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psnet.ahrq.gov/node/47450/psn-pdf
March 27, 2019 - A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on
communication and teamwork in maternity care.
March 27, 2019
Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on communication and…
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psnet.ahrq.gov/node/45917/psn-pdf
March 29, 2017 - Improving our understanding of multi-tasking in
healthcare: drawing together the cognitive psychology
and healthcare literature.
March 29, 2017
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare:
Drawing together the cognitive psychology and healthcare literature. Ap…
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psnet.ahrq.gov/node/43982/psn-pdf
April 01, 2015 - Human factors and ergonomics and quality improvement
science: integrating approaches for safety in healthcare.
April 1, 2015
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science:
integrating approaches for safety in healthcare. BMJ Qual Saf. 2015;24(4):250-254. doi:10.1…
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psnet.ahrq.gov/node/43966/psn-pdf
April 03, 2017 - TRIAD VII: do prehospital providers understand Physician
Orders for Life-Sustaining Treatment documents?
April 3, 2017
Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician
Orders for Life-Sustaining Treatment documents? J Patient Saf. 2015;11(1):9-17.
doi:10.1097/PTS…
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psnet.ahrq.gov/issue/san-diego-center-patient-safety
March 09, 2025 - Multi-use Website
San Diego Center for Patient Safety.
Save
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March 17, 2011
The San Diego Center for Patient Safety (SDCPS) consists o…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/44069/psn-pdf
October 08, 2016 - An anesthesia preinduction checklist to improve
information exchange, knowledge of critical information,
perception of safety, and possibly perception of
teamwork in anesthesia teams.
October 8, 2016
Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information
Exchange, Knowled…
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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…
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the initia…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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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…
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psnet.ahrq.gov/node/35596/psn-pdf
February 17, 2011 - Disciplinary action by medical boards and prior behavior
in medical schools.
February 17, 2011
Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in
medical school. N Engl J Med. 2005;353(25):2673-82.
https://psnet.ahrq.gov/issue/disciplinary-action-medical-boards-…
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psnet.ahrq.gov/node/44592/psn-pdf
December 02, 2015 - Power and conflict: the effect of a superior's interpersonal
behaviour on trainees' ability to challenge authority
during a simulated airway emergency.
December 2, 2015
Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal
behaviour on trainees' ability to challenge…
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psnet.ahrq.gov/node/866538/psn-pdf
August 14, 2024 - Improving departmental psychological safety through a
medical school-wide initiative
August 14, 2024
Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety
through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.1186/s12909-024-05794-
4.
https…
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psnet.ahrq.gov/node/60198/psn-pdf
April 08, 2020 - Hierarchy and medical error: speaking up when
witnessing an error.
April 8, 2020
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an
error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648.
https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…
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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). …
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integrationacademy.ahrq.gov/print/pdf/node/23266
View PDF
American Academy of Family Physicians (AAFP)
View PDF
Website
https://www.aafp.org/home.html
Mission
To strengthen family physicians and the communities they care for.
Contact:
Michael Monroe, B.S.
Title:
Senior Manager, Clinical and Health Practices
Email: mmonroe@aafp.org
Location
Leawood, KS
United S…
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digital.ahrq.gov/principal-investigator/lenox-michelle
February 07, 2019 - Lenox, Michelle
CDS Connect- Year 8 Final Report
Citation
Final Report (Year 8 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 24-0067. Rockville, MD: Agency for Healthcare Research and Quality; August 2024.
…
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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 …