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2841. Staff Member Survey for Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/physician-survey-post-intervention-nw.pdf
      January 01, 2014 - Staff Member Survey for Physicians Version 3 FOR COACH ONLY: PRACTICE ID: Healthy Hearts Northwest Follow-up Staff Member Survey (#2) ***MD, ND, DO, NP, PA version***      Name of your practice: Address of your practice: Today’s date: 1. Please rate your level of agreement with the following stateme…

2842. Challenges in Approaching Diagnostic Safety Unique to Children | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Challenges in Approaching Diagnostic Safety Unique to Children Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnost…

2843. Module 7: Resolution | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
      August 01, 2022 - Module 7: Resolution AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process. Slide 1 Say: When adverse patient events occur, the patient and their family are looking for answers to t…

2844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49658/psn-pdf
      July 01, 2012 - Misleading Complaint July 1, 2012 Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/misleading-complaint The Case A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with complaints of knee problems. The triage nurse docu…

2845. Methods (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - the enhanced reputation of the organization, increased satisfaction among employees (which in turn leads

2846. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - spearheaded by the Learning Health Community that Charles Friedman from the University of Michigan leads

2847. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - spearheaded by the Learning Health Community that Charles Friedman from the University of Michigan leads

2848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45705/psn-pdf
      January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…

2849. Primary Care Coalition of Montgomery County | Digital Healthcare Research
      digital.ahrq.gov/organization/primary-care-coalition-montgomery-county
      January 01, 2023 - Primary Care Coalition of Montgomery County Metro DC Health Information Exchange - 2009 Principal Investigator Lewis, Thomas Project Name Metro DC Health Information Exchange (MeDHIX) Metro DC Health Information Exchange (MeDHIX) D…

2850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44794/psn-pdf
      May 21, 2019 - Medical Device Use Error: Root Cause Analysis. May 21, 2019 Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. https://psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis Applying human factors engineering to examine mistakes associated with medical device use can lead …

2851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34982/psn-pdf
      July 14, 2010 - Development of the ICU safety reporting system. July 14, 2010 Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting system. T…

2852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836969/psn-pdf
      April 20, 2022 - Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. April 20, 2022 ISMP Medication Safety Alert! Acute care edition. April 7, 2022; 27(2):1-6. https://psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens- patient-safety…

2853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45122/psn-pdf
      October 08, 2016 - Transformational leadership in nursing and medication safety education: a discussion paper. October 8, 2016 Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper.  J Nurs Manag. 2016;24(7):970-980. doi:10.1111/jonm.12387. https://psn…

2854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35340/psn-pdf
      July 10, 2008 - Posthospital medication discrepancies: prevalence and contributing factors. July 10, 2008 Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…

2855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45234/psn-pdf
      November 18, 2016 - Recommended responsibilities for management of MR safety. November 18, 2016 Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…

2856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47241/psn-pdf
      October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. October 10, 2018 McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291. https://psnet.ahrq.gov/issu…

2857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46006/psn-pdf
      May 03, 2017 - Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. May 3, 2017 Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance, and Accountability Across Johns Hopkins…

2858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845345/psn-pdf
      March 01, 2023 - The role of language barriers on efficacy of rapid response teams. March 1, 2023 Raff L, Moore C, Raff E. The role of language barriers on efficacy of rapid response teams. Hosp Pract (1995). 2023;51(1):29-34. doi:10.1080/21548331.2022.2150416. https://psnet.ahrq.gov/issue/role-language-barriers-efficacy-rapid-res…

2859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837590/psn-pdf
      June 29, 2022 - Diagnostic challenges in primary care: identifying and avoiding cognitive bias. June 29, 2022 Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. https://psnet.ahrq.gov/issue/diagnostic-challenges-p…

2860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46753/psn-pdf
      January 30, 2018 - Leadership oversight for patient safety programs: an essential element. January 30, 2018 Moffatt-Bruce SD, Clark S, DiMaio M, et al. Leadership Oversight for Patient Safety Programs: An Essential Element. Ann Thorac Surg. 2017;105(2):351-356. doi:10.1016/j.athoracsur.2017.11.021. https://psnet.ahrq.gov/issue/leade…