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9101. Material Use Guide - Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
      May 01, 2017 - Material Use Guide - Patient and Family Engagement in the Surgical Environment Module Overview Defining Patient and Family Engagement and its Benefits Slides 4-7 Patient and Family Expectations in the ASC Slides 8-10 Barriers, Facilitators, and Motivators Slides…

9102. Three simple rules to improve medication safety. | PSNet
      psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
      March 11, 2020 - Commentary Three simple rules to improve medication safety. Citation Text: Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

9103. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid: Table 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0237-table1.pdf
      June 17, 2014 - Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid: Table 1 Table 1: Evidence Supporting the Importance of Availability of Care for Children Needing Specialty Care Type of evidence Key findings Level of evidence (USPSTF ranking*) Citation(s) Clinical Gui…

9104. Apology for errors: whose responsibility? | PSNet
      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 …

9105. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. | PSNet
      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…

9106. 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…

9107. 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…

9108. 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…

9109. 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…

9110. 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…

9111. 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…

9112. 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…

9113. 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…

9114. 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 …

9115. 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…

9116. 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…

9117. 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…

9118. 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 …

9119. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. | PSNet
      psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
      September 02, 2015 - Commentary Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Citation Text: Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86. Cop…

9120. 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…