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psnet.ahrq.gov/issue/improving-measurement-clinical-handover
August 12, 2009 - Commentary
Improving measurement in clinical handover.
Citation Text:
Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570.
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DOI Google Scholar PubMed…
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psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
January 12, 2011 - Review
Creating a highly reliable neonatal intensive care unit through safer systems of care.
Citation Text:
Panagos PG, Pearlman SA. Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care. Clin Perinatol. 2017;44(3):645-662. doi:10.1016/j.clp.2017.05.006. …
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psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
November 10, 2010 - Review
Disclosure of patient safety incidents: a comprehensive review.
Citation Text:
O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042.
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psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
January 13, 2010 - Study
Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
Citation Text:
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …
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psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
May 18, 2022 - Study
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students.
Citation Text:
Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety
February 03, 2021 - Study
Stakeholder challenges in purchasing medical devices for patient safety.
Citation Text:
Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306.
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psnet.ahrq.gov/issue/interventions-reduce-consequences-stress-physicians-review-and-meta-analysis
May 26, 2010 - Review
Interventions to reduce the consequences of stress in physicians: a review and meta-analysis.
Citation Text:
Regehr C, Glancy D, Pitts A, et al. Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. J Nerv Ment Dis. 2014;202(5):353-9. doi:10…
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psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
March 13, 2013 - Commentary
The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety.
Citation Text:
Wachter R, Shojania KG. The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety. J…
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psnet.ahrq.gov/issue/we-meant-no-harm-yet-we-made-mistake-why-not-apologize-it-students-view
May 25, 2016 - Commentary
We meant no harm, yet we made a mistake; why not apologize for it? A student's view.
Citation Text:
Sanford DE, Fleming DA. We meant no harm, yet we made a mistake; why not apologize for it? A student's view. HEC Forum. 2010;22(2):159-69. doi:10.1007/s10730-010-9131-8.
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psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital-signs
January 18, 2011 - Study
The impact of introducing medical emergency team system on the documentations of vital signs.
Citation Text:
Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-card-4x6.pdf
June 02, 2025 - Medication Management: Common Barriers to Medication Adherence
Common Barriers to
Medication Adherence
What Patients Might Say Possible Solutions
My medicine makes me
feel sick.
Prescribe a substitute
medication; change the dose.
I feel fine. Explain how the patient’s
disease affects the body.
I forget.
F…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptfactsheet.pdf
June 02, 2025 - Please bring ALL your medicines to your next appointment.
Please Bring ALL
Your Medicines to Your
Next Appointment
You will work with your health care team to make a medicine list.
Please make sure you bring (in the original container)...
� Prescription medicines.
� Medicines you buy without a prescription
(…
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www.ahrq.gov/nursing-home/about/index.html
December 01, 2023 - About AHRQ's Nursing Home Network
The AHRQ ECHO National Nursing Home COVID-19 Action Network—a partnership among AHRQ, the University of New Mexico's ECHO Institute and the Institute for Healthcare Improvement (IHI)—provided free training and mentorship to nursing homes across the country to increase the imple…
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psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
November 15, 2016 - Book/Report
Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human.
Citation Text:
Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015.
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…
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psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars
June 05, 2013 - Study
Responding to patient safety incidents: the "seven pillars."
Citation Text:
McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the "seven pillars". Qual Saf Health Care. 2010;19(6):e11. doi:10.1136/qshc.2008.031633.
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digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/final-report
January 01, 2012 - Report
The findings and conclusions in this document are those of the author(s), who are responsible
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Recommendations include involving the patient in
reconciliation and clarifying which provider is responsible
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psnet.ahrq.gov/node/40818/psn-pdf
October 05, 2011 - fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-
radiographs
Technically inadequate radiographs were responsible
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/final-report
January 01, 2013 - Report
The findings and conclusions in this document are those of the author(s), who are responsible