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psnet.ahrq.gov/issue/condition-help
October 04, 2023 - Toolkit
Condition Help.
Citation Text:
Condition Help. Pittsburg, PA: UPMC Shadyside Hospital: 2019.
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psnet.ahrq.gov/issue/how-doctor-confronts-medical-error
September 20, 2023 - Audiovisual Presentation
How a Doctor Confronts Medical Error.
Citation Text:
How a Doctor Confronts Medical Error. People’s Pharmacy. Show 1209. April 28, 2020.
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psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
March 06, 2005 - Audiovisual Presentation
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing.
Citation Text:
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. Texas Medical Institute of Technology. June 16, 2011.
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psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
July 20, 2021 - Webinar
Patient, Medical, and Legal Perspectives of Unsafe Care.
Citation Text:
Patient, Medical, and Legal Perspectives of Unsafe Care. Patient Safety Movement. October 29, 2021.
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psnet.ahrq.gov/issue/engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your-physicians-get
July 21, 2021 - Meeting/Conference Proceedings
Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged?
Citation Text:
Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged? AHA Team Training. June 8,…
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psnet.ahrq.gov/issue/patient-safety-practices-leaders-can-turn-barriers-accelerators
September 07, 2011 - Commentary
Patient safety practices: leaders can turn barriers into accelerators.
Citation Text:
Patient safety practices: leaders can turn barriers into accelerators. Denham CR.. J Patient Saf. 2005,1(1):41-55
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psnet.ahrq.gov/issue/safety-leadership-managing-paradox
November 02, 2011 - Commentary
Safety leadership: managing the paradox.
Citation Text:
Safety leadership: managing the paradox. Carrillo RA. Professional Safety. July 2005;31-34.
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psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
July 07, 2021 - Special or Theme Issue
Human factors, nursing and patient safety.
Citation Text:
Human factors, nursing and patient safety. Nurs Stand. Apr-May 2012;26.
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psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
January 13, 2016 - Book/Report
Disclosure: what works now and what can work even better (part 3 of 3).
Citation Text:
Disclosure: what works now and what can work even better (part 3 of 3). Chicago, IL: American Society of Healthcare Risk Management;
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psnet.ahrq.gov/issue/engaging-minority-communities-safer-healthcare
January 15, 2017 - Meeting/Conference Proceedings
Engaging Minority Communities in Safer Healthcare.
Citation Text:
Engaging Minority Communities in Safer Healthcare. Kurz M, Tobin WN. Chestnut Hill, MA: Medically Induced Trauma Support Services Inc.; 2011.
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psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
March 27, 2018 - Review
Nurses' role in detecting deterioration in ward patients: systematic literature review.
Citation Text:
Nurses' role in detecting deterioration in ward patients: systematic literature review. Odell M; Victor C; Oliver D.
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psnet.ahrq.gov/issue/elderly-falls
March 30, 2016 - Special or Theme Issue
Elderly Falls.
Citation Text:
Elderly Falls. J Safety Res. 2011;42(6):415-542.
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psnet.ahrq.gov/issue/ongoing-preventable-fatal-events-fentanyl-transdermal-patches-are-alarming
May 07, 2018 - Newspaper/Magazine Article
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming!
Citation Text:
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! ISMP Medication Safety Alert! Acute Care Edition. June 28, 2007;12:1-3.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
July 01, 2023 - Section 1: Overview of Mutual Support Key Concepts and Tools
This section provides an overview of the key concepts and tools in the Mutual Support Module. More explanations and illustrations are provided in section 2 of this module ; methods for teaching the concepts and tools for this module are in section 3…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
June 01, 2012 - ADHD Chart Review Elements
ADHD Chart Abstraction Tool Template (with example data)
Patient ID Race Ethnicity Gender Payer Preferred Language Age Patient diagnosed between Dec 2011 and June 2012 (Yes-1/No -2) Evidence of ADHD diagnostic clinical exam by physician in the chart (Yes - 1/No - 2) Evidence in the chart…
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psnet.ahrq.gov/issue/human-costs-training-doctors
December 17, 2014 - Newspaper/Magazine Article
Human costs of training doctors.
Citation Text:
Human costs of training doctors. Dunklin R; Goetinck Ambrose S; Egerton B.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buil…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Building the Foundation for Your Medication Reconciliation Process Design
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.2. Central Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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www.ahrq.gov/diagnostic-safety/tools/calibrate-dx.html
March 01, 2023 - Calibrate Dx: A Resource To Improve Diagnostic Decisions
Delayed, wrong, and missed diagnoses are major contributors to patient harm. Lifelong learning is essential for achieving and maintaining diagnostic excellence. Diagnostic excellence involves not just making a correct and timely diagnosis but …