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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Issue Brief 15
Strategies for Improving Clinician
Psychological Safety in Reporting
and Discussing Diagnostic Error
PATIENT
SAFETY
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Issue Brief 15
Strategies for I…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I
Pilot Test Results From the 2019 AHRQ
Surveys on Patient Safety CultureTM (SOPSTM)
Hospital Survey Version 2.0
Part I: Overall Results
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rock…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Challenges to Real-Time Decision Support in Health Care
Challenges to Real-Time Decision Support
in Health Care
Mark Fitzgerald, MB, BS, FACEM; Nathan Farrow, RN, BN (Hons) Adv Nur (Critical Care);
Pamela Scicluna, BSc; Angela Murray, RN; Yan Xiao, PhD;
Colin F. Mackenzie, MBChB, FRCA, FCCM
Abstract
This …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - Improving the Value of Patient Safety Reporting Systems
Improving the Value of Patient
Safety Reporting Systems
Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD;
Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS;
Lisa H. Lubomski, PhD; Albert W. Wu, M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident Decision Tree: Guidelines for
Action Following Patient Safety Incidents
Sandra Meadows, Karen Baker, Jeremy Butler
Abstract
The National Patient Safety Agency has developed the Incident Decision Tree to
hel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gandhi_22.pdf
February 01, 2007 - Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record
Improving Referral Communication Using a Referral
Tool Within an Electronic Medical Record
Tejal K. Gandhi, MD, MPH; Nancy L. Keating, MD, MPH; Matthew Ditmore; David Kiernan;
Robin Johnson; Elisabeth Burdick, MS; Claus Ham…
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - SPOTLIGHT CASE
A Missed Bowel Perforation - the Importance of Diagnostic Reasoning
Citation Text:
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community
Using Lean Six Sigma® Tools to Compare
INR Measurements from Different Laboratories
Within a Community
Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB
Abstract
Whene…
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digital.ahrq.gov/sites/default/files/docs/publication/health-it-and-mental-health-final-report.pdf
January 01, 2015 - Health Information Technology and Mental Health: The Way Forward
Final Contract Report
Health Information Technology
and Mental Health: The Way
Forward
Proceedings of a Summit on Health IT Solutions and
Future Priorities for Advancing Mental Health
…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023395-kent-final-report-2017.pdf
January 01, 2017 - Patient-Centered Postoperative Wound Surveillance Using Current Technology - Final Report
Project title: Patient-Centered Postoperative Wound Surveillance Using Current Technology
Principal Investigator: K. Craig Kent, MD
Team Members: Sara Fernandes-Taylor, PhD; Dai Yamanouchi, MD, Rebecca Gunter, MD
Organiza…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/childhood-cancer-disposition-comments.pdf
February 16, 2022 - Disposition of Comments_Models of Care That Include Primary Care for Adult Survivors of Childhood Cancer: A Realist View
Systematic Review Disposition of Comments Report
Project Title: Models of Care That Include Primary Care for Adult Survivors of Childhood
Cancer: A Realist Review
Draft re…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - Slide 1
CAUTI Sustainability:
Embedding CAUTI Policies, Using Data to Monitor Progress and Hardwiring CUSP Principles
1
Diane Byrum, RN, MSN, CCRN, CCNS, FCCM
Manager, Quality Implementation Programs
Society of Critical Care Medicine
William S. Miles, MD, FACS, FCCM, FAPWCA
Director of Surgical Critical Care and the …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Include patient/family responsibilities
• Next: What will happen next? Anticipated changes?
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effectivehealthcare.ahrq.gov/sites/default/files/oct_13_webinar_transript_10-13-11.pdf
October 13, 2011 - We have a
lot of systems in place to make things happen.
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effectivehealthcare.ahrq.gov/health-topics/understanding-medical-research
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effectivehealthcare.ahrq.gov/health-topics/bleeding
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effectivehealthcare.ahrq.gov/health-topics/transient-ischemic-attack
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effectivehealthcare.ahrq.gov/health-topics/thoracic-outlet-syndrome
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - Part of burnout is the
depersonalization of patients, which seemed to happen to this patient once he