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psnet.ahrq.gov/node/34702/psn-pdf
December 23, 2008 - Increase in US medication-error deaths between 1983 and
1993.
December 23, 2008
Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993.
Lancet. 1998;351(9103):643-4.
https://psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
In this research…
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psnet.ahrq.gov/node/35376/psn-pdf
April 11, 2011 - Comparing the utility of a standard pediatric resuscitation
cart with a pediatric resuscitation cart based on the
Broselow tape: a randomized, controlled, crossover trial
involving simulated resuscitation scenarios.
April 11, 2011
Agarwal S, Swanson S, Murphy A, et al. Comparing the utility of a standard pediatric…
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psnet.ahrq.gov/node/45326/psn-pdf
January 03, 2017 - Consumer rankings and health care: toward validation
and transparency.
January 3, 2017
Hota B, Webb TA, Stein BD, et al. Consumer Rankings and Health Care: Toward Validation and
Transparency. Jt Comm J Qual Patient Saf. 2016;42(10):439-446.
https://psnet.ahrq.gov/issue/consumer-rankings-and-health-care-toward-vali…
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psnet.ahrq.gov/node/44093/psn-pdf
April 29, 2015 - South Carolina medication error bill is dangerously off
target.
April 29, 2015
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
https://psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
This newsletter article reports on issues related to a legislation, drafted in …
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psnet.ahrq.gov/node/47906/psn-pdf
August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience.
August 21, 2019
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc
Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…
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psnet.ahrq.gov/node/846162/psn-pdf
July 01, 2020 - The effect of virtual nursing and missed nursing care.
July 1, 2020
Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q.
2020;44(3):280-287. doi:10.1097/naq.0000000000000419.
https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
The COVID-19…
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psnet.ahrq.gov/node/46161/psn-pdf
May 31, 2017 - Developing team cognition: a role for simulation.
May 31, 2017
Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96-
103. doi:10.1097/sih.0000000000000200.
https://psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
Simulation training has been advocated as a …
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psnet.ahrq.gov/node/41968/psn-pdf
February 19, 2013 - Characterising physician listening behaviour during
hospitalist handoffs using the HEAR checklist.
February 19, 2013
Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during
hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22(3):203-9. doi:10.1136/bmjqs-2012…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide166.html
October 01, 2014 - 166. Components of Intensive Treatment
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Assessment
Assessments should determine whether tobacco users are willing to make a quit attempt using an intensive treatment program. Other assessments can provide informati…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09logtxt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B9: FMP Entry Log (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ov…
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psnet.ahrq.gov/node/43951/psn-pdf
March 04, 2015 - Emotion and coping in the aftermath of medical error: a
cross-country exploration.
March 4, 2015
Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country
exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b6f.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/44291/psn-pdf
September 13, 2016 - A piece of my mind. I'm sorry.
September 13, 2016
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry
Being accountable for errors and working to learn from them is key to improving patient safety. This
commentary descri…
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effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_facilitation.pdf
May 29, 2025 - Slide 1
Facilitation
Jyoti Gupta, MPH,
Senior Public Engagement Associate
Public Agenda
1
Promising Practices for Effective Facilitation
An effective facilitator…
• Remains impartial about the subject
• Models cooperative attitudes and skills
• Does not take on an “expert” role
• Keep…
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meps.ahrq.gov/data_files/publications/st87/stat87.pdf
July 01, 2005 - Statistical Brief #87: Attitudes toward Health Insurance among Adults Age 18 and Over
Agency for Healthcare
Medical Expenditure Panel Survey Research and Quality
STATISTICAL BRIEF #87
July 2005
Attitudes toward Health Insurance
among Adults Age 18 and Over
Steve Machlin and Kelly Carper
Introduction
Hea…
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
Editor's note: Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population
Medicine. He…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-Spanish-12-15-22.docx
December 01, 2022 - SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey
SOPS® Workplace Safety Supplemental Item Set for the SOPS Hospital Survey
Language: Spanish
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
AHRQ Safety Program for Perinatal Care
Assemble the Team
and Engage Leadership for Perinatal Safety
AHRQ Publication No. 17-0003-2-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinata…
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digital.ahrq.gov/sites/default/files/docs/integrating-pros-into-practice-qas-02272024.pdf
February 27, 2024 - AHRQ Webinar - Integrating Patient-Reported Outcomes into Practice: Benefits, Challenges, and Recommendations for Action - Q&As
AHRQ National Webinar on Integrating Patient-Reported
Outcomes into Practice: Benefits, Challenges, and
Recommendations for Action
February 27, 2024
Jinoos Yazdany, M.D., M.P.H.
Unive…
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January 12, 2022
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/patient…