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  1. 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 …
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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 …
  8. Psn-Pdf (pdf file)

    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…
  9. 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…
  10. 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 …
  11. 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…
  12. 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…
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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…
  15. 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…
  16. Psn-Pdf (pdf file)

    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-…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…