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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…
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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…
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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.
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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.
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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…
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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…
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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
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Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Prac…
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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
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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.
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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…
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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.
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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…
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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