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8421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41387/psn-pdf
      May 18, 2012 - Surfing the Healthcare Tsunami: Bring Your Best Board. May 18, 2012 Austin, TX: Texas Medical Institute for Technology; 2012. https://psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board The second in a series, this documentary focuses on learning from other high-risk industries and engaging hospi…

8422. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42331/psn-pdf
      June 05, 2013 - Using the ABCs of situational awareness for patient safety. June 5, 2013 Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety This commentary exa…

8423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40794/psn-pdf
      June 10, 2018 - Telling true stories is an ISMP hallmark: here's why you should tell stories, too. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3. https://psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too This piece describes storytelling as a s…

8424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41524/psn-pdf
      November 05, 2013 - Creating a culture of safety by coaching clinicians to competence. November 5, 2013 Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence …

8425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36911/psn-pdf
      September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…

8426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36196/psn-pdf
      November 01, 2012 - Myths and realities of the 80-hour work week. November 1, 2012 Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274. https://psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week The authors reviewed the literature on the impact of resident work-…

8427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35025/psn-pdf
      September 21, 2005 - A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005 Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22. https://psnet.ahrq.gov/issue…

8428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36988/psn-pdf
      February 17, 2011 - An elusive balance — residents' work hours and the continuity of care. February 17, 2011 Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. https://psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care The author discusses wo…

8429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38348/psn-pdf
      December 30, 2014 - Implementing a bar-code medication administration system. December 30, 2014 Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016- 1022. doi:10.1310/hpj4312-1016. https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system This commentary discusse…

8430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36639/psn-pdf
      January 14, 2011 - Creating a safety culture at the Children's and Women's Health Centre of British Columbia. January 14, 2011 Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6. https://psnet.ahrq.gov/issue/creating-s…

8431. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
      August 01, 2025 - To learn more about each of the projects included in this synthesis, view the companion Appendix that … To learn more about a grant listed below, go to NIH RePORTER, and enter the grant’s project number (e.g … healthcare resources, it produced the P4P (Pay for Performance) Decision Tool that allows purchasers to learn … for PSLL participants, as well as seasonal newsletters and webinars, to help grantees network and learn … Residents 2002–2004 $99,916 Final Report Purpose: Understand how medical residents experience and learn

8432. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Final Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/outcome-research-white-paper.pdf
      June 01, 2022 - Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Final Report Research White Paper Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Final Report Research White Paper Outcome Measu…

8433. Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs022948-morrow-final-report-2018.pdf
      January 01, 2018 - Differential linear regressions were used to learn the difference between F0 (pitch) of any given word … Next, this approach was generalized to learn differences in pitch contour between the speech of two

8434. Final Progress Report: Helping Elders Include Quality in Health Plan Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
      January 01, 2024 - sources of information—such as state health insurance and assistance programs (SHIPs) and employers—to learn … Participants repeatedly mentioned wanting to learn more about the differences in cost and benefits among … The target audience understood and used these materials to learn about Medicare and to compare their

8435. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - This occurs, notably, when physicians learn how to use CPOE and eventually find it more efficient and … In contrast, the OBM practitioner does not view an error as an unavoidable accident from which to learn … Both the observer and the person observed learn valuable error-reduction information throughout this

8436. Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
      May 01, 2018 - frustrating when you purchase an EHR system and think you are getting a certain set of functions and then learn

8437. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Final Report: Translating simulation-based team leadership training into patient-level outcomes Title of Project: Translating simulation-based team leadership training into patient-level outcomes Principal Investigator and Team Members: Fernandez, R (PI); Rosenman, ED (Site PI); Nichol, G; Arbabi, S; Chao, GT O…

8438. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - Alternatively, if we are blissfully unaware it can be disarming to learn we have fallen short. … It’s very difficult to receive corrective feedback or learn that a team member has a problem with your … You can learn more about it in Module 3.

8439. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
      July 01, 2023 - Alternatively, if we are blissfully unaware it can be disarming to learn we have fallen short. … It’s very difficult to receive corrective feedback or learn that a team member has a problem with your … You can learn more about it in Module 3.

8440. Infection Prevention and Control (IPC) for COVID-19 Virus | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/ipc-covid-19-virus.html
      May 01, 2022 - Infection Prevention and Control (IPC) for COVID-19 Virus Resource: Infection Prevention and Control (IPC) for COVID-19 Virus ​This course provides information on what facilities should be doing to be prepared to respond to a case of an emerging respiratory virus such as COVID-19, how to identify a case onc…