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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
May 01, 2025 - Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes
Making Healthcare Safer IV
Examining the Impact of Implementing
High-Reliability Organization Principles on
Patient Safety Outcomes
Rapid Review
Structured Abs…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/cognitive-impairment-in-older-adults-screening
February 25, 2020 - Share to Facebook
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Final Evidence Summary
Cognitive Impairment in Older Adults: Screening
February 25, 2020
Recommendations made by the USPSTF are independent of the U.S. government. They should…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/njteJ388DLVsY8RLcBTe_A
February 25, 2020 - Screening for Cognitive Impairment in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
Screening for Cognitive Impairment in Older Adults
Updated Evidence Report and Systematic Review
for the US Preventive Services Task Force
Carrie D. Patnode, PhD; Leslie A. Perdu…
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - you believe that's true, or do you believe that
one of your lower quartile surgeons could have been trained
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
August 01, 2022 - Furthermore, as few individuals in hospitals or other health care environments have been trained to perform
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - readily respond to—questions about equipment in the work environment, whether staff seemed to be well-trained
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - I think there's a real issue with how providers are trained to be
accepting of the new empowered patients
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psnet.ahrq.gov/node/47005/psn-pdf
June 13, 2018 - "No-go considerations" for in situ simulation safety.
June 13, 2018
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc.
2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
https://psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
Frontline simul…
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psnet.ahrq.gov/node/44510/psn-pdf
October 08, 2016 - Wisdom in medicine: what helps physicians after a
medical error?
October 8, 2016
Plews-Ogan M, May NB, Owens J, et al. Wisdom in Medicine. Academic Medicine. 2015;91(2).
doi:10.1097/acm.0000000000000886.
https://psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
This interview study wi…
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psnet.ahrq.gov/node/44467/psn-pdf
February 20, 2016 - The underappreciated role of habit in highly reliable
healthcare.
February 20, 2016
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf.
2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
https://psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-health…
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psnet.ahrq.gov/node/836787/psn-pdf
December 01, 2021 - The second victim: a contested term?
December 1, 2021
Tumelty M-E. The second victim: a contested term? J Patient Saf. 2021;17(8):e1488-e1493.
doi:10.1097/pts.0000000000000558.
https://psnet.ahrq.gov/issue/second-victim-contested-term
There has been some controversy around the term ‘second victim.’ Based on qualit…
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psnet.ahrq.gov/node/47791/psn-pdf
March 20, 2019 - Essential activities for electronic health record safety: a
qualitative study.
March 20, 2019
Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study.
Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109.
https://psnet.ahrq.gov/issue/esse…
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psnet.ahrq.gov/node/39100/psn-pdf
January 28, 2010 - Hospital governance and the quality of care.
January 28, 2010
Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7.
doi:10.1377/hlthaff.2009.0297.
https://psnet.ahrq.gov/issue/hospital-governance-and-quality-care
This study surveyed more than 700 board chairs and…
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psnet.ahrq.gov/node/856641/psn-pdf
January 01, 2009 - WebAIRS Anesthesia Incident Reporting System.
January 1, 2009
Australian and New Zealand Tripartite Anaesthetic Data Committee.
https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website
serves …
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psnet.ahrq.gov/node/41547/psn-pdf
July 25, 2012 - Changes in intern attitudes toward medical error and
disclosure.
July 25, 2012
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and
disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
https://psnet.ahrq.gov/issue/changes-intern-attitudes-towa…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-3.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medi…
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www.ahrq.gov/cpi/centers/od/index.html
July 01, 2025 - Office of the Director (OD)
The Office of the Director oversees AHRQ activities to ensure the achievement of the agency’s strategic objectives.
AHRQ's Director is Roger D. Klein, M.D., J.D . The Office of the Director: Provides overall leadership for the Agency. Maintains the scientific integrity and objecti…
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psnet.ahrq.gov/node/845655/psn-pdf
March 08, 2023 - Crisis in the Lakeshore Hospital ER.
March 8, 2023
Derfel A. Montreal Gazette. February 24- March 1, 2023
https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths
associated with emergency care that, w…