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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps
Citation Text:
Sauder C, Kleber KT. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-machine-learning-screening.pdf
November 01, 2019 - Methods Research Report: Performance and Usability of Machine Learning for Screening in Systematic Reviews
Methods Research Report
Performance and Usability of Machine Learning for
Screening in Systematic Reviews: A Comparative
Evaluation of Three Tools
Methods Research Report
Performance and Usability of Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox
Designing and Delivering
Whole-Person Transitional Care:
The Hospital Guide to Reducing
Medicaid Readmissions
TOOLBOX
DESIGNING AND DELIVERING WHOLE-PERSON TRANSITIONAL CARE:
THE HOSPITAL …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
September 03, 2014 - PowerPoint Presentation
Clinical Care of the Hemodialysis Patient
1
Objectives
Summarize key reasons clinical care is important in vascular access infection (VAI) prevention
Identify five occasions in which hand hygiene is critical
Explain practices that all staff members can follow during site access in order to…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
Building, Implementing & Troubleshooting an Automatic Referral for Cardiac Rehabilitation
1
This presentation is designed to help you understand the steps required for designing, testing, implementing, and troubleshootin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
July 01, 2016 - Care Coordination Quality Measure for Primary Care (CCQM-PC) - Development and Pilot Test of the CCQM-PC
Care Coordination Quality Measure for
Primary Care (CCQM-PC)
Development and Pilot Test of the CCQM-PC v 1.0;
Guidance for Use of CCQM-PC v 2.0
Overview of the Care Coordination Quality Measure…
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www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
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Issue Brief 8
Distributed Cognition and the Rol…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
3. Results
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
This page intentionally left blank.
e
Issue Brief 8
Distributed Cognition and the Rol…
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psnet.ahrq.gov/node/73091/psn-pdf
March 31, 2021 - Has the COVID pandemic strengthened or weakened
health care teams? A field guide to healthy workforce
best practices.
March 31, 2021
Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field
guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141.
doi:10.1097…
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psnet.ahrq.gov/node/836861/psn-pdf
April 06, 2022 - How health systems decide to use artificial intelligence
for clinical decision support.
April 6, 2022
Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for
clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416.
https://psnet…
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psnet.ahrq.gov/node/72684/psn-pdf
January 27, 2021 - National Partnership for Maternal Safety: consensus
bundle on support after a severe maternal event.
January 27, 2021
Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on
Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101.
doi:1…
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psnet.ahrq.gov/node/867684/psn-pdf
March 05, 2025 - Development of a preliminary patient safety classification
system for generative AI.
March 5, 2025
Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for
generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/867591/psn-pdf
January 22, 2025 - Biased language in simulated handoffs and clinician
recall and attitudes.
January 22, 2025
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and
attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
https://psnet.ahrq.gov/issue/bias…
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psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
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psnet.ahrq.gov/node/73424/psn-pdf
June 23, 2021 - The psychological experiences of nurses after inpatient
suicide: a meta-synthesis of qualitative research studies.
June 23, 2021
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta?
synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
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psnet.ahrq.gov/node/72757/psn-pdf
February 17, 2021 - Prolonged diagnostic intervals as marker of missed
diagnostic opportunities in bladder and kidney cancer
patients with alarm features: a longitudinal linked data
study.
February 17, 2021
Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic
opportunities in bladder and k…
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psnet.ahrq.gov/node/34094/psn-pdf
September 27, 2017 - Surveillance of medical device-related hazards and
adverse events in hospitalized patients.
September 27, 2017
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events
in hospitalized patients. JAMA. 2004;291(3):325-34.
https://psnet.ahrq.gov/issue/surveillance-medical…
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psnet.ahrq.gov/node/46886/psn-pdf
August 01, 2018 - Support strategies for health care professionals who are
second victims.
August 1, 2018
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-
P9. doi:10.1002/aorn.12291.
https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
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psnet.ahrq.gov/node/73376/psn-pdf
June 09, 2021 - Peer support by interprofessional health care providers in
aftermath of patient safety incidents: a cross-sectional
study.
June 9, 2021
Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in
aftermath of patient safety incidents: a cross?sectional study. J Nurs Manag. …