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  1. psnet.ahrq.gov/issue/safe-use-health-information-technology
    December 23, 2016 - Sentinel Event Alerts Safe use of health information technology. Citation Text: Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6. Copy Citation Save Save to your library Print Download PDF Share Faceb…
  2. psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
    December 19, 2018 - Commentary How policy makers can smooth the way for communication-and-resolution programs. Citation Text: Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaf…
  3. psnet.ahrq.gov/issue/problem-checklists
    March 29, 2023 - Commentary The problem with checklists. Citation Text: Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  4. psnet.ahrq.gov/issue/guidelines-prevention-intravascular-catheter-related-infections
    January 22, 2014 - Clinical Guideline Guidelines for the prevention of intravascular catheter-related infections. Citation Text: O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. American journal of infection control. 2011;39(4 Suppl 1):…
  5. www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
    May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care National Quality Strategy: Using Levers to Achieve Improved Health and Health Care About the National Quality Strategy The National Quality Strategy is the first-ever national effort backed by legislation to align public- and privat…
  6. psnet.ahrq.gov/issue/apology-errors-whose-responsibility
    September 27, 2016 - Commentary Apology for errors: whose responsibility? Citation Text: Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  7. psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice
    March 05, 2008 - Study The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Citation Text: Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…
  8. 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…
  9. 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…
  10. 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…
  11. 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…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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 …
  19. 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…
  20. 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…