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effectivehealthcare.ahrq.gov/sites/default/files/facilitation-webcast-slides.pptxJune 13, 2013 - PowerPoint Presentation Agency for Healthcare Research and Quality Community Forum June 13, 2013 Using Deliberative Methods to Engage the Public: Facilitating a Deliberative Session Community Forum Community Forum Welcome, everyone, to this webinar about using deliberative methods to engage the public: facili…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs027528-clark-final-report-2021.pdfJanuary 01, 2021 - Telehealth and Emergency Medicine: A Consensus Conference to Map the Intersection of Emergency Medicine and Telehealth - Final Report 1. Title Page Title Telehealth and Emergency Medicine: A Consensus Conference t…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45926/psn-pdfMay 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… -
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide170.htmlOctober 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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digital.ahrq.gov/organization/magic-valley-regional-medical-centerJanuary 01, 2023 - Magic Valley Regional Medical Center Rural Community Partnerships - Electronic Medical Record (EMR) Implementation Project - 2008 Principal Investigator Mullen, R'Nee Project Name Rural Community Partnerships - Electronic Medical Record (EMR) Implementation Proj…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43718/psn-pdfDecember 03, 2014 - Patient safety culture in nephrology nurse practice settings: initial findings. December 3, 2014 Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476. https://psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings This study utilized AHRQ patient safety culture surveys to asse… -
www.ahrq.gov/teamstepps-program/evidence-base/index.htmlJuly 01, 2023 - TeamSTEPPS: Research/Evidence Base TeamSTEPPS ® has been used by healthcare professionals across the United States. The research cataloged here describes some of the approaches used to implement TeamSTEPPS 3.0 in specific settings of care, as well as evaluation efforts to quantify or qualify the impact of us…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39093/psn-pdfNovember 11, 2009 - For whom the Bell Commission tolls: unintended effects of limiting residents' hours. November 11, 2009 Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. https://psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limitin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853976/psn-pdfSeptember 27, 2023 - Disclosure of Medical Errors. September 27, 2023 Irving, TX: American College of Emergency Physicians; 2023. https://psnet.ahrq.gov/issue/disclosure-medical-errors Error disclosure is difficult yet important for patient and clinician psychological healing. This statement provides guidance to address barriers to em… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34728/psn-pdfDecember 19, 2016 - Forgive and Remember: Managing Medical Failure. 2nd ed. December 19, 2016 Bosk CL.Chicago, IL: University of Chicago Press; 2003. ISBN: 9780226066783. https://psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed In this seminal study, Bosk, a medical sociologist at the University of Pennsylvan… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50864/psn-pdfFebruary 05, 2020 - I'm sorry: laws that support apologies in health care. February 5, 2020 Atkinson Smith M. I?m Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. https://psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care Apology laws have been passed by numerous states and the District of Colu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43389/psn-pdfJuly 30, 2014 - Simulation based adverse event reporting system: development and feasibility. July 30, 2014 Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. https://psnet.ahrq.gov/issue/simulation-based-adverse-event-repor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854638/psn-pdfOctober 18, 2023 - Early identification and evaluation of severe pressure injuries. October 18, 2023 Quick Safety. October 2023;70:1-2. https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries Pressure injuries are a significant and preventable patient safety threat. This article summarizes recommen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34754/psn-pdfFebruary 06, 2018 - Patient Safety in Anesthetic Practice. February 6, 2018 Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824. https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice Anesthesiology made its mark early on in the quest for patient safety. Eichhorn was a part of the converge… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38982/psn-pdfFebruary 03, 2011 - Association of resident fatigue and distress with perceived medical errors. February 3, 2011 West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. https://psnet.ahrq.gov/issue/association-resident-f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61052/psn-pdfApril 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47047/psn-pdfJune 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42111/psn-pdfMarch 13, 2013 - "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? March 13, 2013 Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1212/WNL.0b013e3182797539. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37337/psn-pdfJanuary 02, 2017 - Attitudes toward medical device use errors and the prevention of adverse events. January 2, 2017 Johnson TR, Tang X, Graham MJ, et al. Attitudes toward medical device use errors and the prevention of adverse events. Jt Comm J Qual Patient Saf. 2007;33(11):689-94. https://psnet.ahrq.gov/issue/attitudes-toward-medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37038/psn-pdfSeptember 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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