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ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/guide/intro.html
September 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
November 01, 2018 - Skip to main content
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - TeamSTEPPS for Office-Based Care Implementation Workbook
TeamSTEPPS for
Office-Based Care
Implementation Workbook
TeamSTEPPS® for Office-Based Care
TeamSTEPPS Action Planning At-A-Glance
1
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Create a Change Team
Define the Problem, Challenge, or Opportunity for
Impro…
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - Meeting/Conference Proceedings
Risky Business: Navigating a Shifting Health Care Landscape.
Citation Text:
Boston Children’s Hospital. April 15, 2021.
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psnet.ahrq.gov/issue/another-look-medical-error
November 16, 2022 - Commentary
Another look at medical error.
Citation Text:
Deskin WC, Hoye RE. Another look at medical error. J Surg Oncol. 2004;88(3):122-9.
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psnet.ahrq.gov/issue/how-does-law-recognize-and-deal-medical-errors
March 17, 2021 - Commentary
How does the law recognize and deal with medical errors?
Citation Text:
Merry A. How does the law recognize and deal with medical errors? J R Soc Med. 2009;102(7):265-71. doi:10.1258/jrsm.2009.09k029.
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - Review
Are long physician working hours harmful to patient safety?
Citation Text:
Ehara A. Pediatr Int. 2008;50:175-178.
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - Review
Communication of medical product risk: how effective is effective enough?
Citation Text:
Goldman SA. Communication of medical product risk: how effective is effective enough? Drug Saf. 2004;27(8):519-34.
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - Commentary
Playing it safe: simulated team training in the OR.
Citation Text:
Anderson M, Leflore J. Playing it safe: simulated team training in the OR. AORN J. 2008;87(4):772-9. doi:10.1016/j.aorn.2007.12.027.
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www.ahrq.gov/innovations/will-work/appendix2.html
February 01, 2021 - Will It Work Here? A Decisionmaker's Guide to Adopting Innovations
Appendix 2: Mt. Carmel and Six Sigma
Previous Page Next Page
Table of Contents
Will It Work Here? A Decisionmaker's Guide to Adopting Innovations
About the Guide
Acknowledgments
Purpose
How to Use the Guide
Module I: Does t…
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effectivehealthcare.ahrq.gov/sites/default/files/introduction-to-user-guide-overview.pptx
January 01, 2013 - Slide 1
Introduction to the User’s Guide for Developing a Protocol for Observational Comparative Effectiveness Research
Prepared for:
Agency for Healthcare Research and Quality (AHRQ)
www.ahrq.gov
Introduction to the User’s Guide for Developing a Protocol for Observational Comparative Effectiveness Research
This s…
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psnet.ahrq.gov/periodic-issue/periodic-issue-453
August 28, 2024 - August 21, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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cdsic.ahrq.gov/sites/default/files/2024-02/IAS%20Workgroup%20Charter_Final.pdf
January 01, 2024 - Implementation, Adoption, and Scaling: Final Workgroup Charter
Implementation, Adoption, and
Scaling:
Final Workgroup Charter
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago …
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Lesson from the VA's Team Training Program
November 1, 2011
Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program
Perspective
Introduction
The Veterans Health Administration (VHA) National Center…
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Wrong Catheter in the Right Patient
May 27, 2020
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
The Case
A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had
two?peripheral…
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psnet.ahrq.gov/node/49605/psn-pdf
June 01, 2010 - Acute Respiratory Arrest in Pregnancy
June 1, 2010
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
The Case
A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of
shortness of breath an…
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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - Medication Mix-Up: From Bad to Worse
March 1, 2015
Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse
The Case
A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital
with chest …
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - Premature Extubation
March 1, 2019
Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/premature-extubation
The Case
A 73-year-old woman with a history of carotid artery stenosis was admitted for an elective carotid
endarterectomy. The procedure was initially thought to …