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Agency for Healthcare Research and Quality (AHRQ)
PATIENT SAFETY PRIMERS
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COMMENTARY
Intubation Mishap.
Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.
SPECIAL OR THEME ISSUE
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.
Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.
NEWSPAPER/MAGAZINE ARTICLE
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
AHRQ National Resource Center for Health Information Technology.
COMMENTARY
The importance of simulation: preventing hand-off mistakes.
Clancy CM. AORN J. 2008;88:625-627.
GRANT RECIPIENT
Improving Patient Safety Through Simulation Research.
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
COMMENTARY
On O.R. Off?
Leonard M. AHRQ WebM&M [serial online]. March 2005.
COMMENTARY
Discharge Against Medical Advice.
Hwang SW. WebM&M [serial online]. May 2005.
COMMENTARY
Fumbled Handoff.
Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.
COMMENTARY
Around the Block.
Minichiello T. AHRQ WebM&M [serial online]. March 2005.
COMMENTARY
Care transitions: a threat and an opportunity for patient safety.
Clancy CM. Am J Med Qual. 2006;21:415-417.
COMMENTARY
Waiting Too Long.
Rosen MA. AHRQ WebM&M [serial online]. November 2003.
COMMENTARY
Hidden Mystery.
Brunette DD. AHRQ WebM&M [serial online]. March 2005.
COMMENTARY
Limiting nurse overtime, and promoting other good working conditions, influences patient safety.
Collins Sharp BA, Clancy CM. J Nurs Care Qual. 2008;23:97-100.
COMMENTARY
Mark My Limb.
O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.
COMMENTARY
Patient safety in nursing practice.
Farquhar M, Collins Sharp BA, Clancy CM. AORN J. 2007;86:455-457.
TOOLKIT
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for Healthcare Research and Quality; Revised August 2012. AHRQ Publication No. 11(12)-0059.
TOOLKIT
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
Department of Defense and the Agency for Healthcare Research and Quality. Rockville, MD: Agency for Healthcare Research and Quality; 2006.
COMMENTARY
Hold the tPA.
Fagan SC. AHRQ WebM&M [serial online]. April 2005.
COMMENTARY
The Missing Suction Tip.
Thomas EJ, Moore FA. AHRQ WebM&M [serial online]. November 2003.
AUDIOVISUAL
Healthcare 411: Provider insider--medical handoffs.
Rockville, MD: Agency for Healthcare Research and Quality. April 25, 2007.
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