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  1. Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
    June 30, 2021 - Review Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. Citation Text: Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…

  2. Delivering the truth: challenges and opportunities for error disclosure in obstetrics. | PSNet

    psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
    December 01, 2021 - Commentary Delivering the truth: challenges and opportunities for error disclosure in obstetrics. Citation Text: Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3). doi:10.1097/aog.0000000000000130. Copy Citation Format: DOI…

  3. Improving the communication between teams managing boarded patients on a surgical specialty ward. | PSNet

    psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
    September 29, 2017 - Commentary Improving the communication between teams managing boarded patients on a surgical specialty ward. Citation Text: Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…

  4. The Clinician-Artificial Intelligence Dyad | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-4.html
    July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety The Clinician-Artificial Intelligence Dyad Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introduct…

  5. Obstetric safety and quality. | PSNet

    psnet.ahrq.gov/issue/obstetric-safety-and-quality
    October 20, 2014 - Commentary Obstetric safety and quality. Citation Text: Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  6. Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Patrick_McCabe.pdf
    June 02, 2025 - Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance 1 Consumer Decision Points Using Online Reports to Gauge Quality of Physician Performance Patrick McCabe, GYMR Public Relations pmccabe@gymr.com mailto:pmccabe@gymr.com Aligning Forces for Quality • Robert Wood Johnson Fou…

  7. Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet

    psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
    August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…

  8. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. | PSNet

    psnet.ahrq.gov/issue/hospital-ethical-climate-and-teamwork-acute-care-moderating-role-leaders
    October 15, 2016 - Study Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Citation Text: Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.7…

  9. 5 Tk2 P3T6-Sample Vignettes Phase 3 Final (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
    June 02, 2025 - Comprehensive Antibiogram Toolkit: Phase 3 Sample Vignettes The following series of vignettes are similar to cases that a prescribing clinician may be presented with in a nursing home. Work through the vignettes and discussion questions—first without referring to the antibiogram and then by referring to the antibiogra…

  10. Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams. | PSNet

    psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
    January 15, 2025 - Commentary Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams. Citation Text: Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…

  11. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. | PSNet

    psnet.ahrq.gov/issue/we-meant-no-harm-yet-we-made-mistake-why-not-apologize-it-students-view
    May 25, 2016 - Commentary We meant no harm, yet we made a mistake; why not apologize for it? A student's view. Citation Text: Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8. Copy …

  12. Drug shortages: a complex health care crisis. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
    September 12, 2016 - Review Drug shortages: a complex health care crisis. Citation Text: Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  13. Module 6: Laying the Groundwork for Care Coordination | Agency for Healthcare Research and Quality

    www.ahrq.gov/takeheart/training/module-6/index.html
    December 01, 2022 - Module 6: Laying the Groundwork for Care Coordination   YouTube embedded video: https://www.youtube-nocookie.com/embed/Zvp6SFaH-8g Video: Laying the Groundwork for Care Coordination (1:00:12) Slides: Laying the Groundwork for Effective Care Coordination (PDF, 1.4 MB) Implementation Guide:  Laying th…

  14. Wetterneck TB, Lapin JA, Krueger DJ, et al. "Development of a primary care physician task list to evaluate clinic visit workflow." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wetterneck-tb-lapin-ja
    January 01, 2023 - Wetterneck TB, Lapin JA, Krueger DJ, et al. "Development of a primary care physician task list to evaluate clinic visit workflow." Reference Wetterneck TB, Lapin JA, Krueger DJ, et al. Development of a primary care physician task list to evaluate clinic visit workflow. BMJ Qual Saf 2012 Jan;21(1):47-5…

  15. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. | PSNet

    psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
    December 24, 2008 - Measurement Tool/Indicator Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Citation Text: Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Jacobson KL, Gazmararian JA, Kripalani S, et a…

  16. Understanding and preventing vaccination errors. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
    April 15, 2016 - Study Understanding and preventing vaccination errors. Citation Text: Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. Copy Citation Format: DOI Google Scholar BibTeX…

  17. Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201706.html
    May 01, 2017 - Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program Search All Impact Case Studies May 2017 The Pennsylvania Psychiatric Institute in Harrisburg reduced its 30-day readmission rate from 20 percent in 2013 to 10.4 percent in 2015 after implementing a discharge progr…

  18. Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet

    psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
    February 03, 2011 - Commentary Aiming higher to enhance professionalism: beyond accreditation and certification. Citation Text: Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818. Copy Citation F…

  19. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. | PSNet

    psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
    March 22, 2024 - Book/Report AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Citation Text: AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…

  20. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

    psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…
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