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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…

  2. San Diego Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/san-diego-center-patient-safety
    March 09, 2025 - Multi-use Website San Diego Center for Patient Safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The San Diego Center for Patient Safety (SDCPS) consists o…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863760/psn-pdf
    March 06, 2024 - Imagining improved interactions: patients' designs to address implicit bias. March 6, 2024 Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias Implicit biases can compromise decision making a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44356/psn-pdf
    October 03, 2017 - Breaking the silence of the switch—increasing transparency about trainee participation in surgery. October 3, 2017 McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJMp1502901. https://psnet.ahrq.gov/iss…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36555/psn-pdf
    January 05, 2017 - Registration-associated patient misidentification in an academic medical center: causes and corrections. January 5, 2017 Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Patient Saf. 2007;33(1):25-33. doi:…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47359/psn-pdf
    October 10, 2018 - Is there evidence of a July effect among patients undergoing hysterectomy surgery? October 10, 2018 Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033. https://psnet.a…

  7. My Action Plan | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/diabetesnetwork/actionplan.html
    October 01, 2014 - Hispanic Diabetes Disparities Learning Network in Community Health Centers My Action Plan Previous Page Next Page Table of Contents Hispanic Diabetes Disparities Learning Network in Community Health Centers Chapter 1. Introduction Chapter 2. Project Description Chapter 3. Structure of Learning…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44756/psn-pdf
    September 12, 2016 - Importance of teamwork, communication and culture on failure-to-rescue in the elderly. September 12, 2016 Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031. https://psnet.ahrq.gov/issue/importance-teamw…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45280/psn-pdf
    September 01, 2018 - Fighting MRSA infections in hospital care: how organizational factors matter. September 1, 2018 Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521. https://psnet.ahrq.gov/issue/fighting-mr…

  10. Appendix, Developing Your Charter | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-3.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Developing Your Charter Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Buildi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72775/psn-pdf
    February 24, 2021 - Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non- randomized controlled study. February 24, 2021 Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes via s…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45239/psn-pdf
    August 24, 2016 - Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. August 24, 2016 Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Errors Involving the Top 100 Prescr…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852456/psn-pdf
    August 16, 2023 - Residents, responsibility, and error: how residents learn to navigate the intersection. August 16, 2023 Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267. https://psnet.ahrq.go…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45357/psn-pdf
    October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? October 9, 2016 Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035. https://psnet…

  15. Comprehensive Unit-based Safety Program (CUSP) | Agency for Healthcare Research and Quality

    www.ahrq.gov/topics/comprehensive-unit-based-safety-program-cusp.html
    Topic: Comprehensive Unit-based Safety Program (CUSP) The Comprehensive Unit-based Safety Program (CUSP) is a method that can help clinical teams make care safer by combining improved teamwork, clinical best practices, and the science of safety. The Core CUSP toolkit gives clinical teams the training resources and to…

  16. Importance of a Solid Collaborative Care Team in Primary Care Clinics - Part 1 (doc file)

    integrationacademy.ahrq.gov/sites/default/files/2020-07/mac_baird.docx
    January 01, 2020 - Importance of a Solid Collaborative Care Team in Primary Care Clinics - Part 1 Mac Baird Transcript AHRQ Academy Video Providers seek integrated care services and teammates once they begin to experience the results of that type of integrated service. So when they first start out after training they might have no idea …

  17. Events | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/index.html
    November 01, 2022 - Events Recent and upcoming meetings and conferences Sign up: Events & Announcements Email updates Conference and Meeting Presentations AHRQ Research Summit on Improving Diagnosis in Health Care This meeting , held on September 28, 2016, explored the state of the science of diagnosis in health care an…

  18. Jih, Jane | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/jih-jane
    February 22, 2022 - Jih, Jane Improving the Management of Multiple Chronic Conditions with mPROVE - Final Report Citation Jih J. Improving the Management of Multiple Chronic Conditions with mPROVE – Final Report. (Prepared by University of California, San Francisco under Grant No. U18 HS026883). …

  19. SNAC Member: Marshall H. Chin, M.D. | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/snac-chin.html
    December 01, 2021 - SNAC Member: Marshall H. Chin, M.D. Richard Parrillo Family Professor of Healthcare Ethics  The University of Chicago Medicine Marshall H. Chin, M.D., is a practicing general internist and health services researcher who has dedicated his career to reducing health disparities through interventions at individu…

  20. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
    January 01, 2025 - many EDs.7 In many parts of the country; doctors who staff emergency departments are not residency trained … clinicians in medicine has, perhaps, been taken for granted because clinicians are assumed, as highly trained
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