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psnet.ahrq.gov/node/851885/psn-pdf
January 01, 2024 - When to err is inhuman: an examination of the influence
of artificial intelligence-driven nursing care on patient
safety.
August 2, 2023
Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of
artificial intelligence?driven nursing care on patient safety. Nurs Inq. 2024;31…
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www.ahrq.gov/evidencenow/tools/train-medical-assitant.html
November 01, 2018 - How to Train Medical Assistants for Expanded Roles: Webinar
Resource: Video: Medical Assistants: Empowering and Effectively using crucial members of your patient care team – Part 2 (http://www.screencast.com/users/chsresults/folders/HVH%20Maintenance%20Videos/media/aba50466-3f29-4ed8-b11b-3a39ec3bc07e)
In al…
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psnet.ahrq.gov/node/41462/psn-pdf
July 03, 2016 - The use of patient pictures and verification screens to
reduce computerized provider order entry errors.
July 3, 2016
Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce
computerized provider order entry errors. Pediatrics. 2012;130(1):e211-9. doi:10.1542/peds.2011-298…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/checklist-creating.html
May 01, 2017 - Checklist for Creating an Observation Tool - Coaching Clinical Teams Module
This checklist can help you in each step of creating your observation tool.
Development
(Before Drafting Your Tool)
→
Drafting
(Before Testing Your Tool)
→
Testing
(Before Using Your Tool)
…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
March 01, 2017 - Tips for Implementing Interventions
These tips are to help educators prepare for a live training session and facilitate an interactive experience.
Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…
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psnet.ahrq.gov/node/43053/psn-pdf
May 26, 2014 - Evidence-based organization and patient safety strategies
in European hospitals.
May 26, 2014
Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European
hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu016.
https://psnet.ahrq.gov/issue/ev…
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psnet.ahrq.gov/node/60828/psn-pdf
August 19, 2020 - When COVID-19 hit, many elderly were left to die.
August 19, 2020
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York
Times. 2020;August 8.
https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
Residential care facilities have been challenged by C…
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psnet.ahrq.gov/node/858167/psn-pdf
December 13, 2023 - A proposed approach to allegations of sexual boundary
violation in health care.
December 13, 2023
Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation
in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcjq.2023.08.006.
https://psnet.a…
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psnet.ahrq.gov/node/44234/psn-pdf
September 09, 2015 - Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at
hospital discharge.
September 9, 2015
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at hospital d…
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psnet.ahrq.gov/node/46784/psn-pdf
January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient
Safety through Design, Systems Engineering, and Health
Services Research (R18 Clinical Trial Optional).
January 11, 2023
Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266.
https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…
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psnet.ahrq.gov/node/866192/psn-pdf
June 26, 2024 - A systemwide strategy to embed equity into patient safety
event analysis.
June 26, 2024
Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event
analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004.
https://psnet.ahrq.gov/issue/system…
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psnet.ahrq.gov/node/44763/psn-pdf
November 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with
migrated leadership can improve compliance and team
engagement.
November 18, 2016
Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated
leadership can improve compliance and team engagement. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/46934/psn-pdf
March 14, 2018 - Engaging the front line: tapping into hospital-wide quality
and safety initiatives.
March 14, 2018
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality
and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038.
https://psn…
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psnet.ahrq.gov/node/43159/psn-pdf
May 07, 2014 - Mandatory presuit mediation: 5-year results of a medical
malpractice resolution program.
May 7, 2014
Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical
malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/jhrm.21138.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/74212/psn-pdf
January 01, 2022 - Using failure mode and effects analysis to increase
patient safety in cancer chemotherapy.
December 22, 2021
Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in
cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393.
doi:10.1016/j.sapharm.2021.11.009.
https…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/50417/psn-pdf
September 04, 2019 - Communicating uncertainty: a narrative review and
framework for future research.
September 4, 2019
Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future
research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8.
https://psnet.ahrq.gov/issue/communi…
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psnet.ahrq.gov/node/860733/psn-pdf
January 17, 2024 - Staff warned about the lack of psychiatric care at a VA
clinic. They couldn’t prevent tragedy.
January 17, 2024
McGrory K, Bedi N. ProPublica, January 6, 2024.
https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
Stories of mental health system failure provid…
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psnet.ahrq.gov/node/44836/psn-pdf
January 27, 2016 - Advancing the next generation of handover research and
practice with cognitive load theory.
January 27, 2016
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice
with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181.
https://psnet.…
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psnet.ahrq.gov/node/43986/psn-pdf
September 26, 2016 - The effect of a safe zone on nurse interruptions,
distractions, and medication administration errors.
September 26, 2016
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and
medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…