 2023
2:00 – 3:00 PM ET
Questions We are Running On:
1. What are the foundational elements of including patients and f…
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psnet.ahrq.gov/node/44521/psn-pdf
July 03, 2016 - Crib of horrors: one hospital's approach to promoting a
culture of safety.
July 3, 2016
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of
Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
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psnet.ahrq.gov/node/43294/psn-pdf
April 25, 2016 - The right and wrong way to talk to patients about adverse
events.
April 25, 2016
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics.
2014;91(11):52-5.
https://psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
Apology laws have been explor…
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psnet.ahrq.gov/node/45161/psn-pdf
September 19, 2016 - Design of an evidence-based "second victim" curriculum
for nurse anesthetists.
September 19, 2016
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists.
AANA J. 2016;84(2):107-113.
https://psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anes…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hHn2ahJA7BsJPQ_BbaAWhp
Screening for Carotid Artery Stenosis: USPSTF Clinical Summary
Figure. Screening for carotid artery stenosis: clinical summary of U.S. Preventive Services Task Force Recommendation
For a summary of the evidence systematically reviewed in making these recommendations, the full recommendation statement, and supporting…
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psnet.ahrq.gov/node/60322/psn-pdf
May 13, 2020 - Resilience and regulation, an odd couple? Consequences
of Safety-II on governmental regulation of healthcare
quality.
May 13, 2020
Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental
regulation of healthcare quality. BMJ Qual Saf. 2020;29(10):869–872. doi:10.113…
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psnet.ahrq.gov/node/43971/psn-pdf
April 25, 2016 - Why empathy may be the best risk management strategy.
April 25, 2016
Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4.
https://psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy
Communication and response strategies have been shown to improve how …
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psnet.ahrq.gov/node/39922/psn-pdf
October 13, 2010 - What’s past is prologue: organizational learning from a
serious patient injury.
October 13, 2010
Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious
patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005.
https://psnet.ahrq.gov/issue/whats-past-prologue-or…
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psnet.ahrq.gov/node/44548/psn-pdf
November 20, 2015 - Safety-II and resilience: the way ahead in patient safety in
anaesthesiology.
November 20, 2015
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin
Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
https://psnet.ahrq.gov/issue/safety-ii-and-resilience…
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psnet.ahrq.gov/node/43361/psn-pdf
July 16, 2014 - An Avoidable Death of a Three-year-old Child from
Sepsis.
July 16, 2014
London, UK: Parliamentary and Health Service Ombudsman; June 2014.
https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
This investigation outlines how inadequate care contributed to the death of a child who developed sepsi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
June 02, 2025 - Implementation Quick Start Guide: Create a Safe Medicine List Together
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide
Create a Safe Medicine
List Together
1 Review intervention and training materials
� Understand the purpose, use,…