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effectivehealthcare-admin.ahrq.gov/health-topics/allergy
February 15, 2018 - Skip to main content
An official website of the Department of Health … of Patient Registries
Former Projects and Initiatives
Annual Reports
25 Years of the … It is your body's defense system. … 20, 2017
The Clinical Utility of Fractional Exhaled Nitric Oxide (FeNO) in Asthma Management … Department of Health & Human Services
The Whitehouse
USA.gov
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psnet.ahrq.gov/issue/patient-safety-handbook-ambulatory-care-providers
February 28, 2018 - November 27, 2018
The Role of Hospitalists in Patient Safety. … July 22, 2020
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events … May 13, 2019
Association of adverse effects of medical treatment with mortality in the … United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study … February 28, 2015
Pediatric Patient Safety in the Emergency Department.
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psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders
April 24, 2007 - July 22, 2020
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events … December 21, 2008
The Value of Close Calls in Improving Patient Safety. … Patient Safety Innovations
Suicide Prevention in an Emergency Department … The Hidden Toll of Racism on American Lives and on the Health of our Nation. … June 29, 2022
Awareness of human factors in the operating theatres during the COVID-19
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psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
August 16, 2016 - Copy Citation
Related Resources From the Same Author(s)
The Handbook of Patient … March 27, 2005
Escape Fire: Designs for the Future of Health Care. … March 29, 2007
Assessment of the National Patient Safety Initiative: Context and Baseline … August 20, 2012
Improving the Reliability of Health Care. … August 10, 2010
Department of Defense Health Care Quality.
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - April 1, 2010
Unanticipated death after discharge home from the emergency department. … 15, 2011
Perspective
What Do We Know About Emergency Department … August 4, 2021
The development and piloting of the Ambulatory Electronic Health Record … March 17, 2021
The safety of outpatient health care: review of electronic health records … August 3, 2022
The paradoxes of defensive medicine.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
March 01, 2006 - TeamSTEPPS Model for Change
Rooted in decades of aviation research, the transition of formal … Experience and Expertise
Intervention Design*
Training & Implementation: Department of Defense scientific … and the practical work of Subject Matter Experts, Leaders and Staff provided
the underpinnings of second … The construct, comprised of the theory of Salas (training), Kirkpatrick
(evaluation), and Kotter (culture … Individuals can
visualize the impact of their role on the structure and process of patient safety initiatives
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psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
June 22, 2016 - December 23, 2012
Report of the Independent Inquiry into the Issues Raised by Paterson … November 16, 2005
The Report of the Morecambe Bay Investigation. … September 29, 2017
Learning from Bristol: The Report of the Public Inquiry into Children's … December 9, 2009
Building a Culture of Patient Safety: Report of the Commission on Patient … September 5, 2008
Department of Defense Health Care Quality.
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psnet.ahrq.gov/issue/medical-errors-dentistry
September 18, 2013 - Little is currently known about the types of safety issues in dentistry . … September 18, 2013
Visitor behaviors can influence the risk of patient harm: an analysis … 2019 Department of Defense Patient Safety Culture Survey. … June 7, 2008
The fading art of the physical exam. … November 11, 2015
Understanding and confronting our mistakes: the epidemiology of error
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psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
January 10, 2007 - Copy Citation
Related Resources From the Same Author(s)
Department of Defense … October 26, 2022
Examining the Status of VA’s Electronic Health Record Modernization … March 6, 2019
Examining the Copy and Paste Function in the Use of Electronic Health Records … the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced … May 7, 2014
Spotlight on electronic health record errors: errors related to the use of
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psnet.ahrq.gov/node/40197/psn-pdf
February 09, 2011 - February 9, 2011
Washington, DC: US Department of Defense, Patient Safety Program.
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pbrn.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
August 01, 2022 - The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of … Participating Agencies and Institutions
The Department of Health and Human Services (HHS) Office for … Department of Defense (Health Affairs). … Department of Veterans Affairs (Veterans Health Administration). … Department of Health & Human Services
The White House
USA.gov
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pcmh.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
August 01, 2022 - The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of … Participating Agencies and Institutions
The Department of Health and Human Services (HHS) Office for … Department of Defense (Health Affairs). … Department of Veterans Affairs (Veterans Health Administration). … Department of Health & Human Services
The White House
USA.gov
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - last line of defense in the
medication use process, administration errors at the point of care often … defense in detecting patient deterioration and protecting patients by recovering errors caused by other … ref12
https://psnet.ahrq.gov//#ref13
https://psnet.ahrq.gov//#ref14
https://psnet.ahrq.gov//#ref5
Department … Department of Medicine
Brigham and Women's Hospital
References
Back to Top
1. … Barcoded medication administration: a last line of defense. JAMA.
2008;299:2200-2202.
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pbrn.ahrq.gov/teamstepps/instructor/reference/modelchange.html
March 01, 2014 - Experience and Expertise
Intervention Design *
Training & Implementation: Department of Defense … scientific and the practical work of Subject Matter Experts, Leaders and Staff provided the underpinnings … The construct, comprised of the theory of Salas (training), Kirkpatrick (evaluation), and Kotter (culture … Individuals can visualize the impact of their role on the structure and process of patient safety initiatives … , how roles overlap and how work together in the larger sense of patient care teams to provide the integrated
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pcmh.ahrq.gov/teamstepps/instructor/reference/modelchange.html
March 01, 2014 - Experience and Expertise
Intervention Design *
Training & Implementation: Department of Defense … scientific and the practical work of Subject Matter Experts, Leaders and Staff provided the underpinnings … The construct, comprised of the theory of Salas (training), Kirkpatrick (evaluation), and Kotter (culture … Individuals can visualize the impact of their role on the structure and process of patient safety initiatives … , how roles overlap and how work together in the larger sense of patient care teams to provide the integrated