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www.ahrq.gov/nursing-home/resources/caring-for-caregivers.html
July 01, 2021 - Caring for Caregivers
Resource: Caring for Caregivers
This Caring for Caregivers Institute for Healthcare Improvement Virtual Learning Hour special series, presented in partnership with Well Being Trust, featured topics related to the prevention, prediction, and mitigation of poor caregiver mental health …
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psnet.ahrq.gov/node/35474/psn-pdf
September 21, 2009 - Is consent required for publication of medical errors?
September 21, 2009
Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q.
2005;8(4):66-9.
https://psnet.ahrq.gov/issue/consent-required-publication-medical-errors
The authors argue that, under certain conditions, p…
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psnet.ahrq.gov/node/38447/psn-pdf
March 04, 2010 - Never Events--Framework 2010-11.
March 4, 2010
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2010.
https://psnet.ahrq.gov/issue/never-events-framework-200910
This report from the United Kingdom is intended to guide Primary Care Trusts in implementing never
events policies for…
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psnet.ahrq.gov/node/40989/psn-pdf
December 07, 2011 - The criminalization of mistakes in nursing.
December 7, 2011
Philipsen NC. The Criminalization of Mistakes in Nursing. J Nurs Pract. 2011;7(9):719-726.
doi:10.1016/j.nurpra.2011.07.004.
https://psnet.ahrq.gov/issue/criminalization-mistakes-nursing
This commentary describes how treating medical mistakes in a puniti…
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psnet.ahrq.gov/node/35007/psn-pdf
May 22, 2009 - Peripheral vision: expertise in real world contexts.
May 22, 2009
Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5).
doi:10.1177/0170840605053102.
https://psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
The authors describe a five-stage model of acquiring expertise an…
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psnet.ahrq.gov/node/34579/psn-pdf
August 20, 2012 - Edgeware: Insights from Complexity Science for Health
Care Leaders. Second ed.
August 20, 2012
Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
https://psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
A workbook that presents a series of self-le…
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psnet.ahrq.gov/node/38250/psn-pdf
June 10, 2018 - Using external errors to signal a clear and present
danger.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.
https://psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
This article addresses the biases inherent when hearing reports of errors at other …
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psnet.ahrq.gov/node/36067/psn-pdf
September 28, 2010 - Operating room briefings.
September 28, 2010
Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf.
2006;32(7):407-410, 357.
https://psnet.ahrq.gov/issue/operating-room-briefings
The authors describe a postoperative debriefing tool used by surgical teams at Johns Hopkin…
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digital.ahrq.gov/population/military-service-member
January 01, 2023 - Military Service Member
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military…
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digital.ahrq.gov/principal-investigator/chiu-chung-yi
January 01, 2023 - Chiu, Chung-Yi
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 2: Obtaining Organizational
Buy-in and Support
Module 2 of the CANDOR Toolkit describes the importance of obtaining organizational supp…
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - "Recurrent" Appendicitis
Citation Text:
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Looking ahead, as health care delivery seeks a better ‘new normal,’ we
need to learn more about communication
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psnet.ahrq.gov/node/37110/psn-pdf
October 06, 2011 - Seeing systems in health care organizations.
October 6, 2011
Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec.
2007;33(4):20-9.
https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
Using a hypothetical scenario, the authors illustrate how to use the system…
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www.ahrq.gov/nursing-home/resources/module-2-infection-preventionist.html
May 01, 2022 - Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course
Resource: Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course
This module describes the role of an infection preventionist, who serves as the lead of a infection prevention…
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psnet.ahrq.gov/node/35932/psn-pdf
October 03, 2017 - Injury to research volunteers—the clinical-research
nightmare.
October 3, 2017
Wood AJJ, Darbyshire J. Injury to research volunteers--the clinical-research nightmare. N Engl J Med.
2006;354(18):1869-71.
https://psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
The authors discuss a high-…
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psnet.ahrq.gov/node/33906/psn-pdf
October 18, 2017 - Your Medicine, Be Smart, Be Safe.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A.
https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
This Web site assists consumers in learning how to take medications safely. The materials answer
common que…
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psnet.ahrq.gov/node/36073/psn-pdf
September 28, 2010 - Patient safety: through the eyes of your peers.
September 28, 2010
Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24.
https://psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
The authors present a peer review model for analyzing nursing behavior and…
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psnet.ahrq.gov/node/39410/psn-pdf
March 31, 2010 - Doctors fear work caps for residents may be bad
medicine.
March 31, 2010
Shapira I.
https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine
This news piece examines the work week of resident physicians and discusses how further limiting
trainees' work hours might reduce their experientia…
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psnet.ahrq.gov/node/72539/psn-pdf
December 02, 2020 - Diagnostic Excellence Video Series
December 2, 2020
Oakland, CA: Kaiser Permanente; 2020.
https://psnet.ahrq.gov/issue/diagnostic-excellence-video-series
Diagnostic reliability is a primary focus of patient safety improvement. This training program targets 17
topics that require attention to address diagnostic err…