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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-senior-checklist.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment Module
Senior Leader Checklist
AHRQ Safety Program for Ambulatory Surgery
Module 3: Patient and Family Engagement
Complete?
Opportunities To Engage Patients and Family
Party Responsible
Notes
Assig…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors
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Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Diagnostic Terminology: Challenges and Opportunities
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Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Impro…
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psnet.ahrq.gov/issue/screen-savers-adjunct-medical-education-patient-safety
March 03, 2010 - Study
Screen savers as an adjunct to medical education on patient safety.
Citation Text:
Screen savers as an adjunct to medical education on patient safety. Coil CJ; Kaji AH; Crevensten H; Aaron KE; Lewis RJ; Coates WC.
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psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
September 14, 2016 - Newspaper/Magazine Article
Accidental IV infusion of heparinized irrigation in the OR.
Citation Text:
Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
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psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
July 17, 2024 - Newspaper/Magazine Article
Guardians of grafts: reducing medication errors in transplant recipients.
Citation Text:
Guardians of grafts: reducing medication errors in transplant recipients. ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.
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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - Commentary
Studying organisational cultures and their effects on safety.
Citation Text:
Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005.
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
November 30, 2022 - Newspaper/Magazine Article
A crisis of undiagnosed cancers is emerging in the pandemic’s second year.
Citation Text:
A crisis of undiagnosed cancers is emerging in the pandemic’s second year. Eldeib D. ProPublica. May 4, 2021.
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psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
January 25, 2023 - Webinar
Creating a Communication Coaching Structure and Support for your CRP Program.
Citation Text:
Creating a Communication Coaching Structure and Support for your CRP Program. Collaborative for Accountability and Improvement. September 15, 2022.
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psnet.ahrq.gov/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization.
Citation Text:
Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12.
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - Newspaper/Magazine Article
Point-of-care medication error prevention: best practices in action.
Citation Text:
Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007.
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Special or Theme Issue
Patient Safety: Committing to Learn and Acting to Improve.
Citation Text:
Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.
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psnet.ahrq.gov/issue/patient-safety-tools-primary-care
May 17, 2023 - Commentary
Patient safety tools for primary care.
Citation Text:
Patient safety tools for primary care. Domdera J. Fam Pract Manag. 2023;30(2):24-28.
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
May 20, 2009 - Commentary
The importance of simulation: preventing hand-off mistakes.
Citation Text:
Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007.
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psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
July 19, 2023 - Commentary
Developing a culture of safety in ambulatory care settings.
Citation Text:
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage. 2007;30(2):105-13.
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psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
March 28, 2012 - Newspaper/Magazine Article
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.
Citation Text:
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. Wilson L.
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psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
September 12, 2016 - Commentary
Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results.
Citation Text:
Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…