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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care-0
March 29, 2007 - Book/Report
Classic
Patient Safety: Achieving a New Standard of Care.
Citation Text:
Patient Safety: Achieving a New Standard of Care. Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, e…
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psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
July 01, 2020 - Newspaper/Magazine Article
FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization.
Citation Text:
FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. ISMP Medication Safety Alert! Acute care edition.&…
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psnet.ahrq.gov/issue/making-doctors-better
June 15, 2016 - Commentary
Making doctors better.
Citation Text:
Gerada C, Chatfield C, Rimmer A, et al. Making doctors better. BMJ. 2018;363:k4147. doi:10.1136/bmj.k4147.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
February 17, 2011 - Review
Legal and policy interventions to improve patient safety.
Citation Text:
Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880.
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…
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psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
January 31, 2018 - Review
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Citation Text:
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
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psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
March 02, 2022 - Study
Coaching to improve the quality of communication during briefings and debriefings.
Citation Text:
Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012.
Co…
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - Commentary
Guideline implementation: team communication.
Citation Text:
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300.
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Format:
DOI Google Scholar PubMed BibTeX End…
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psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
October 31, 2014 - Book/Report
Placing Diagnosis Errors on the Policy Agenda.
Citation Text:
Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014.
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psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
April 17, 2024 - Study
'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.
Citation Text:
Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/nasa-task-load-index
January 01, 2023 - NASA Task Load Index
Acronym
NASA TLX
Description
The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dime…
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psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
October 29, 2017 - Commentary
Using simulation to improve patient safety: dawn of a new era.
Citation Text:
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
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psnet.ahrq.gov/issue/its-not-all-about-me-motivating-hand-hygiene-among-health-care-professionals-focusing
May 29, 2019 - Study
It's not all about me: motivating hand hygiene among health care professionals by focusing on patients.
Citation Text:
Grant AM, Hofmann DA. It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Psychol Sci. 2011;22(12):1494-9. do…
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psnet.ahrq.gov/issue/struggle-improve-patient-care-face-professional-boundaries
November 13, 2019 - Study
The struggle to improve patient care in the face of professional boundaries.
Citation Text:
Powell AE, Davies H. The struggle to improve patient care in the face of professional boundaries. Soc Sci Med. 2012;75(5):807-14. doi:10.1016/j.socscimed.2012.03.049.
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psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
March 13, 2019 - Study
Emerging Classic
Sleep and alertness in a duty-hour flexibility trial in internal medicine.
Citation Text:
Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
July 01, 2023 - PowerPoint Presentation
Coaching
Module 6 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 6 of the SPPC-II Teamwork Toolkit. In this module, we’ll learn some tactics for coaching your frontline providers on using the teamwork tools.
1
Coaching
Involve…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - immunization safety system in which such risks can be studied and minimized
when possible is essential to maintaining
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Formats for Surveillance and aims to improve efficiency and ease of use, while reducing burden
and maintaining
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - The problems encountered or anticipated threats to maintaining abstinence (e.g., depression, weight gain
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www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
January 01, 2024 - Infusion center administrators face challenges trying to balance patient
preferences with maintaining