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psnet.ahrq.gov/node/43481/psn-pdf
December 23, 2016 - Managing risk during transition to new ISO tubing
connector standards.
December 23, 2016
Sentinel Event Alert. August 20, 2014;(53):1-6.
https://psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
The Joint Commission issues sentinel event alerts in response to significant emerg…
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psnet.ahrq.gov/node/73322/psn-pdf
May 26, 2021 - Detecting and assessing suicide ideation during the
COVID-19 pandemic.
May 26, 2021
Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during
the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2021.04.002.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/836715/psn-pdf
March 09, 2022 - Non-technical skills in surgery during the COVID-19
pandemic: an observational study.
March 9, 2022
Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19
pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/74088/psn-pdf
November 17, 2021 - Surgical teams' attitudes about surgical safety and the
surgical safety checklist at 10 years: a multinational
survey.
November 17, 2021
Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety
checklist at 10 years: a multinational survey. Ann Surg. 2021;2(3):e07…
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psnet.ahrq.gov/node/50917/psn-pdf
February 19, 2020 - "Thank You for Listening": An exploratory study
regarding the lived experience and perception of medical
errors among those who receive care.
February 19, 2020
Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived
Experience and Perception of Medical Errors Among …
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psnet.ahrq.gov/node/47980/psn-pdf
May 01, 2019 - Intensive care medicine in 2050: preventing harm.
May 1, 2019
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med.
2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
https://psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
This commentary discusses curren…
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/73890/psn-pdf
September 29, 2021 - Why do systems for responding to concerns and
complaints so often fail patients, families and healthcare
staff?
September 29, 2021
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often
fail patients, families and healthcare staff? A qualitative study. Soc Sci Med. 2021…
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psnet.ahrq.gov/node/41465/psn-pdf
January 31, 2013 - Emergency department discharge prescription
interventions by emergency medicine pharmacists.
January 31, 2013
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions
by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214.e1.
doi:10.1016/j.annemergmed.20…
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psnet.ahrq.gov/node/40605/psn-pdf
July 22, 2011 - Work-related critical incidents in hospital-based health
care providers and the risk of post-traumatic stress
symptoms, anxiety, and depression: a meta-analysis.
July 22, 2011
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care providers
and the risk of post-traumat…
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psnet.ahrq.gov/node/74082/psn-pdf
November 17, 2021 - Associations of person-related, environment-related and
communication-related factors on medication errors in
public and private hospitals: a retrospective clinical audit.
November 17, 2021
Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and
communication-related factors on m…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/846709/psn-pdf
March 29, 2023 - The safety and acceptability of using telehealth for follow-
up of patients following cancer surgery: a systematic
review.
March 29, 2023
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients
following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
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psnet.ahrq.gov/node/867140/psn-pdf
November 13, 2024 - CMQCC obstetric sepsis toolkit update: a patient-
centered approach to quality improvement.
November 13, 2024
Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to
quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2024.151976.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/838626/psn-pdf
January 01, 2023 - How do hospital inpatients conceptualise patient safety?
A qualitative interview study using constructivist
grounded theory.
October 19, 2022
Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative
interview study using constructivist grounded theory. BMJ Qual Saf.…
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psnet.ahrq.gov/node/836956/psn-pdf
April 20, 2022 - Effectiveness and safety of pulse oximetry in remote
patient monitoring of patients with COVID-19: a
systematic review.
April 20, 2022
Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient
monitoring of patients with COVID-19: a systematic review. Lancet Digit Health.…
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psnet.ahrq.gov/node/841474/psn-pdf
January 01, 2023 - Factors that affect opioid quality improvement initiatives
in primary care: insights from ten health systems.
December 14, 2022
Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary
care: insights from ten health systems. Jt Comm J Qual Patient Saf. 2023;49(1):26…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/allocation-of-function-analysis
January 01, 2023 - Allocation of Function Analysis
Description
An allocation of function analysis is used during design to determine how to allocate jobs, tasks, functions, and responsibilities for the system under analysis. During the analysis, each task must be considered, weighing the advantages and disadvantages of …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-introduction.pdf
December 17, 2020 - Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Intro
Introducing the CAHPS Clinician & Group
Visit Survey 4.0 (beta)
A Webcast Presented by the AHRQ CAHPS User Network
December 17, 2020
1:00 – 2:00 pm ET
Our Focus Today
• Overview of AHRQ’s CAHPS program
• AHRQ’s response to COVID-19
• CAHP…
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psnet.ahrq.gov/node/73220/psn-pdf
May 05, 2021 - Identifying barriers to and opportunities for telehealth
implementation amidst the COVID-19 pandemic by using
a human factors approach: a leap into the future of health
care delivery?
May 5, 2021
Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst
the COVID…