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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric
Emergencies Leads to Improved Outcomes
Originally published on December 22, 2020
Last updated on December 23, 2020
https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-
improved-outcomes
Summary
Multidisciplinary tea…
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture in Healthcare
John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg
| March 27, 2024
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Citation Text:
Murray J, Sorra J, Gale B, et al. Ensuring Patient…
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In Conversation with Timothy Vogus about High
Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization
(HRO) Principles and Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/persp…
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - SPOTLIGHT CASE
Getting to the Root of the Matter
Citation Text:
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Implementation of Patient Safety Projects
Curated Library
Foundations
Leading change: why transformation efforts fail.
Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
Kotter, a professor at Harvard Business School, outlines the eight stages …
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - SPOTLIGHT CASE
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.
Citation Text:
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23181
April 08, 2025 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23205
January 01, 2013 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23301
January 01, 2013 - An official website of the Department of Health & Human Services
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Careers
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/medication-safety-officers-handbook
September 01, 2018 - Book/Report
Medication Safety Officer's Handbook.
Citation Text:
Medication Safety Officer's Handbook. Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23477
July 10, 2025 - An official website of the Department of Health & Human Services
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Careers
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Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
August 02, 2015 - Commentary
Saving without compromising: teaching trainees to safely provide high value care.
Citation Text:
Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003.
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psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
December 23, 2008 - Newspaper/Magazine Article
Pro/con debate: color-coded medication labels.
Citation Text:
Pro/con debate: color-coded medication labels. Janik LS, Vender JS, Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/annual-summary/2011
January 01, 2011 - Creating a foundation for the design of culturally-informed health IT - 2011
Project Name
Creating a Foundation for the Design of Culturally-Informed Health Information Technology
Principal Investigator
Valdez, Rupa Sheth
Organization
University of Wisconsin - Madison
…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-demand-inpatient-services/annual-summary/2010
January 01, 2010 - The Impact of Health Information Technology on Demand for Inpatient Services - 2010
Project Name
The Impact of Health Information Technology on Demand for Inpatient Services
Principal Investigator
Barrette, Eric
Organization
University of Minnesota, Twin Cities
Fundin…
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digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
January 01, 2010 - Building an Implementation Toolset for E-Prescribing - 2010
Project Name
Building an Implementation Toolset for E-Prescribing
Principal Investigator
Bell, Douglas
Organization
RAND Corporation
Contract Number
290-06-0017-4
Project Period
August 2008 – Septem…
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
September 06, 2011 - Book/Report
Classic
Improving Diagnostic Quality and Safety Final Report.
Citation Text:
Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017.
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psnet.ahrq.gov/issue/sepsis-recognizing-next-event
July 13, 2010 - Commentary
Sepsis: recognizing the next event.
Citation Text:
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53.
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psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Book/Report
Approaches and Challenges to Electronically Matching Patients' Records Across Providers.
Citation Text:
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…
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psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - Newspaper/Magazine Article
Understanding human over-reliance on technology.
Citation Text:
Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
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