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psnet.ahrq.gov/node/42516/psn-pdf
February 04, 2016 - "Excuse me": teaching interns to speak up.
February 4, 2016
O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient
Saf. 2013;39(9):426-431.
https://psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak
Previous research has shown that junior physicians may be unwilli…
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psnet.ahrq.gov/node/37216/psn-pdf
July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of
the trauma nurse practitioner.
July 28, 2010
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma
nurse practitioner. J Trauma. 2007;63(2):339-43.
https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…
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psnet.ahrq.gov/node/40865/psn-pdf
September 12, 2016 - A review of current and emerging approaches to address
failure-to-rescue.
September 12, 2016
Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-
rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633.
https://psnet.ahrq.gov/issue/review-current-…
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psnet.ahrq.gov/node/863000/psn-pdf
February 21, 2024 - Why engineers are working to build better pulse
oximeters.
February 21, 2024
Willyard C. MIT Technology Review. February 9, 2024.
https://psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
Engineers play an important role in the development and manufacturing of medical devices with an eye
…
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psnet.ahrq.gov/node/43185/psn-pdf
May 14, 2014 - Preventing health care–associated harm in children.
May 14, 2014
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA.
2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
This commentary describes why de…
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psnet.ahrq.gov/training-catalog/building-safety-culture-and-strengthening-hospital-safety-systems
July 07, 2025 - Building Safety Culture and Strengthening Hospital Safety Systems
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Organization:
Organization
Hospital Quality Institute
E…
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psnet.ahrq.gov/node/35443/psn-pdf
September 18, 2009 - The nuclear power industry as an alternative analogy for
safety in anaesthesia and a novel approach for the
conceptualisation of safety goals.
September 18, 2009
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel
approach for the conceptualisation of safety goals…
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psnet.ahrq.gov/node/38008/psn-pdf
August 27, 2008 - The Team Climate Inventory: application in hospital teams
and methodological considerations.
August 27, 2008
Ouwens M, Hulscher M, Akkermans R, et al. The Team Climate Inventory: application in hospital teams
and methodological considerations. Qual Saf Health Care. 2008;17(4):275-80.
doi:10.1136/qshc.2006.021543.
…
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psnet.ahrq.gov/node/41537/psn-pdf
December 30, 2014 - Deaths due to medical error: jumbo jets or just small
propeller planes?
December 30, 2014
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf.
2012;21(9). doi:10.1136/bmjqs-2012-001368.
https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-prop…
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/cellulitis.html
May 01, 2022 - Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection
After viewing or presenting this presentation, viewers will be able to—
Distinguish infectious cellulitis versus cellulitis mimics.
Discuss the diagnostic approach and empiric management of skin and soft tissue inf…
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psnet.ahrq.gov/node/37256/psn-pdf
July 28, 2010 - Evaluating physician performance at individualizing care:
a pilot study tracking contextual errors in medical
decision making.
July 28, 2010
Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a
pilot study tracking contextual errors in medical decision making. Med …
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psnet.ahrq.gov/node/42284/psn-pdf
May 22, 2013 - Current approaches to punitive action for medication
errors by boards of pharmacy.
May 22, 2013
Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by
boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668.
https://psnet.ahrq.gov/issue/current…
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psnet.ahrq.gov/node/43434/psn-pdf
August 06, 2014 - Maryland hospitals aren't reporting all errors and
complications, experts say.
August 6, 2014
Cohn M.
https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say
This news article reports weaknesses in a Maryland reporting program, including poor understanding about
wh…
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psnet.ahrq.gov/node/850935/psn-pdf
June 21, 2023 - Non–operating room anesthesia challenges.
June 21, 2023
Smith MJ. Anesthesiology News. June 6, 2023.
https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
The use of office-based anesthesia presents both care improvements and risks for patients and clinical
teams. This article summarizes frontline …
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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/citation/outcomes
January 01, 2023 - What outcomes matter to patients after joint or spine surgery?
Citation
Whitebird RR, Solberg LI, Norton CK, Ziegenfuss JY, Asche SE, Grossman ES. What outcomes matter to patients after joint or spine surgery? J Patient Cent Res Rev. 2020 Apr 27;7(2):157-164. doi: 10.17294/2330-0698.1738. PMID: 323775…
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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/citation/whats
January 01, 2023 - What's important: Postoperative care planning. Recognizing the central role of pets in many patients' lives.
Citation
Whitebird RR, Solberg LI. What's important: Postoperative care planning. Recognizing the central role of pets in many patients' lives. J Bone Joint Surg Am. 2021 Sep 1;103(17):1663-16…
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psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - The Leapfrog Hospital Survey.
April 1, 2024
Leapfrog Group.
https://psnet.ahrq.gov/issue/leapfrog-hospital-survey
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in
implementing specific patient safety practices. Updates to the survey include increased time a…
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www.ahrq.gov/hai/cusp/modules/nursing/index.html
July 01, 2018 - The Role of the Nurse Manager
The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative.
This module explains the–
Responsibilities of the nurse manager.
Leadership and management roles of the nurse manager.
Key business an…
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digital.ahrq.gov/principal-investigator/scholle-sarah-h
January 01, 2023 - Scholle, Sarah H.
Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians.
Citation
Morton S, Shih SC, Winther CH, et al. Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians. Ann Fam Med …
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www.ahrq.gov/cpi/about/organization/nac/nac-amd1995.html
April 01, 2014 - Second Amendment to the Charter
National Advisory Council for Health Care Policy, Research, and Evaluation
Functions
The Council shall advise the Secretary and Administrator through recommendations regarding priorities for a national agenda and strategy for:
conduct of research, demonstration projects…