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4061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74117/psn-pdf
      December 16, 2021 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. November 24, 2021 Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021. https://psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals The release of the Workplace Safety supplemental items for…

4062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50445/psn-pdf
      October 09, 2019 - A demonstration project on the impact of safety culture on infection control practices in hemodialysis October 9, 2019 Millson T, Hackbarth D, Bernard HL. A demonstration project on the impact of safety culture on infection control practices in hemodialysis. Am J Infect Control. 2019;47(9):1122-1129. doi:10.1016/j…

4063. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet
      psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
      July 23, 2024 - published the results from the initial clinical trial, ED-SAFE 1, a multicenter study of eight EDs that assessed

4064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851971/psn-pdf
      July 31, 2023 - This patient was assessed in the ED by a social worker from Psychiatric Emergency Services, but it is

4065. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - Health literacy affects patient’s care choices and subsequent outcomes; it should be assessed in all

4066. Workaround | PSNet
      psnet.ahrq.gov/taxonomy/term/3504
      June 24, 2025 - Workaround From the perspective of frontline personnel trying to accomplish their work, the design of equipment or the policies governing work tasks can seem counterproductive. When frontline personnel adopt consistent patterns of work or ways of bypassing safety features of medical equipment, these patterns and acti…

4067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851465/psn-pdf
      July 19, 2023 - Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype. July 19, 2023 Kulkarni PA, Singh H. Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype. JAMA. 2023;330(4):317-318. doi:10.1001/jama.2023.11440. https://psnet.ahrq.gov/issue/artificial-intelligence-cl…

4068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867524/psn-pdf
      January 15, 2025 - Longitudinal analysis of culture of patient safety survey results in surgical departments. January 15, 2025 Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.3389/frhs.2024.1419248. https://p…

4069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865481/psn-pdf
      April 03, 2024 - Examining the relationship between nurse fatigue, alertness, and medication errors. April 3, 2024 Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631. https://psnet.ahrq.gov/issue/examin…

4070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45140/psn-pdf
      November 28, 2016 - Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. November 28, 2016 Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: A qualitative study. Patient …

4071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42672/psn-pdf
      October 23, 2013 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. October 23, 2013 De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6. …

4072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46693/psn-pdf
      December 20, 2017 - Coupling policymaking with evaluation—the case of the opioid crisis. December 20, 2017 Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…

4073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44651/psn-pdf
      December 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and …

4074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73618/psn-pdf
      August 17, 2021 - New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. August 17, 2021 Hannawa AF, Wendt AL, Day LJ. Berlin, GER: Walter De Gruyter; 2018. ISBN: 9783110453041. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-co…

4075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46292/psn-pdf
      August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…

4076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844748/psn-pdf
      February 15, 2023 - 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? February 15, 2023 Renault M. STAT. February 6, 2023. https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect- tyre-nichols Emergent care situations are vulnerable to a range …

4077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47314/psn-pdf
      November 24, 2018 - Adverse effects of computers during bedside rounds in a critical care unit. November 24, 2018 Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752. https://psnet.ahrq.gov/issue/adverse-…

4078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74094/psn-pdf
      November 17, 2021 - Workplace Safety Supplemental Item Set for Hospital SOPS. November 17, 2021 Rockville, MD: Agency for Healthcare Research and Quality; 2021. https://psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey Hospital Survey on Patie…

4079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43602/psn-pdf
      October 15, 2014 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Com…

4080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837146/psn-pdf
      May 18, 2022 - Applying requisite imagination to safeguard electronic health record transitions. May 18, 2022 Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab291. https://psnet.ahrq.gov/issue/applyi…