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psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
July 22, 2010 - Commentary
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method.
Citation Text:
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Hohenhaus S, Powell S, Hohenhaus JT. Am J …
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psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
March 11, 2009 - Special or Theme Issue
How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project.
Citation Text:
How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Im…
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www.ahrq.gov/practiceimprovement/delivery-initiative/presentations.html
December 01, 2017 - Delivery System Research Initiative
Topical Papers and Briefs
Presentations, papers, and briefs on advanced methods and critical challenges for delivery system research.
Select for a summary of opportunities for advancing delivery system research, activities to support this research, and messages for deli…
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psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
May 23, 2018 - Newspaper/Magazine Article
How one health system overcame resistance to a surgical checklist.
Citation Text:
How one health system overcame resistance to a surgical checklist. Hilton K, Anderson A. Harv Bus Rev. May 20, 2019.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
November 12, 2008 - Press Release/Announcement
AHRQ announces interest in research on digital healthcare safety.
Citation Text:
AHRQ announces interest in research on digital healthcare safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication N…
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - Toolkit
Classic
Safe Surgery.
Citation Text:
Safe Surgery. World Health Organization.
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psnet.ahrq.gov/issue/caring-those-who-care-guide-development-and-implementation-occupational-health-and-safety
June 27, 2018 - Book/Report
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers.
Citation Text:
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Hea…
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/handoffs-and-fumbles
June 12, 2007 - Book/Report
Handoffs and fumbles.
Citation Text:
Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004.
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes
March 01, 2007 - Newspaper/Magazine Article
Fault trees uncover complex causes.
Citation Text:
Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52.
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psnet.ahrq.gov/issue/health-information-technology
August 21, 2016 - Special or Theme Issue
Health Information Technology.
Citation Text:
Health Information Technology. Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
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psnet.ahrq.gov/issue/role-physician-specialty-board-certification-status-quality-movement
October 01, 2007 - Review
The role of physician specialty board certification status in the quality movement.
Citation Text:
Brennan TA, Horwitz RI, Duffy FD, et al. The Role of Physician Specialty Board Certification Status in the Quality Movement. JAMA. 2004;292(9). doi:10.1001/jama.292.9.1038.
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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death.
Citation Text:
National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD
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psnet.ahrq.gov/issue/when-bone-flap-hits-floor
March 12, 2025 - Study
When the bone flap hits the floor.
Citation Text:
Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90.
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - Book/Report
Patient Safety Culture Report: Focusing on Indicators.
Citation Text:
Patient Safety Culture Report: Focusing on Indicators. Utrecht, Netherlands: European Network for Patient Safety; 2010.
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psnet.ahrq.gov/issue/patient-safety-23
October 31, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.5. Chronology of Quality Improvement and Lean at LHC
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcar…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…