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psnet.ahrq.gov/node/42798/psn-pdf
June 17, 2014 - The concept of shared mental models in healthcare
collaboration.
June 17, 2014
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs.
2014;70(7):1479-88. doi:10.1111/jan.12307.
https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
This conce…
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psnet.ahrq.gov/node/39835/psn-pdf
December 27, 2018 - Advancement toward High Reliability in Healthcare
Awards.
December 27, 2018
Department of Defense Patient Safety Program; DoD PSP; DoD
https://psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
This award recognizes outstanding high reliability improvement work in the Military Health System…
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Team-Developed Care Plan and Ongoing Care
Management by Social Workers and Nurse Practitioners
Result in Better Outcomes and Reduced Acute Care
Utilization in Low-Income Seniors and other High-Risk
Populations
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovatio…
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - In Conversation With... Michael L. Millenson
April 27, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Michael L. Millenson. PSNet [internet]. 2022.In Conversation With... Michael L. Millenson. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/node/39200/psn-pdf
March 28, 2010 - Creating champions for health care quality and safety.
March 28, 2010
Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med
Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108.
https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
Inte…
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psnet.ahrq.gov/node/35041/psn-pdf
January 02, 2017 - AHRQ quality and safety initiatives.
January 2, 2017
Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6.
https://psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy briefly presents the
agency's…
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psnet.ahrq.gov/node/37360/psn-pdf
January 05, 2012 - Building accountability through patient safety
organizations.
January 5, 2012
Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8.
https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
This commentary introduces the Patient S…
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psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
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psnet.ahrq.gov/node/38647/psn-pdf
May 20, 2009 - A next act for patient safety.
May 20, 2009
Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8.
https://psnet.ahrq.gov/issue/next-act-patient-safety
This article provides an overview of the Patient Safety and Quality Improvement Act and addresses the
potential roles …
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psnet.ahrq.gov/node/40421/psn-pdf
January 01, 2020 - Safe Surgery 2020.
April 27, 2011
GE Foundation. info@safesurgery2020.org.
https://psnet.ahrq.gov/issue/safe-surgery-2015
This Web site provides programmatic resources building on work to implement the World Health
Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…
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psnet.ahrq.gov/node/38181/psn-pdf
October 31, 2016 - PSO Privacy Protection Center.
October 31, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/pso-privacy-protection-center
This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005
by providing technical assistance and educational materia…
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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - SPOTLIGHT CASE
A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.
Citation Text:
Pasao K, Kashkouli P. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …
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psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
June 08, 2010 - Commentary
Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.
Citation Text:
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…
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psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
September 27, 2023 - Study
Learning from no-fault treatment injury claims to improve the safety of older patients.
Citation Text:
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
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Format:…
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - Commentary
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.
Citation Text:
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
April 12, 2011 - Study
A multifaceted program for improving quality of care in intensive care units: IATROREF study.
Citation Text:
Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-7…
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psnet.ahrq.gov/issue/patient-engagement-patient-safety-why-what-and-how-patient-engagement-improving-patient
July 15, 2020 - psnet
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - Clinical Decision Support Systems
March 15, 2025
Clinical Decision Support Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/clinical-decision-support-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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psnet.ahrq.gov/issue/biggest-mistake-doctors-make
October 09, 2013 - Newspaper/Magazine Article
The biggest mistake doctors make.
Citation Text:
The biggest mistake doctors make. Landro L. Wall Street Journal. November 17, 2013.
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