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  1. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
    September 23, 2020 - Commentary The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Citation Text: DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…

  2. Surgical data recording technology: a solution to address medical errors? | PSNet

    psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
    June 22, 2022 - Commentary Surgical data recording technology: a solution to address medical errors? Citation Text: Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. Copy Citation Format: DOI Google Scholar BibTeX…

  3. A root cause analysis project in a medication safety course. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
    October 07, 2020 - Commentary A root cause analysis project in a medication safety course. Citation Text: Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  4. The hard talk: dealing with the disruptive physician. | PSNet

    psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
    April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

  5. Module 1: Welcome to the TAKEheart Initiative and the Benefits of Increasing Cardiac Rehabilitation | Agency for Healthcare Research and Quality

    www.ahrq.gov/takeheart/training/module-1/index.html
    December 01, 2022 - Module 1: Welcome to the TAKEheart Initiative and the Benefits of Increasing Cardiac Rehabilitation   YouTube embedded video: https://www.youtube-nocookie.com/embed/aSNL1eVhBak Video: Welcome to the TAKEheart Initiative and the Benefits of Increasing Cardiac Rehabilitation Module 1 (1:09:26) Slides: W…

  6. Framing of clinical information affects physicians' diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
    November 02, 2011 - Study Framing of clinical information affects physicians' diagnostic accuracy. Citation Text: Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409. Copy Citation F…

  7. Human factors—recognising and minimising errors in our day to day practice. | PSNet

    psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
    October 09, 2016 - Review Human factors—recognising and minimising errors in our day to day practice. Citation Text: Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384. Copy Citation Format…

  8. The culture of a trauma team in relation to human factors. | PSNet

    psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
    February 22, 2023 - Study The culture of a trauma team in relation to human factors. Citation Text: Cole E, Crichton N. The culture of a trauma team in relation to human factors. J Clin Nurs. 2006;15(10). doi:10.1111/j.1365-2702.2006.01566.x. Copy Citation Format: DOI Google Scholar BibTeX E…

  9. Individual and team-based medical error disclosure: dialectical tensions among health care providers. | PSNet

    psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
    September 27, 2017 - Study Individual and team-based medical error disclosure: dialectical tensions among health care providers. Citation Text: Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…

  10. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. | PSNet

    psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
    June 24, 2010 - Commentary Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Citation Text: McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202. …

  11. New Guide Offers Strategies To Reduce Clinician Burdens | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/burnout-in-primary-care-guide.html
    April 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders New Guide Offers Strategies To Reduce Clinician Burdens APR 24 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. In recent years, primary care physicians have struggled with burnout brought on …

  12. Patient Safety Research Summaries | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/research-summaries/index.html
    August 01, 2025 - Patient Safety Research Summaries As the lead federal agency for advancing patient safety, AHRQ invests in research and implementation projects that bridge the gap between research and the delivery of safer patient care. AHRQ-Funded Patient Safety Project Highlights reflect the work of agency grantees and contr…

  13. 2008 Update on Consumers' Views of Patient Safety and Quality Information. | PSNet

    psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
    October 02, 2013 - Book/Report 2008 Update on Consumers' Views of Patient Safety and Quality Information. Citation Text: 2008 Update on Consumers' Views of Patient Safety and Quality Information. Kaiser Family Foundation, Agency for Healthcare Research and Quality. Menlo Park, CA: Henry J. Kaiser Famil…

  14. Patient safety: a consumer's perspective. | PSNet

    psnet.ahrq.gov/issue/patient-safety-consumers-perspective
    January 12, 2022 - Study Patient safety: a consumer's perspective. Citation Text: Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  15. How experiencing preventable medical problems changed patients' interactions with primary health care. | PSNet

    psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
    December 13, 2023 - Study How experiencing preventable medical problems changed patients' interactions with primary health care. Citation Text: Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…

  16. Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.pdf
    December 23, 2009 - Project Charter Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.2 Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to…

  17. D2 Pdi Projectcharter (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.docx
    December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding r…

  18. ACR guidance document on MR safe practices: 2013. | PSNet

    psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
    November 18, 2016 - Commentary ACR guidance document on MR safe practices: 2013. Citation Text: Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011. Copy Citation Format: DOI Google Scho…

  19. Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet

    psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
    November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

  20. Partnership for Patients. | PSNet

    psnet.ahrq.gov/issue/partnership-patients
    October 30, 2019 - Government Resource Partnership for Patients. Citation Text: Partnership for Patients. Washington, DC: US Department of Health and Human Services. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
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