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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Personal Health Literacy
August 30, 2023
Bakerjian D. Personal Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/personal-health-literacy
Originally published in July 2017 by researchers at the University of California, San Francisco. Updated in
August 2023 by Deb Bakerjian, PhD, RN, APRN, FAA…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-mental-health_research-protocol.pdf
September 01, 2016 - Transparency of Reporting Requirements: Strategies to Improve Mental Health Care for Children and Adolescents
Source: www.effectivehealthcare.ahrq.gov
Published online: September 1, 2016
Evidence-based Practice Center Methodology Report Protocol
Project Title: Transparency of Reporting Requirements
Rep…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027660-burgermaster-final-report-2023.pdf
January 01, 2023 - Interventions: PCPs randomized to Nutri were trained and received Nutri reminders prior to and at the
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psnet.ahrq.gov/node/72770/psn-pdf
February 24, 2021 - Communication about medical errors.
February 24, 2021
Kaldjian LC. Communication about medical errors. Patient Educ Couns. 2021;104(5):989-993.
doi:10.1016/j.pec.2020.11.035.
https://psnet.ahrq.gov/issue/communication-about-medical-errors
Disclosure of and communication about errors and adverse events is increasin…
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psnet.ahrq.gov/node/50763/psn-pdf
December 18, 2019 - Their kids died on the psych ward. They were far from
alone, a Times investigation found.
December 18, 2019
Karlamangla S. Los Angeles Times. December 1, 2019.
https://psnet.ahrq.gov/issue/their-kids-died-psych-ward-they-were-far-alone-times-investigation-found
Patient suicide is considered a sentinel event. This …
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psnet.ahrq.gov/node/47966/psn-pdf
May 29, 2019 - Patient Safety Essentials Toolkit.
May 29, 2019
Boston, MA: Institute for Healthcare Improvement; 2019.
https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis,
and communication as well as templates to …
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www.ahrq.gov/teamstepps-program/resources/videos/module-4-seg-3.html
February 01, 2024 - TeamSTEPPS Module 4 Segment 3: Video and Materials
YouTube embedded video: https://www.youtube-nocookie.com/embed/HwQusQn-TRo
TeamSTEPPS Module 4 Segment 3 Mutual Support: Narrator Part 2 (2:15)
Additional Materials for this Module 4 Mutual Support training simulation video:
Video-Based Simulation: Fa…
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www.ahrq.gov/funding/training-grants/announcements.html
December 01, 2022 - Announcements
AHRQ National Research Service Award (NRSA) Institutional Research Training Grant (T32) Notice of Funding Opportunity is now available .
Patient-Centered Outcomes Research Mentored Career Development Awards .
Supporting the Next Generation of Learning Health Systems Researchers: Grants Awar…
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www.ahrq.gov/nursing-home/resources/front-line-clinicians.html
May 01, 2022 - Nursing Home Series for Front Line Clinicians and Staff
Resource: Nursing Home Series for Front Line Clinicians and Staff
This podcast is the first in a series of Centers for Medicare & Medicaid Services-sponsored podcasts for frontline nursing home staff. Dr. Shari Ling, Deputy Chief Medical Office for th…
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psnet.ahrq.gov/node/40952/psn-pdf
December 07, 2011 - Hospital quality and patient safety competencies:
development, description, and recommendations for use.
December 7, 2011
O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies:
Development, description, and recommendations for use. J Hosp Med. 2011;6(9). doi:10.1002/jhm.937.…
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psnet.ahrq.gov/node/47280/psn-pdf
October 15, 2018 - Master of Healthcare Quality and Safety.
October 15, 2018
Harvard Medical School.
https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
This one-year degree program will train clinicians and health care executives to lead safety and quality
improvement initiatives. Participants will learn how to develo…
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psnet.ahrq.gov/node/43422/psn-pdf
August 06, 2014 - Core Entrustable Professional Activities for Entering
Residency.
August 6, 2014
Washington, DC: Association of American Medical Colleges; 2014.
https://psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
Studies have revealed a gap between what residents are expected to know and how pr…
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psnet.ahrq.gov/node/42521/psn-pdf
August 21, 2013 - Why your TeamSTEPPS program may not be working.
August 21, 2013
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs.
2012;9(8). doi:10.1016/j.ecns.2012.03.007.
https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
This commentary explores barriers to implementi…
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psnet.ahrq.gov/node/34696/psn-pdf
June 23, 2015 - A piece of my mind. Coping with fallibility.
June 23, 2015
Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252.
https://psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
The authors relate personal experiences with physician error, including the professional and emotional
…
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psnet.ahrq.gov/node/39927/psn-pdf
February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1
limits and strategic napping.
February 17, 2011
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J
Med. 2010;363(17):1589-1591.
https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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psnet.ahrq.gov/node/41073/psn-pdf
January 18, 2012 - Quality improvement in medical education: current state
and future directions.
January 18, 2012
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future
directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
https://psnet.ahrq.gov/issue/quality-im…
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psnet.ahrq.gov/node/60189/psn-pdf
April 01, 2020 - Eliminating Medication Overload: A National Action Plan.
April 1, 2020
Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020.
https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
Polypharmacy and medication overuse are known contributors to patient harm. This report …
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psnet.ahrq.gov/node/36712/psn-pdf
January 05, 2017 - New technology, new errors: how to prime an upgrade of
an insulin infusion pump.
January 5, 2017
Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion
pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62.
https://psnet.ahrq.gov/issue/new-technology-new-errors-how-pri…
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psnet.ahrq.gov/node/40947/psn-pdf
January 29, 2019 - WHO Patient Safety Curriculum Guide: Multi-Professional
Edition.
January 29, 2019
WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN:
9789241501958.
https://psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition
This multi-professional patient safet…