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psnet.ahrq.gov/node/36708/psn-pdf
April 21, 2011 - Missed breast cancers at US-guided core needle biopsy:
how to reduce them.
April 21, 2011
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce
them. Radiographics. 2007;27(1):79-94.
https://psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-…
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psnet.ahrq.gov/node/35009/psn-pdf
May 27, 2011 - Guided prescription of psychotropic medications for
geriatric inpatients.
May 27, 2011
Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric
inpatients. Arch Intern Med. 2005;165(7):802-7.
https://psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-ger…
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psnet.ahrq.gov/node/37840/psn-pdf
June 28, 2016 - Engaging Patients as Safety Partners: a Guide for
Reducing Errors and Improving Satisfaction.
June 28, 2016
Spath P, ed. Chicago, IL: AHA Press; 2008. ISBN: 9781556483530.
https://psnet.ahrq.gov/issue/engaging-patients-safety-partners-guide-reducing-errors-and-improving-
satisfaction
This book discusses strategie…
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psnet.ahrq.gov/node/34573/psn-pdf
August 16, 2017 - Medical Errors and Patient Safety: A Curriculum Guide for
Teaching Medical Students and Family Practice
Residents.
August 16, 2017
Halbach JL; Sullivan L; New York Medical College
https://psnet.ahrq.gov/issue/medical-errors-and-patient-safety-curriculum-guide-teaching-medical-students-
and-family
This curriculum…
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psnet.ahrq.gov/node/42811/psn-pdf
December 11, 2013 - The Patient Education Materials Assessment Tool
(PEMAT) and User's Guide: An Instrument to Assess the
Understandability and Actionability of Print and
Audiovisual Patient Education Materials.
December 11, 2013
Rockville, MD: Agency for Healthcare Research and Quality; October 2013.
https://psnet.ahrq.gov/issue/pa…
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psnet.ahrq.gov/node/39576/psn-pdf
September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the
Hospital.
September 25, 2010
Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059.
https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital
This guide provides patients with information they need t…
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - The module includes train-the-trainer resources and instructional guides that include short case studies … https://www.aha.org/ahahret-guides/2013-06-18-becoming-culturally-competent-health-care-organization
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - The module includes train-the-trainer resources and instructional guides that include short case studies … https://www.aha.org/ahahret-guides/2013-06-18-becoming-culturally-competent-health-care-organization
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psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
April 24, 2007 - Toolkit
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13.
Citation Text:
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13. Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
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psnet.ahrq.gov/node/37332/psn-pdf
November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy
Health Literacy Assessment Tool User's Guide.
November 14, 2007
Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and
Quality. October 2007. AHRQ Publication No. 07-0051.
https://psnet.ahrq.gov/issue/our-pharmacy-meeti…
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psnet.ahrq.gov/node/851926/psn-pdf
August 02, 2023 - Improving Patient Safety Culture – A Practical Guide.
August 2, 2023
London, UK: NHS England; July 2023.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
A strong patient safety culture needs nurturing to serve as a foundation for launching and sustaining
improvements. This toolkit pro…
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psnet.ahrq.gov/node/44192/psn-pdf
November 10, 2015 - Hospital ratings: a guide for the perplexed.
November 10, 2015
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2.
doi:10.1001/jama.2015.5269.
https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
Concerns have been raised about the variability of measures used to rate safety a…
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psnet.ahrq.gov/node/40764/psn-pdf
December 29, 2014 - Wristbands as aids to reduce misidentification: an
ethnographically guided task analysis.
December 29, 2014
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically
guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045.
https://psnet…
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psnet.ahrq.gov/issue/guided-reflection-interventions-show-no-effect-diagnostic-accuracy-medical-students
September 20, 2016 - Study
Guided reflection interventions show no effect on diagnostic accuracy in medical students.
Citation Text:
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297…
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psnet.ahrq.gov/node/42617/psn-pdf
January 24, 2018 - Improving Your Office Testing Process: A Step by Step
Guide for Rapid-Cycle Patient Safety and Quality
Improvement.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
https://psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-
safe…
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - The toolkit contains guides and aides that hospital
personnel can use to conduct each of these processes
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - Book/Report
A Framework for Safe, Reliable, and Effective Care.
Citation Text:
A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017.
Copy Citation…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/72805/psn-pdf
March 03, 2021 - When machine learning goes off the rails. A guide to
managing the risks.
March 3, 2021
Babic B, Cohen IG, Evgeniou T, et al. Harv Bus Rev. 2021 January/February;99(1):76-
84.
https://psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
This article discusses how machine lea…
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psnet.ahrq.gov/issue/patient-safety-rights-charter
June 05, 2024 - Book/Report
Patient Safety Rights Charter.
Citation Text:
Patient Safety Rights Charter. Geneva, Switzerland: World Health Organization; April 2024. ISBN: 9789240093249.
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