-
digital.ahrq.gov/sites/default/files/docs/publication/r13hs021925-pratt-final-report-2013.pdf
January 01, 2013 - Physician Use of Electronic Handoff Tools to Create Patient Mental Models Logan Kendall1, Katherine
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - In Conversation With… Richard C. Boothman, JD
March 1, 2012
In Conversation With… Richard C. Boothman, JD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
Editor's note: Rick Boothman, an attorney, is the chief risk officer for the University of Michigan Health
System…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - assertion
Two-challenge rule
CUS
DESC script
Reflective practice
Shared mental
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
June 02, 2025 - elements from the following:
• Guide for Safe Transitions, References- HARM-8 tool
0
b History of mental
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - assistance
Feedback
Advocacy and assertion
Two-challenge rule
CUS
DESC script
Reflective practice Shared mental
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - unless the risk
of harm is high) are more likely to disclose personal information about sexuality, mental
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
September 02, 2022 - Translation Guidelines for the AHRQ Surveys on Patient Safety Culture™ (SOPS®)
Guidelines for Translating SOPS® Surveys - Updated 9/2/2022
1
Translation Guidelines for the AHRQ Surveys
on Patient Safety Culture™ (SOPS®)
Prepared by
Westat
1600 Research Blvd.
Rockville, MD 20850
under contract number HHSA 2…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
April 01, 2015 - Measures for Medicaid and CHIP (Child Core Set) each year. 2 The measures cover a range of physical and mental
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
August 03, 2020 - for a host of chronic diseases, including heart failure, diabetes, depression, obesity, asthma, and
mental
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
September 01, 2015 - PCMH), which aims
to improve complex care management and enhance the coordination of care across the
mental
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Slide 1
Engaging The Nurse, Physician, Patient/Family; CUSP – Learn from Defects
Jenny Tuttle, RN, MSNEd, CNRN
Clinical Nurse Leader
Neuro/Medical/Surgical ICU
Tucson Medical Center
Tucson, Arizona
Christin Ko, MD, MBA, SFHM, FACP
Assistant Professor
Feinberg School of Medicine
Northwestern University
Chicago, IL
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Ventilator-Associated Event Surveillance
SAY:
This module will focus on ventilator-associated event surveillance and how it can be used in your unit.
Slide 1
Learning Objectives
SAY:
After this se…
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - • Working in the OR requires a high degree of mental flexibility; staff must be able to
respond rapidly
-
psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - capability.
14
Falls in Nursing Home Communities (3)
• Additional internal factors include:
– mental
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Working in the operating room requires a high degree of mental flexibility.
-
psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - Cognitive biases can adversely affect the diagnostic process and reflect the use of heuristics, or
mental
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
July 01, 2023 - To establish a shared mental model, Care Teams should be large enough to include skill overlap between
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - To
establish a shared mental model, Care Teams should be large enough to include skill
overlap between
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - To establish a shared mental model, Care Teams should be large enough to include skill overlap between