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psnet.ahrq.gov/node/865810/psn-pdf
May 08, 2024 - Reframing the morbidity and mortality conference: the
impact of a just culture.
May 8, 2024
Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just
culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224.
https://psnet.ahrq.gov/issue/reframing-mo…
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psnet.ahrq.gov/node/847726/psn-pdf
January 01, 2024 - Systematic review of clinical debriefing tools: attributes
and evidence for use.
April 19, 2023
Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and
evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43105/psn-pdf
April 02, 2014 - Application of surgical safety standards to robotic
surgery: five principles of ethics for nonmaleficence.
April 2, 2014
Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five
principles of ethics for nonmaleficence. J Am Coll Surg. 2014;218(2):290-3.
doi:10.1016/j.jam…
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psnet.ahrq.gov/node/44521/psn-pdf
July 03, 2016 - Crib of horrors: one hospital's approach to promoting a
culture of safety.
July 3, 2016
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of
Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - seeking interactions with colleagues to raise questions associated with COVID care and share lessons learned … available for both members and non-members to raise questions associated with COVID care and share lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
March 01, 2006 - The Falls Toolkit consolidates lessons learned from the Falls Collaborative and from current
research
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - Rapid Response for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Say:
The Rapid Response for Perinatal Safety bundle provides information establishing a unitwide approach, also referred to as a rapid response system, for respon…
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www.uspreventiveservicestaskforce.org/uspstf/document/how-did-the-uspstf-arrive-at-this-recommendation-/prostate-cancer-screening-2012
May 11, 2012 - Share to Facebook
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archived
How Did the USPSTF Arrive at This Recommendation?
Prostate Cancer: Screening
May 11, 2012
Recommendations made by the USPSTF are independent of the U.S. govern…
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - How Does Health Care Simulation Affect Patient Care?
August 1, 2018
Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
Perspective
Introduction
Health care simulation programs have spread…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - Sites can also decide how often and how
much information learned from debriefings
or formal analysis
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-6.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
References
Previous Page
Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagnostic Safety?
How Can Leaders Drive Improvements in Diag…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - Small and Rural Critical Access Hospitals (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on July 19, 2011.
Contents
Slide 1. Small and Rural Critical Access Hospitals
Slide 2. Agenda
Slide 3. Applying CUSP in the Small and Rural Critical Access Hospital
Sli…
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www.ahrq.gov/nursing-home/tg/learning-modules/vaccination-testing.html
December 01, 2022 - Pagbabakuna at Pagte-test
Ang serye ng dalawang learning module na ito ay nakatuon sa mga pagsasaalang-alang kung kailan susuriin ang mga residente para sa COVID-19 at kung paano mapoprotektahan ng bakuna sa COVID-19 ang mga kawani at residente ng nursing home.
Module 1: Kailan Mag-test
Importanteng malaman…
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www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.html
January 01, 2015 - Creating a Culture of Safety
ESRD Toolkit
The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers.
Presentation Slides ( PPTX, 20 M B)
Facilitator …
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/index.html
March 01, 2021 - Evidence for Advancing Heart Health
Heart disease is the leading cause of death for men and women in the United States. To prevent heart attacks, health care professionals can work with their patients to adopt the ABCS of cardiovascular disease prevention:
Aspirin use by high-risk individuals
Blood press…
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www.ahrq.gov/cpi/about/nac/snac-smith.html
December 01, 2021 - SNAC Member: Mark D. Smith, M.D., M.B.A.
Professor of Clinical Medicine
University of California, San Francisco
Mark D. Smith, M.D., M.B.A., is a professor of clinical medicine at the University of California, San Francisco. From 2015 to 2019, he served as co-chair of the Guiding Committee of the Health Care…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/using-artificial-intelligence-improve-health-and-healthcare
January 01, 2018 - Using Artificial Intelligence to Improve Health and Healthcare
Artificial intelligence (AI), defined as the ability of computers to learn human-like functions or tasks, has shown great promise. What was previously considered the sole domain of human cognition is already being leveraged suc…
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psnet.ahrq.gov/node/47553/psn-pdf
July 10, 2019 - Delivering high reliability in maternity care: in situ
simulation as a source of organisational resilience.
July 10, 2019
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of
organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019.
h…
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psnet.ahrq.gov/node/861283/psn-pdf
January 24, 2024 - What and when to debrief: a scoping review examining
interprofessional clinical debriefing.
January 24, 2024
Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining
interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730.
https://p…