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6461. Human factors engineering: its place and potential in OR safety. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
      May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…

6462. The debrief imperative: building teaming competencies and team effectiveness. | PSNet
      psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
      December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

6463. Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. | PSNet
      psnet.ahrq.gov/issue/burnout-among-health-care-professionals-call-explore-and-address-underrecognized-threat-safe
      November 11, 2020 - Book/Report Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Citation Text: Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Dyrbye …

6464. Role of cognition in generating and mitigating clinical errors. | PSNet
      psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
      January 07, 2015 - Review Role of cognition in generating and mitigating clinical errors. Citation Text: Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. Copy Citation Format: …

6465. Disclosing medical errors to patients: effects of nonverbal involvement. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
      June 14, 2017 - Study Disclosing medical errors to patients: effects of nonverbal involvement. Citation Text: Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. Copy Citation Format: DO…

6466. The limits of checklists: handoff and narrative thinking. | PSNet
      psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
      July 01, 2017 - Commentary The limits of checklists: handoff and narrative thinking. Citation Text: Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705. Copy Citation Format: DOI Google Scho…

6467. The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. | PSNet
      psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
      May 09, 2018 - Book/Report Classic The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. Citation Text: The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. Robins NS…

6468. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. | PSNet
      psnet.ahrq.gov/issue/dual-process-cognitive-interventions-enhance-diagnostic-reasoning-systematic-review
      March 20, 2019 - Review Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. Citation Text: Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.113…

6469. Apology laws and malpractice liability: what have we learned? | PSNet
      psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
      March 18, 2020 - Commentary Apology laws and malpractice liability: what have we learned? Citation Text: Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. Copy Citation Format: DOI G…

6470. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet
      psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
      September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

6471. Placing patient safety at the heart of value-based healthcare. | PSNet
      psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
      February 15, 2023 - Commentary Placing patient safety at the heart of value-based healthcare. Citation Text: La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. Copy Citation Fo…

6472. Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/virtual-pharmacy-improves-medication-use-and-patient-safety-palliative-care
      January 01, 2023 - Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Leveraging Telehealth to Improve Health Systems Including virtual pharmacists in palliative care teams can reduce adverse drug interactions a…

6473. Engagement and Retention of Nonabstinent Patients in SUD Treatment – New ASAM Clinical Guidance | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/engagement-and-retention-nonabstinent-patients-sud-treatment-new-asam-clinical
      December 20, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

6474. State-Based Healthcare Extension Cooperatives - NOFO Released by AHRQ | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/state-based-healthcare-extension-cooperatives-nofo-released-ahrq
      September 13, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

6475. The patient's role in patient safety. | PSNet
      psnet.ahrq.gov/issue/patients-role-patient-safety
      May 01, 2024 - Review The patient's role in patient safety. Citation Text: Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

6476. Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
      December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

6477. Nil per os orders for imaging: a teachable moment. | PSNet
      psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
      November 13, 2024 - Commentary Nil per os orders for imaging: a teachable moment. Citation Text: Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. Copy Citation Format: DOI Googl…

6478. Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2021-year-review
      January 01, 2021 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review Executive Summary "The Digital Healthcare Research Program funds research to create actionable findings around 'what and how digital healthcare technologies work best' for its key stakehold…

6479. Online Self-Assessment | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/self-assessment-checklist-medication-assisted-treatment-opioid-use-disorder/online-self-assessment
      March 01, 2021 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

6480. Optimizing Care Delivery for Clinicians | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/optimizing-care-delivery-for-clinicians
      January 01, 2023 - Optimizing Care Delivery for Clinicians 2023 Research Stories An App to Help Rural Paramedics Improve Timeliness to Deliver Life-Saving Care for Patients Experiencing Heart Attacks Developing and implementing a point-of-care clinical decision support mobile application fo…