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psnet.ahrq.gov/node/42940/psn-pdf
February 12, 2014 - Medical disrespect.
February 12, 2014
Yurkiewicz I. Aeon Magazine. January 29, 2014.
https://psnet.ahrq.gov/issue/medical-disrespect
Disruptive behavior is a well-known and pervasive issue in health care. Describing disrespectful behaviors
that clinicians face, such as sarcasm and intimidation, this magazine artic…
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www.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
July 01, 2023 - Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams
YouTube embedded video: https://www.youtube-nocookie.com/embed/ekX289e3-Uo
TeamSTEPPS: Check-Back in Inpatient Surgical Teams (15 seconds)
Checking to ensure medication instructions are described—and heard—correctly is an important saf…
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psnet.ahrq.gov/node/41919/psn-pdf
December 12, 2012 - The best medicine for fixing the modern hospital.
December 12, 2012
https://psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
This news article highlights how hospital design can help reduce infection rates, shorten length of stay, and
improve patient safety.
https://psnet.ahrq.gov/issue/best-medicine-fixi…
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psnet.ahrq.gov/node/38917/psn-pdf
September 06, 2013 - Health Care–Associated Infections.
September 6, 2013
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/health-care-associated-infections
For health care providers and consumers, this Web site features information, tools, and resources on
health care–associated infections (HAIs). AHRQ-funded …
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psnet.ahrq.gov/node/40481/psn-pdf
June 20, 2011 - Medication errors—new approaches to prevention.
June 20, 2011
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth.
2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
https://psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
This review discusses evidence-bas…
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psnet.ahrq.gov/node/38971/psn-pdf
June 10, 2018 - How has the current economy affected patient safety?
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
https://psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
This piece describes how reduced resources could affect patient safety and quality work in hosp…
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psnet.ahrq.gov/node/43088/psn-pdf
February 25, 2019 - ImproveDX.
February 25, 2019
Society to Improve Diagnosis in Medicine.
https://psnet.ahrq.gov/issue/improvedx
Diagnostic errors have been termed the next frontier in patient safety. To raise awareness of this issue, this
occasional newsletter features articles for a multidisciplinary audience that discuss barriers…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-children-adolescents
October 11, 2022 - Share to Facebook
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Share to WhatsApp
Share to Email
Print
Final Recommendation Statement
Depression and Suicide Risk in Children and Adolescents: Screening
October 11, 2022
Recommendations made by the USPSTF are independent of t…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/case-management_executive.pdf
January 01, 2013 - 1
Comparative Effectiveness Review
Number 99
Outpatient Case Management for Adults With
Medical Illness and Complex Care Needs
Executive Summary
Background
Chronic diseases are the leading cause
of illness, disability, and death in the
United States.1 Providing medical care
for chronic illness is often compl…
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/publication
January 01, 2023 - State Will Stop Paying For Some Hospital Re-Admissions
Citation
Bebinger M. State Will Stop Paying For Some Hospital Re-Admissions. Available at 90.9 WBUR. Feb 8, 2011. Accessed at http://www.wbur.org/2011/02/08/readmissions
Link
http://www.wbur.org/2011/02/08/readmissions
Project Name…
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www.ahrq.gov/topics/provider-pharmacist.html
Topic: Provider: Pharmacist
List of AHRQ content related to pharmacists and other pharmacy providers.
Advancing Pharmacy Health Literacy Practices Through Quality Improvement
AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients
…
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www.ahrq.gov/topics/clostridium-difficile-infections.html
Topic: Clostridium difficile Infections
AHRQ has research, tools, and resources for preventing or reducing Clostridium difficile , a healthcare-associated infection. Healthcare-associated infections are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time.
…
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psnet.ahrq.gov/node/39544/psn-pdf
May 19, 2010 - Preventing infections: how Portland hospitals compare.
May 19, 2010
Rojas-Burke J. The Oregonian. May 8, 2010.
https://psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare
This newspaper article describes how lessons from the Keystone ICU Project have reduced central line
infections in Oregon …
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www.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS
YouTube embedded video: https://www.youtube-nocookie.com/embed/4XEmZzvejz0
Labor and Delivery: Successful Outcome Using TeamSTEPPS (5:03)
Effective communication can prepare health care team members to respond quickly t…
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psnet.ahrq.gov/node/39776/psn-pdf
January 25, 2017 - First, protect the patient from harm: applying adult
learning principles to patient safety.
January 25, 2017
Duffy B.
https://psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
This piece describes how education can reduce patient harm by promoting attitude and behavi…
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psnet.ahrq.gov/node/40298/psn-pdf
May 13, 2019 - Improving patient safety in radiation oncology.
May 13, 2019
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
This commentary discusses radiation safety issues and describes recommendations developed at a
conference to re…
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psnet.ahrq.gov/node/35161/psn-pdf
March 13, 2016 - The forgotten tourniquet—an update.
March 13, 2016
PA Patient Saf Advis. 2016;13(1):4. http://patientsafety.pa.gov/ADVISORIES/Pages/201603_32.aspx.
https://psnet.ahrq.gov/issue/forgotten-tourniquet-update
This advisory from the Pennsylvania Patient Safety Reporting System discusses 1079 reports of
tourniquets bein…
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psnet.ahrq.gov/node/41329/psn-pdf
September 24, 2016 - The science of interruption.
September 24, 2016
Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783.
https://psnet.ahrq.gov/issue/science-interruption
This commentary discusses interruption research in health care, challenges to understanding its impact,
and approa…
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psnet.ahrq.gov/node/39871/psn-pdf
September 22, 2010 - Kaiser Permanente's innovation on the front lines.
September 22, 2010
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
https://psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
This article describes how innovation has reduced medication errors and …
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psnet.ahrq.gov/node/37935/psn-pdf
February 17, 2011 - The (slowly) vanishing prescription pad.
February 17, 2011
Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7.
doi:10.1056/NEJMp0802864.
https://psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
This perspective discusses the proliferation of electronic vs. paper-based pres…