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  1. 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. Copy …
  2. 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…
  3. 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 …
  4. 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…
  5. 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…
  6. 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…
  7. 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 e This page intentionally left blank. e Issue Brief 8 Distributed Cognition and the Rol…
  8. 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…
  9. 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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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/…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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. …