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psnet.ahrq.gov/node/46172/psn-pdf
June 21, 2017 - Flying lessons for clinicians: developing system 2
practice.
June 21, 2017
Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air
Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003.
https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-p…
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psnet.ahrq.gov/node/854246/psn-pdf
October 04, 2023 - Inpatient EHR user experience and hospital EHR safety
performance.
October 4, 2023
Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety
performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152.
https://psnet.ahrq.gov/issue/inpatient-ehr-user…
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psnet.ahrq.gov/node/44351/psn-pdf
October 21, 2015 - Heparin-containing medical devices and combination
products: recommendations for labeling and safety
testing. Draft guidance for industry and Food and Drug
Administration staff.
October 21, 2015
Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food
and Drug Administrati…
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psnet.ahrq.gov/node/45582/psn-pdf
June 15, 2017 - A work observation study of nuclear medicine
technologists: interruptions, resilience and implications
for patient safety.
June 15, 2017
Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists:
interruptions, resilience and implications for patient safety. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - Speaking up: factors and issues in nurses advocating for
patients when patients are in jeopardy.
December 15, 2014
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45848/psn-pdf
November 19, 2018 - New Horizons in Patient Safety: Understanding
Communication: Case Studies for Physicians.
November 19, 2018
Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-
physicians
Poor c…
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psnet.ahrq.gov/node/44572/psn-pdf
January 22, 2016 - Can social media be used as a hospital quality
improvement tool?
January 22, 2016
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp
Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
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psnet.ahrq.gov/node/73345/psn-pdf
June 02, 2021 - An estimate of missed pediatric sepsis in the emergency
department.
June 2, 2021
Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency
department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023.
https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-…
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psnet.ahrq.gov/node/866162/psn-pdf
June 19, 2024 - Surgeon and surgical trainee experiences after adverse
patient events.
June 19, 2024
Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse
patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329.
https://psnet.ahrq.gov/issue/surgeon-and…
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psnet.ahrq.gov/node/72832/psn-pdf
March 10, 2021 - Communication and Transparency as a Means to
Strengthening Workplace Culture During COVID-19.
March 10, 2021
Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To
Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021.
doi:10.31478/202103a.
https:/…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibiogram at [NURSING HOME NAME]. Antibiotics are among the most commonly prescribed pharmaceuticals in long-term-care settings, yet reports indicate that a high proportion …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/assessment-tool.html
March 01, 2017 - Sustainability Action Plan
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The Sustainability Assessment Tool is developed to help you understand what project elements and other factors may influence sustainability. There are two formats to choose from. You may print the handout to write in sco…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/child-maltreatment-counseling-2004
May 20, 2019 - Share to Facebook
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Print
archived
Final Recommendation Statement
Child Maltreatment: Counseling, 2004
May 20, 2019
Recommendations made by the USPSTF are independent of the U.S. government…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.14. Lean Tools and Activities for Clinic Flow
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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www.ahrq.gov/policy/electronic/links/index.html
July 01, 2025 - Linking to the AHRQ Website
Information about establishing links to the AHRQ website.
Our Home Page address: https://www.ahrq.gov We prefer linkages to the Home Page. If you link to specific items within the website, rather than the Home Page, please Submit a Message to notify us and provide the relevant U…
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www.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Care Coordination
Care coordination, a key element for delivery of quality primary care, involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs an…
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www.ahrq.gov/patient-safety/reports/engage/strategies.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Evidence-Based Strategies To Engage Patients and Families To Improve Patient Safety
This Guide is composed of four evidence-based strategies that promote meaningful engagement with patients and families in ways that …
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psnet.ahrq.gov/node/852282/psn-pdf
August 09, 2023 - Implementation of medication reconciliation in outpatient
cancer care.
August 9, 2023
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care.
BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
https://psnet.ahrq.gov/issue/implementation-medication-…