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psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature.
April 21, 2021
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient
safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090.
doi:10.1080/00140139.2021.1906454.…
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…
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psnet.ahrq.gov/node/841761/psn-pdf
December 21, 2022 - Are the World Health Organization's patient safety
learning objectives still up-to-date: a group concept
mapping study.
December 21, 2022
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives
still up-to-date: a group concept mapping study. J Patient Saf. 2022;1…
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psnet.ahrq.gov/node/764403/psn-pdf
March 02, 2022 - Radiologist errors by modality, anatomic region, and
pathology for 1.6 million exams: what we have learned.
March 2, 2022
Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology
for 1.6 million exams: what we have learned. Emerg Radiol. 2021;28(6):1135-1141. doi:10.1…
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psnet.ahrq.gov/node/838915/psn-pdf
October 26, 2022 - Predictors of response rates of safety culture
questionnaires in healthcare: a systematic review and
analysis.
October 26, 2022
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in
healthcare: a systematic review and analysis. BMJ Open. 2022;12(9):e065320. doi:10.…
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psnet.ahrq.gov/node/39913/psn-pdf
October 13, 2010 - The frequency of diagnostic errors in radiologic reports
depends on the patient's age.
October 13, 2010
Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age.
Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192.
https://psnet.ahrq.gov/issue/frequency-di…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-activity.html
March 01, 2017 - Training Module 3 Activity Guide
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Personal Protective Equipment: Putting On and Taking Off Personal Protective Equipment (PPE)
Supplies
Gloves
Gowns
Masks
Face shields or goggles
Simulated germs (e.g., chocolate syrup, washable paint,…
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psnet.ahrq.gov/node/74004/psn-pdf
October 27, 2021 - Quality standards for safe medication in nursing homes:
development through a multistep approach including a
Delphi consensus study.
October 27, 2021
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes:
development through a multistep approach including a Delphi c…
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psnet.ahrq.gov/node/858170/psn-pdf
December 13, 2023 - Unsafe care in residential settings for older adults. A
content analysis of accreditation reports.
December 13, 2023
Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis
of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…
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www.ahrq.gov/nursing-home/learning-modules/support.html
December 01, 2022 - Emotional and Organizational Support for Staff series
This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, and practice open communication.
Module 1: Identifying & Overcoming Anxiety
We all experience st…
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www.ahrq.gov/cpi/about/nac/snac-escarce.html
December 01, 2021 - SNAC Member: José J. Escarce, M.D., Ph.D.
Distinguished Professor of Medicine and of Health Policy and Management
David Geffen School of Medicine at University of California, Los Angeles
José J. Escarce, M.D., Ph.D., is a health economist, an internist, and a distinguished professor of medicine in the David …
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hcup-us.ahrq.gov/reports/statbriefs/sb189-Hospital-Readmissions-Psychiatric-Disorders-2012.pdf
January 01, 2012 - the patient’s residence:
Metropolitan: includes large metropolitan areas with at least 1 million residents … and small
metropolitan areas with less than 1 million residents
Nonmetropolitan: all other areas
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hcup-us.ahrq.gov/db/nation/nrd/NRD_Introduction_2013.jsp
January 01, 2013 - We also included discharges for residents and nonresidents of the State in which they were treated. … Discharges for residents and nonresidents of the State in which they were treated were also included. … HOSP_URCAT4
Hospital urban-rural location: (1) large metropolitan areas with at least 1 million residents … , (2) small metropolitan areas with less than 1 million residents, (3) micropolitan areas, (4) not metropolitan
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - EMERGING INNOVATIONS
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors
Citation Text:
Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352.…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit1_6.jsp
January 01, 2008 - Facts and Figures Exhibit 1.6
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
June 02, 2025 - TeamSTEPPS Mutual Support Module 4
Mutual Support
Module 4
1
Objectives
Mutual Support
Describe how mutual support affects team processes and outcomes.
Discuss specific strategies to foster mutual support (e.g., task assistance, feedback).
Identify specific tools to facilitate mutual support.
Describe conflic…
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www.ahrq.gov/talkingquality/distribute/promote/multiple/outreach.html
September 01, 2019 - Using Person-to-Person Outreach Strategies for Quality Reports
Many people prefer interacting with other people to reading, surfing the Web, watching television, or listening to the radio. To reach those people in your audience, you may want to add a personal dimension to your promotional efforts.
Examples …
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psnet.ahrq.gov/node/49404/psn-pdf
June 01, 2003 - Not a Miscarriage
June 1, 2003
Learman LA. Not a Miscarriage. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/not-miscarriage
The Case
A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented
at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…
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psnet.ahrq.gov/node/49435/psn-pdf
February 01, 2004 - X-ray Flip
February 1, 2004
Shapiro MJ. X-ray Flip. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/x-ray-flip
The Case
A 19-year-old man presented to the emergency department with respiratory distress after blunt chest
trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - Healthcare-associated Infections
Citation Text:
Healthcare - Associated Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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