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psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - Physician engagement in malpractice risk reduction: a
UPHS case study.
September 24, 2018
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS
Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44855/psn-pdf
July 11, 2017 - Unannounced versus announced hospital surveys: a
nationwide cluster-randomized controlled trial.
July 11, 2017
Ehlers LH, Simonsen KB, Jensen MB, et al. Unannounced versus announced hospital surveys: a
nationwide cluster-randomized controlled trial. Int J Qual Health Care. 2017;29(3):406-411.
doi:10.1093/intqhc/mz…
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psnet.ahrq.gov/node/45104/psn-pdf
June 08, 2016 - Implementing a distraction-free practice with the Red
Zone Medication Safety initiative.
June 8, 2016
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone
Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24.
doi:10.1097/DCC.0000000000000179.
https:/…
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psnet.ahrq.gov/node/72802/psn-pdf
March 03, 2021 - What does safety in mental healthcare transitions mean
for service users and other stakeholder groups: an open-
ended questionnaire study.
March 3, 2021
Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service
users and other stakeholder groups: an open?ended questi…
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psnet.ahrq.gov/node/867753/psn-pdf
March 12, 2025 - Enhancing patient safety and risk management through
clinical pathways in oncology.
March 12, 2025
Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical
pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024-003012.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - Validating domains of patient contextual factors essential
to preventing contextual errors: a qualitative study
conducted at Chicago area Veterans Health
Administration sites.
December 22, 2018
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors
Essential to Preventin…
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psnet.ahrq.gov/node/60708/psn-pdf
July 22, 2020 - Are you surgically current? Lessons from aviation for
returning to non-urgent surgery following COVID-19.
July 22, 2020
Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent
surgery following COVID-19. Br J Oral Maxillofac Surg. 2020;58(7):843-847.
doi:10.1016/j.bjoms…
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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Sustaining improvement of hospital-wide initiative for
patient safety and quality: a systematic scoping review.
February 1, 2023
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and
quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
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psnet.ahrq.gov/node/36555/psn-pdf
January 05, 2017 - Registration-associated patient misidentification in an
academic medical center: causes and corrections.
January 5, 2017
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic
medical center: causes and corrections. Jt Comm J Qual Patient Saf. 2007;33(1):25-33.
doi:…
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psnet.ahrq.gov/node/866198/psn-pdf
June 26, 2024 - Quality of care transition, patient safety incidents, and
patients' health status: a structural equation model on the
complexity of the discharge process.
June 26, 2024
Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’
health status: a structural equation m…
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psnet.ahrq.gov/node/73418/psn-pdf
June 23, 2021 - Evaluation of older persons' medications: a critical
incident technique study exploring healthcare
professionals' experiences and actions.
June 23, 2021
Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals’ experiences a…
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psnet.ahrq.gov/node/72625/psn-pdf
January 13, 2021 - US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic.
January 13, 2021
Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20…
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psnet.ahrq.gov/node/837848/psn-pdf
August 17, 2022 - Health care quality and safety in a correctional system:
creating goals and performance measures for
improvement.
August 17, 2022
Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating
goals and performance measures for improvement. J Correct Health Care. 2022;28(…
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Don't Use That Port: Insert a PICC
Citation Text:
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
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effectivehealthcare.ahrq.gov/sites/default/files/llewellyn-thomas.pdf
January 01, 2011 - Llewellyn-Thomas
Slide
1: Eliciting
Patients’ Values and Preferences in Decision Making
Hilary Llewellyn-‐Thomas, PhD
Emeritus Professor
Dartmouth Medical School, Hanover, NH, USA
R. Trafford Crump, PhD
Post-‐Doctoral Research Fellow
Centre for Health
Servic…
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - The Forgotten Radiographic Read
Citation Text:
Coil CJ, Witt MD. The Forgotten Radiographic Read. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences
Citation Text:
Steinberg K. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…
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digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Planning Methodology (Pre- GO LIVE)
RN Objectives:
Successfully creates admission and update care plans … anonymous error reporting
Enter 1) nurse shift info, 2) patient care time
Use your submitted Care Plans … Refer to historical care plans and patient progress noted across time, explain rationale
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digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
June 06, 2006 - Engaging health plans- 74% of
respondents perceived the engagement
of health plans as a very difficult … as they get defined
June 6, 2006 Page 14
Key Take-aways
• Engaging your purchasers and health
plans