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psnet.ahrq.gov/node/41083/psn-pdf
December 12, 2012 - Teams under pressure in the emergency department: an
interview study.
December 12, 2012
Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview
study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084.
https://psnet.ahrq.gov/issue/teams-under-pressure-emergenc…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-6.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 6: Screenshot 2: Nursing—Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduc…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-7.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introdu…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 5: Screenshot 1: Medication Management Essentials
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Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduct…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide170.html
October 01, 2014 - 170. System Strategies
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Implementing a tobacco-user identification system in every clinic ( Systems Strategy 1 ).
Providing adequate training, resources, and feedback to ensure that providers consistently deliver effec…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 5: Screenshot 1: Medication Management Essentials
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduct…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-6.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 6: Screenshot 2: Nursing—Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduc…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introdu…
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www.ahrq.gov/teamstepps-program/resources/app/index.html
April 01, 2024 - TeamSTEPPS Pocket Guide App
The Pocket Guide App (released March 2024) is a quick-reference tool for the TeamSTEPPS® communication framework and it mirrors the TeamSTEPPS Pocket Guide .
Download AHRQ’s TeamSTEPPS app to put the structured communication tools and checklists from the TeamSTEPPS Pocket Guide at…
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psnet.ahrq.gov/node/45742/psn-pdf
January 18, 2017 - War games and diagnostic errors.
January 18, 2017
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342.
doi:10.1136/bmj.i6342.
https://psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
This commentary draws parallels between a misinterpreted military training exercise with diagno…
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psnet.ahrq.gov/node/72484/psn-pdf
November 18, 2020 - Management of Operating Room Critical Events.
November 18, 2020
Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
https://psnet.ahrq.gov/issue/management-operating-room-critical-events
Anesthesiology critical events are uncommon, and yet they have great potential for harm. This special
issue focuses on mana…
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psnet.ahrq.gov/node/73897/psn-pdf
September 29, 2021 - Peer Support Toolkit.
September 29, 2021
Betsy Lehman Center for Patient Safety. September 2021.
https://psnet.ahrq.gov/issue/peer-support-toolkit
Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This
toolkit is designed to assist organizations in the development o…
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psnet.ahrq.gov/node/853626/psn-pdf
September 20, 2023 - Uncovering the shocking dangers of misdiagnosis.
September 20, 2023
Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker
discusses foun…
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psnet.ahrq.gov/node/40580/psn-pdf
July 06, 2011 - Teaching medical error apologies: development of a
multi-component intervention.
July 6, 2011
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-
component intervention. Fam Med. 2011;43(6):400-6.
https://psnet.ahrq.gov/issue/teaching-medical-error-apologies-developmen…
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psnet.ahrq.gov/node/45265/psn-pdf
July 13, 2016 - Tackling disrespectful, unprofessional provider
behaviors.
July 13, 2016
Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4.
https://psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors
Disrespectful conduct among health care providers can hinder safe ca…
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psnet.ahrq.gov/node/50422/psn-pdf
September 04, 2019 - Perceived bullying among internal medicine residents.
September 4, 2019
Ayyala MS, Rios R, Wright SM. Perceived Bullying Among Internal Medicine Residents. JAMA.
2019;322(6):576-578. doi:10.1001/jama.2019.8616.
https://psnet.ahrq.gov/issue/perceived-bullying-among-internal-medicine-residents
Nearly 1 in 7 internal…
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psnet.ahrq.gov/node/42279/psn-pdf
May 15, 2013 - Interdisciplinary collaboration to maintain a culture of
safety in a labor and delivery setting.
May 15, 2013
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and
delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5.
doi:10.1097/JPN.0b013…
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psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers.
May 17, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
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psnet.ahrq.gov/node/37038/psn-pdf
September 16, 2011 - Does simulation improve patient safety?: self-efficacy,
competence, operational performance, and patient safety.
September 16, 2011
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence,
operational performance, and patient safety. Anesthesiol Clin. 2007;25(2):225-36.
…
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psnet.ahrq.gov/node/41705/psn-pdf
September 26, 2012 - Teamwork errors in trauma resuscitation.
September 26, 2012
Sarcevic A, Marsic I, Burd RS. Teamwork Errors in Trauma Resuscitation. ACM Trans Comput Hum
Interact. 2012;19(2):13:1-13:30. doi:10.1145/2240156.2240161.
https://psnet.ahrq.gov/issue/teamwork-errors-trauma-resuscitation
This study examines the nature of …