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psnet.ahrq.gov/node/43143/psn-pdf
April 25, 2016 - Surgical programs in the Veterans Health Administration
maintain briefing and debriefing following medical team
training.
April 25, 2016
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing
and debriefing following medical team training. Jt Comm J Qual Patient…
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psnet.ahrq.gov/node/840144/psn-pdf
November 16, 2022 - Dedicated teams to optimize quality and safety of
surgery: a systematic review.
November 16, 2022
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and
safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.
doi:10.1093/intqhc/mzac078.
ht…
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psnet.ahrq.gov/node/37883/psn-pdf
July 02, 2008 - The limits of knowledge management for UK public
services modernization: the case of patient safety and
service quality.
July 2, 2008
Currie G, Waring J, Finn R. THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES
MODERNIZATION: THE CASE OF PATIENT SAFETY AND SERVICE QUALITY. Public Adm. 2008;86(2).
doi:10.…
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psnet.ahrq.gov/node/36829/psn-pdf
March 28, 2011 - Confidential reporting of patient safety events in primary
care: results from a multilevel classification of cognitive
and system factors.
March 28, 2011
Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a
multilevel classification of cognitive and system facto…
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psnet.ahrq.gov/node/46651/psn-pdf
January 17, 2018 - Piloting a patient safety and quality improvement co-
curriculum.
January 17, 2018
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-
curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357.
doi:10.1080/20009666.2017.1403830.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/847726/psn-pdf
January 01, 2024 - Systematic review of clinical debriefing tools: attributes
and evidence for use.
April 19, 2023
Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and
evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46354/psn-pdf
November 21, 2017 - Controlled trial to improve resident sign-out in a medical
intensive care unit.
November 21, 2017
Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive
care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657.
https://psnet.ahrq.gov/issue/contr…
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psnet.ahrq.gov/node/866555/psn-pdf
August 21, 2024 - Using behavioral insights to strengthen strategies for
change. Practical applications for quality improvement in
healthcare.
August 21, 2024
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical
applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
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psnet.ahrq.gov/node/47503/psn-pdf
October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs.
October 24, 2018
Peeples L. Pharmacy Practice News. October 10, 2018.
https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
Structured handoffs can reduce communication problems that contribute to medical error. This magazine
article re…
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psnet.ahrq.gov/node/40286/psn-pdf
March 09, 2011 - Medication-error alerts for warfarin orders detected by a
bar-code-assisted medication administration system.
March 9, 2011
FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-
assisted medication administration system. Am J Health Syst Pharm. 2011;68(5):434-41.
…
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psnet.ahrq.gov/node/73481/psn-pdf
July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action.
July 7, 2021
Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality;
June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
The mindset on diagnostic error…
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psnet.ahrq.gov/node/38306/psn-pdf
January 07, 2009 - Impact of barcode medication administration technology
on how nurses spend their time providing patient care.
January 7, 2009
Poon EG, Keohane CA, Bane A, et al. Impact of Barcode Medication Administration Technology on How
Nurses Spend Their Time Providing Patient Care. JONA: The Journal of Nursing Administration.…
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psnet.ahrq.gov/node/838921/psn-pdf
October 26, 2022 - Improving discharge safety in a pediatric emergency
department.
October 26, 2022
Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency
department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307.
https://psnet.ahrq.gov/issue/improving-discharge-safety-pedi…
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psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - Towards a framework for managing risk associated with
technology-induced error.
April 5, 2017
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced
Error. Stud Health Technol Inform. 2017;234:42-48.
https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
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psnet.ahrq.gov/node/60954/psn-pdf
September 30, 2020 - Catheter-associated urinary tract infection reduction in a
pediatric safety engagement network.
September 30, 2020
Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric
safety engagement network. Pediatrics. 2020;146(4):e20192057. doi:10.1542/peds.2019-2057.
…
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psnet.ahrq.gov/node/74094/psn-pdf
November 17, 2021 - Workplace Safety Supplemental Item Set for Hospital
SOPS.
November 17, 2021
Rockville, MD: Agency for Healthcare Research and Quality; 2021.
https://psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey Hospital Survey on Patie…
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psnet.ahrq.gov/node/38027/psn-pdf
October 15, 2008 - Assessing the Evidence Base for Context-Sensitive
Effectiveness and Safety of Patient Safety Practices:
Developing Criteria.
October 15, 2008
US Department of Health and Human Services; HHS; Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-eff…
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digital.ahrq.gov/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale/citation/implementation
January 01, 2023 - Implementation of lung cancer screening in primary care and pulmonary clinics: Pragmatic clinical trial of electronic health record-integrated everyday shared decision making tool and clinician-facing prompts.
Citation
Kukhareva PV, Li H, Caverly TJ, Del Fiol G, Fagerlin A, Butler JM, Hess R, Zhang Y,…
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psnet.ahrq.gov/node/60664/psn-pdf
July 08, 2020 - Applying the Medications at Transitions and Clinical
Handoffs Toolkit in a rural primary care clinic:
implications for nursing, patients, and caregivers.
July 8, 2020
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a
rural primary care clinic: implications for…
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integrationacademy.ahrq.gov/sites/default/files/2021-10/Treatment_plan_v1_7_16.pdf
January 01, 2021 - Treatment Plan -- Behavioral Health
Treatment Plan – Behavioral Health
Patient Name: Date of Session Created:
Patient DOB: Referring Provider:
Diagnosis:
Problems:
Long Term Goals:
Patient Strengths and Assets:
…