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psnet.ahrq.gov/node/35072/psn-pdf
June 22, 2009 - Introducing new technology into the operating room:
measuring the impact on job performance and
satisfaction.
June 22, 2009
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the
impact on job performance and satisfaction. Surgery. 2005;137(5):518-26.
https://psnet…
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psnet.ahrq.gov/node/37021/psn-pdf
February 17, 2011 - Disclosing harmful medical errors to patients.
February 17, 2011
Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med.
2007;356(26):2713-9.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
In this article, the authors review disclosure standards,…
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psnet.ahrq.gov/node/836791/psn-pdf
August 21, 2024 - TeamSTEPPS for Diagnosis Improvement.
August 21, 2024
TeamSTEPPS for Diagnosis Improvement.
https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on
the established TeamSTEPPS® principles, this new Te…
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psnet.ahrq.gov/node/39320/psn-pdf
March 28, 2010 - The Emergency Medical Services Safety Attitudes
Questionnaire.
March 28, 2010
Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes
questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106.
https://psnet.ahrq.gov/issue/emergency-medical-services-safety-att…
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psnet.ahrq.gov/node/36542/psn-pdf
August 06, 2008 - Pediatric rapid response teams in the academic medical
center.
August 6, 2008
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center.
Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
https://psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-…
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psnet.ahrq.gov/node/34932/psn-pdf
April 06, 2011 - Do split-side rails present an increased risk to patient
safety?
April 6, 2011
Hignett S, Griffiths P. Do split-side rails present an increased risk to patient safety? Qual Saf Health Care.
2005;14(2):113-6.
https://psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
Although this datab…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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psnet.ahrq.gov/node/844772/psn-pdf
September 18, 2019 - Lyme disease is baffling, even to experts, but new
insights are at last accumulating.
September 18, 2019
O'Rourke M. The Atlantic. September 2019.
https://psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
Diagnostic errors occur due to a variety of factors. This magazine ar…
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psnet.ahrq.gov/node/40973/psn-pdf
November 30, 2011 - A clinical nurse specialist intervention to facilitate safe
transfer from ICU.
November 30, 2011
St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse
Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab.
https://psnet.ahrq.gov/issue/clinical-nurse-spec…
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - How safe is my intensive care unit? Methods for
monitoring and measurement.
January 5, 2012
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for
monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
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psnet.ahrq.gov/node/39927/psn-pdf
February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1
limits and strategic napping.
February 17, 2011
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J
Med. 2010;363(17):1589-1591.
https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…
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psnet.ahrq.gov/node/40756/psn-pdf
September 07, 2011 - How reliable is your hospital? A qualitative framework for
analysing reliability levels.
September 7, 2011
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability
levels. BMJ Qual Saf. 2011;20(9):785-790.
https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events
Citation Text:
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Fo…
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - Relationships Between Physician Professional Satisfaction and Patient Safety
Mark Friedberg, MD, MPP | February 1, 2016
View more articles from the same authors.
Citation Text:
Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Saf…
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
Falls are not a new issue, especially among older adults. The Centers for D…
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Suicide Risk in the Hospital
May 1, 2018
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
The Case
A 37-year-old woman with a past medical history of depression, anxiety, and posttraumatic stress disorder
presented to the emergency department (ED)…
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - An Easily Forgotten Tube
February 1, 2014
Ousey K. An Easily Forgotten Tube. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/easily-forgotten-tube
The Case
A 45-year-old man was admitted to the intensive care unit (ICU) for acute liver failure secondary to alcohol
abuse. His illness was complicated by acute…
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - June 22, 2022
Factors associated with missed nursing care and nurse-assessed quality
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed