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psnet.ahrq.gov/node/866253/psn-pdf
July 10, 2024 - Identifying, understanding, and minimizing unconscious
cognitive biases in perioperative crisis management: a
narrative review.
July 10, 2024
Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious
cognitive biases in perioperative crisis management: a narrative review. Ane…
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psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - Ensuring successful implementation of communication-
and-resolution programmes.
March 18, 2020
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-
resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
https://psnet.ahrq.gov/issue/ensuri…
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psnet.ahrq.gov/node/47522/psn-pdf
January 01, 2021 - Examining medical office owners and clinicians
perceptions on patient safety climate.
November 7, 2018
Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on
Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PTS.0000000000000540.
https://psn…
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psnet.ahrq.gov/node/73215/psn-pdf
May 05, 2021 - To err is system: a comparison of methodologies for the
investigation of adverse outcomes in healthcare.
May 5, 2021
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse
outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
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psnet.ahrq.gov/node/836807/psn-pdf
March 30, 2022 - Preventing delayed and missed care by applying artificial
intelligence to trigger radiology imaging follow-up.
March 30, 2022
Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to
trigger radiology imaging follow-up. NEJM Catal Innov Care Deliv. 2022;3(4).
https://p…
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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…
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psnet.ahrq.gov/node/837731/psn-pdf
July 27, 2022 - Predictors and outcomes of patient safety culture: a
cross-sectional comparative study.
July 27, 2022
Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ
Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889.
https://psnet.ahrq.gov/issue/predictors-and-out…
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psnet.ahrq.gov/node/837331/psn-pdf
June 08, 2022 - Can a targeted educational approach improve situational
awareness in paramedicine during 911 emergency calls?
June 8, 2022
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in
paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174.
doi:10.1016/j.i…
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psnet.ahrq.gov/node/866639/psn-pdf
September 04, 2024 - Relationship between patient safety culture and patient
experience in hospital settings: a scoping review.
September 4, 2024
Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient
experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906.
doi…
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psnet.ahrq.gov/node/45734/psn-pdf
January 23, 2017 - Inappropriate opioid dosing and prescribing for children:
an unintended consequence of the clinical pain score?
January 23, 2017
Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An
Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6.
doi:10.…
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psnet.ahrq.gov/node/837147/psn-pdf
May 18, 2022 - Patient safety in home care: a multicenter cross-sectional
study about medication errors and medication
management of nurses.
May 18, 2022
Strube?Lahmann S, Müller?Werdan U, Klingelhöfer?Noe J, et al. Patient safety in home care: A multicenter
cross?sectional study about medication errors and medication management…
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digital.ahrq.gov/ahrq-funded-projects/scaling-interoperable-clinical-decision-support-patient-centered-chronic-pain-care/citation/study
January 01, 2023 - Study protocol for a type III hybrid effectiveness-implementation trial to evaluate scaling interoperable clinical decision support for patient-centered chronic pain management in primary care.
Citation
Salloum RG, Bilello L, Bian J, Diiulio J, Paz LG, Gurka MJ, Gutierrez M, Hurley RW, Jones RE, Marti…
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www.ahrq.gov/cpi/about/nac/snac-escarce.html
December 01, 2021 - SNAC Member: José J. Escarce, M.D., Ph.D.
Distinguished Professor of Medicine and of Health Policy and Management
David Geffen School of Medicine at University of California, Los Angeles
José J. Escarce, M.D., Ph.D., is a health economist, an internist, and a distinguished professor of medicine in the David …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability.html
June 01, 2017 - Sustainability
Toolkit To Improve Safety in Ambulatory Surgery Centers
It is important to build in plans for sustainment when starting an implementation project. The resources below can help your ambulatory surgery center integrate sustainment activities into the project.
Training and Tools for Sustaining I…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-2.html
August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Evidence Base Supporting Telehealth
Previous Page Next Page
Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Introduction
Evidence Base Supporting Telehealth
I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus
Patent Ductus Arteriosus
Characteristics
■ A persistent open connection beyond 3 months of age between the pulmonary artery and the
aorta with blood flow from the aorta to the pulmonary artery.
■ An open ductus may lead to:
– Congestive heart…
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psnet.ahrq.gov/node/74200/psn-pdf
January 01, 2022 - Association of surgeon-patient sex concordance with
postoperative outcomes.
December 22, 2021
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative
outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
https://psnet.ahrq.gov/issue/association-s…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/Excel_Tool_Slides_2020-1-Intro.pdf
January 01, 2020 - Tutorial on the SOPS Data Entry and Analysis Tools Webcast-Intro
Tutorial on the
SOPS Data Entry and Analysis Tools
Webcast
December 3, 2020
2:30-3:00 PM ET
Need Help?
• No sound from computer speakers?
• Trouble with your connection or slides not moving?
► Log out and log back in
• Other problems?
► Use …
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psnet.ahrq.gov/node/837677/psn-pdf
July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient
Diagnosed with Prostate Cancer at the Hampton VA
Medical Center in Virginia.
July 13, 2022
Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186.
https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Background Quality Improvement Team Information Form
AHRQ Safety Program for Perinatal Care
Background Quality Improvement Team Information Form
Who should use this tool? Health care teams
Please indicate staff members designated as Labor and Delivery Quality Improvement Team…