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4021. 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…

4022. 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…

4023. 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 …

4024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43616/psn-pdf
      October 29, 2014 - Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. October 29, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1- S141. https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…

4025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40878/psn-pdf
      March 02, 2012 - Neonatal intensive care unit safety culture varies widely. March 2, 2012 Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. https://psnet.ahrq.gov/issue/neonatal-intensive-ca…

4026. 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 …

4027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43414/psn-pdf
      September 17, 2014 - Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. September 17, 2014 Schwappach DLB, Gehring K. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. BMC Health …

4028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846761/psn-pdf
      September 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/…

4029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50585/psn-pdf
      October 30, 2019 - Introducing the New SOPS Hospital Survey 2.0. October 30, 2019 Agency for Healthcare Research and Quality. October 30, 2019. https://psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture This webinar recording provides information on the updated Hospital Survey on Patient Safety Culture™ (SOPS™) 2.0.…

4030. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50659/psn-pdf
      November 13, 2019 - Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. November 13, 2019 Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. J Psychiatr Ment Health Nurs. 2019;27(3):211-223. doi:10.111…

4031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45053/psn-pdf
      May 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/…

4032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46934/psn-pdf
      March 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn…

4033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41724/psn-pdf
      January 01, 2013 - Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. December 31, 2012 Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mode and Effect Analysis to reduc…

4034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48160/psn-pdf
      January 01, 2020 - Engaging the patient and family in the surgical safety process utilizing SafeStart. August 28, 2019 Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. https://psnet.ahrq.gov/issue/engag…

4035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845303/psn-pdf
      March 01, 2023 - Association of past and future paid medical malpractice claims. March 1, 2023 Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims. JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436. https://psnet.ahrq.gov/issue/association-past-and-future-pa…

4036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50423/psn-pdf
      September 04, 2019 - When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…

4037. 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…

4038. 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…

4039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46498/psn-pdf
      April 04, 2018 - Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? April 4, 2018 Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 2018;27(4):279-286. doi:10.1136/bmjqs…

4040. 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…