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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/simulation-modeling
January 01, 2023 - Simulation Modeling
Examples
Lin L, Paul J. Simulation and lean six-sigma integration for improvement of hospital operations. 2007 Society for Health Systems Conference; 2007; New Orleans, LA; 2007.
Jurishica C. Simulation medication: studies show patient flow improvement. 2007 Society for Health …
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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards
September 03, 2011 - Special or Theme Issue
2010 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2011;37(5):194-239.
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
November 26, 2008 - Study
Needlestick injuries among surgeons in training.
Citation Text:
Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9.
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psnet.ahrq.gov/issue/science-and-patient-safety
July 19, 2019 - Commentary
Science and patient safety.
Citation Text:
Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
January 20, 2016 - Book/Report
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Citation Text:
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. Cambridge, MA: New England He…
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
April 21, 2021 - Special or Theme Issue
Quality, Value, and Patient Safety in Orthopedic Surgery.
Citation Text:
Quality, Value, and Patient Safety in Orthopedic Surgery. Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552.
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psnet.ahrq.gov/issue/naval-aviation-safety-and-its-application-medicine
June 01, 2016 - Newspaper/Magazine Article
Naval aviation safety and its application to medicine.
Citation Text:
Naval aviation safety and its application to medicine. Harmon KT. Patient Saf Qual Healthc. March/April 2006.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects
Webinar Transcript
On the CUSP: Stop CAUTI in ICU
June 10, 2015 ICU Content Call
Chelsea: Excuse me, everyone. We now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the con…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - On the CUSP: Stop CAUTI in ICU
June 10 ICU Content Call
Chelsea: Excuse me, everyone. We now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the conclusion of today's presentation, we will open the floor for questions. At that time, instructions will be give…
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - system, the selection and scope of investigations, the methodology and investigation approach, and the skill
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - of avoidable problems in long term care and suggests prevention strategies that center on workforce skill
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - Diverse team
members will provide the team with varied skill sets that can be used in QI efforts to … In addition to team core members, the team can include members with different skill sets to
create a
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - trained and experienced providers ("the ER"), to a discipline with a well-defined knowledge base and skill … Decision-making, which arguably is the most important skill that a physician has, breaks down into two
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 5. Implement the VTE Prevention Protocol
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care De…
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - Delayed Diagnosis and Treatment of an Occult
Hemothorax Following Complicated Central Line Insertion
Leads to Cardiac Arrest
January 26, 2022
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated
Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022.
https…
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - SNFs: Opening the Black Box
December 1, 2013
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/snfs-opening-black-box
The Case
An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a
small bowel obstructio…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/understanding-components-of-mat
February 01, 2025 - An official website of the Department of Health & Human Services
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 5. Implement the VTE Prevention Protocol
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care De…