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  1. www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
    June 01, 2023 - Section 1: Overview of Key Concepts and Tools This section provides an overview of the key concepts and tools in the Communication Module. More explanations and illustrations are provided in section 2 of this module ; methods for teaching the concepts and tools for this module are in section 3 . Information a…
  2. www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
    December 01, 2012 - Observing Patient Care Rounds CUSP Toolkit Communication among disciplines can be improved if viewed through the eyes of an objective observer. Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…
  3. psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
    October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…
  4. psnet.ahrq.gov/issue/patient-safety-story
    February 02, 2020 - Commentary The patient safety story. Citation Text: Elwyn G, Corrigan JM. The patient safety story. BMJ. 2005;331(7512):302-304. doi:10.1136/bmj.38562.690104.43. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
    June 02, 2025 - Tool 3: Hospital Inventory Tool 3: Hospital Inventory Tool Purpose Readmission reduction efforts at your hospital have likely proliferated over the past several years, and many of these efforts may have developed in isolation from each other. The purpose of this tool is to prompt a comprehensive inventory of all r…
  6. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
    June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…
  7. www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Use Simulation To Adopt and Adapt Best Practices Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Prac…
  8. psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
    July 14, 2010 - Commentary Lessons from the war on cancer: the need for basic research on safety. Citation Text: Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8 Copy Citation Save Save to your library Print Do…
  9. psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
    October 03, 2011 - Commentary Human factors and error prevention in emergency medicine. Citation Text: Bleetman A, Sanusi S, Dale T, et al. Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29(5):389-93. doi:10.1136/emj.2010.107698. Copy Citation Format: DOI Google…
  10. psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
    March 15, 2017 - Study Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Citation Text: Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…
  11. psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
    January 24, 2024 - Study Pediatric drug labeling: improving the safety and efficacy of pediatric therapies. Citation Text: Roberts R, Rodriguez W, Murphy D, et al. Pediatric Drug Labeling. JAMA. 2003;290(7). doi:10.1001/jama.290.7.905. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
  12. psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
    September 05, 2012 - Book/Report Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Citation Text: Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
  13. psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
    September 27, 2016 - Commentary A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. Citation Text: Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22. Copy Citati…
  14. psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
    June 09, 2021 - Commentary Implementing No Interruption Zones in the perioperative environment. Citation Text: Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018. Copy Citation Format: DOI Google Schola…
  15. psnet.ahrq.gov/issue/medical-emergency-team-review-literature
    March 02, 2011 - Review Medical emergency team: a review of the literature. Citation Text: Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  16. psnet.ahrq.gov/issue/surgical-simulation-systematic-review
    June 15, 2011 - Review Surgical simulation: a systematic review. Citation Text: Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  17. psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
    June 10, 2020 - Study Debriefing after critical incidents for anaesthetic trainees. Citation Text: Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  18. psnet.ahrq.gov/issue/special-section-iea-health-care-2021
    August 02, 2010 - Special or Theme Issue Special Section: IEA Health Care 2021. Citation Text: Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  19. psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
    March 13, 2019 - Newspaper/Magazine Article Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Citation Text: Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017. Copy Citation S…
  20. psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
    July 31, 2019 - Study Prevention of medical accidents caused by defective surgical instruments. Citation Text: Yasuhara H, Fukatsu K, Komatsu T, et al. Prevention of medical accidents caused by defective surgical instruments. Surgery. 2012;151(2):153-61. doi:10.1016/j.surg.2011.06.029. Copy Citation…