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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented.
Citation Text:
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
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psnet.ahrq.gov/issue/error-reporting-preventive-force
June 11, 2014 - Commentary
Error reporting as a preventive force.
Citation Text:
Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56.
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psnet.ahrq.gov/issue/covid-blindness
August 19, 2020 - Commentary
COVID blindness.
Citation Text:
Brown L. COVID blindness. Diagnosis (Berl). 2020;7(2):83-84. doi:10.1515/dx-2020-0042.
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psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
December 16, 2015 - Special or Theme Issue
Diagnostic Errors and Strategies to Minimize Them.
Citation Text:
Diagnostic Errors and Strategies to Minimize Them. Cutrer WB, Sullivan WM, Fleming AE, et al. Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257.
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk.
Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
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psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
March 15, 2022 - Newspaper/Magazine Article
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
Citation Text:
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…
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www.ahrq.gov/talkingquality/distribute/media/decide-medium.html
September 01, 2019 - How To Decide on a Medium for a Health Care Quality Report
How do you figure out which medium is right for your reporting project? If at all possible, try to base this decision on research with your audience. For example, you could ask them how they get information now and how they would like to get it. Then yo…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
January 01, 2024 - Readiness Assessment
Investing in TeamSTEPPS typically requires one or more identifiable problems that are creating risks to patient safety, care quality, or operational efficiency that an organization or unit agrees they must resolve.
Are You Ready for TeamSTEPPS?
Determining whether your organization or u…
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www.ahrq.gov/hai/patient-safety-resources/cli-checklist/index.html
February 01, 2024 - Central Line Insertion Care Team Checklist
This checklist provides sequential critical steps that have shown to reduce central line-associated infections.
Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been …
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care.
Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152.
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www.ahrq.gov/news/newsroom/case-studies/202303.html
October 01, 2023 - University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality
Search All Impact Case Studies
October 2023
The University of Georgia Health Center (UHC) used AHRQ’s Medical Office Survey on Patient Safety Culture ™ (SOPS ® ) to conduct a required assessment to evaluate …
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www.ahrq.gov/cahps/surveys-guidance/hp/about/child-survey-measures.html
June 01, 2017 - CAHPS Child Hospital Survey Measures
For more information: Patient Experience Measures from the CAHPS Child Hospital Survey (PDF, 315 KB)
Communication Between You and Your Child’s Nurses
Q14 Nurses listened carefully to parent
Q15 Nurses explained things to parent in a way that was easy to understand
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digital.ahrq.gov/health-care-theme/sociotechnical-aspects
January 01, 2023 - Sociotechnical Aspects
Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care
Description
This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how…
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www.uspreventiveservicestaskforce.org/uspstf/behavioral-counseling-interventions-evidence-based-approach-figure-1
November 01, 2013 - Behavioral Counseling Interventions: An Evidence-based Approach - Figure 1
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Figure 1. Does Changing Individual Health Behavior Improve Health Outcomes?
Analytic Framework 1 …
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digital.ahrq.gov/principal-investigator/harvey-jillian-beree
January 01, 2024 - Harvey, Jillian Beree
Patient perceptions of audio-only versus video telehealth visits: A qualitative study among patients in an academic medical center setting.
Citation
Kruis R, Brown EA, Johnson J, Simpson KN, McElligott J, Harvey J. Patient perceptions of audio-only versus…
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pso.ahrq.gov/resources/hhs-guidance
August 01, 2022 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
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psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
August 01, 2012 - Toolkit
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
Citation Text:
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - Book/Report
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.
Citation Text:
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
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psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course
December 05, 2024 - International Meeting/Conference
Certified Professional in Patient Safety Review Course.
Citation Text:
Certified Professional in Patient Safety Review Course. Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern).
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Tool: Check-Back (or Repeat-Back)
A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was rece…