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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - Video recording trauma resuscitations: an effective teaching technique.
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - The fundamental patient safety teaching point of this case concerns why the PA catheter balloon was
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - and treatments and increase morbidity or mortality. 2 As such, this innovation sought to explore how teaching
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psnet.ahrq.gov/issue/communicating-pathology-and-laboratory-errors-anatomic-pathologists-and-laboratory-medical
May 18, 2022 - Study
Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences.
Citation Text:
Dintzis SM, Stetsenko GY, Sitlani CM, et al. Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medi…
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psnet.ahrq.gov/issue/development-and-validation-tool-assess-emergency-physicians-nontechnical-skills
December 12, 2012 - Study
Development and validation of a tool to assess emergency physicians' nontechnical skills.
Citation Text:
Flowerdew L, Brown R, Vincent CA, et al. Development and validation of a tool to assess emergency physicians' nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.e4. doi:10…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-card-4x6.pdf
June 02, 2025 - Medication Management: Common Barriers to Medication Adherence
Common Barriers to
Medication Adherence
What Patients Might Say Possible Solutions
My medicine makes me
feel sick.
Prescribe a substitute
medication; change the dose.
I feel fine. Explain how the patient’s
disease affects the body.
I forget.
F…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/index.html
December 01, 2022 - CAHPS Health Literacy Item Sets
The CAHPS Health Literacy Item Sets ask about providers' efforts to foster and improve the health literacy of patients. Health literacy is commonly defined as patients' ability to obtain, process, and understand the basic health information and services they need to make appropri…
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psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
June 21, 2006 - Commentary
Development and implementation of a hospital-based patient safety program.
Citation Text:
Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8.
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psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
August 01, 2018 - Review
Core principles of quality improvement and patient safety.
Citation Text:
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417.
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…
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psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
November 01, 2023 - Newspaper/Magazine Article
The right and wrong way to talk to patients about adverse events.
Citation Text:
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5.
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psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
February 13, 2019 - Commentary
The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals.
Citation Text:
Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…
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psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
November 21, 2021 - Commentary
The lost art of doctoring: reflections of a pediatric resident.
Citation Text:
Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247.
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psnet.ahrq.gov/issue/high-fidelity-simulation-based-training-neonatal-nursing
April 11, 2011 - Study
High fidelity simulation-based training in neonatal nursing.
Citation Text:
Yaeger KA, Halamek LP, Coyle M, et al. High-fidelity simulation-based training in neonatal nursing. Adv Neonatal Care. 2004;4(6):326-31.
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psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
December 21, 2014 - Review
Error training: missing link in surgical education.
Citation Text:
DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008.
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psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/facing-our-mistakes
September 23, 2020 - Commentary
Classic
Facing our mistakes.
Citation Text:
Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22.
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Downlo…
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psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - Commentary
Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams.
Citation Text:
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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