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psnet.ahrq.gov/node/35911/psn-pdf
July 23, 2010 - Avoiding iatrogenic harm to patient and family while
discussing goals of care near the end of life.
July 23, 2010
Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the
end of life. J Palliat Med. 2006;9(2):451-63.
https://psnet.ahrq.gov/issue/avoiding-iatrogenic-…
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psnet.ahrq.gov/node/41824/psn-pdf
November 07, 2012 - Using simulation to teach nursing students and licensed
clinicians obstetric emergencies.
November 7, 2012
Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b013e318264bbe7.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47938/psn-pdf
May 01, 2019 - Drug diversion and impaired health care workers.
May 1, 2019
Quick Safety. April 15, 2019;(48):1-3.
https://psnet.ahrq.gov/issue/drug-diversion-and-impaired-health-care-workers
Fatigue, emotional stress, and illness can affect decision-making and lead to misuse of medications. This
newsletter article describes the…
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psnet.ahrq.gov/node/42306/psn-pdf
May 29, 2013 - Do team processes really have an effect on clinical
performance? A systematic literature review.
May 29, 2013
Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic
literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.
https://psnet.ahrq.gov/issue/do-team…
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psnet.ahrq.gov/node/73715/psn-pdf
September 15, 2021 - The successful anesthesia patient safety officer.
September 15, 2021
Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820.
doi:10.1213/ane.0000000000005637.
https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
Designated safety leadership role…
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psnet.ahrq.gov/node/38272/psn-pdf
December 10, 2008 - Interprofessional conflict and medical errors: results of a
national multi-specialty survey of hospital residents in the
US.
December 10, 2008
Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-
specialty survey of hospital residents in the US. J Interprof Care. 20…
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psnet.ahrq.gov/node/50457/psn-pdf
October 09, 2019 - Combined SNA and LDA methods to understand adverse
medical events
October 9, 2019
Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical
events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052.
https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…
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psnet.ahrq.gov/node/45508/psn-pdf
September 28, 2016 - Surviving a bad diagnosis.
September 28, 2016
Hobson K. US News News and World Report. September 13, 2016.
https://psnet.ahrq.gov/issue/surviving-bad-diagnosis
Diagnostic error has recently gained recognition as an important patient safety concern. This news article
relates the experiences of patients who were mis…
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psnet.ahrq.gov/node/50747/psn-pdf
December 18, 2019 - Fatigue and safety in paramedicine.
December 18, 2019
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765.
doi:10.1017/cem.2019.380.
https://psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
While fatigue has been linked to safety-related outcomes in many health…
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psnet.ahrq.gov/node/36616/psn-pdf
January 14, 2011 - Telling cultures: 'cultural' issues for staff reporting
concerns about colleagues in the UK National Health
Service.
January 14, 2011
Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National
Health Service. Sociol Health Illn. 2006;28(7):903-26.
https://psnet.…
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psnet.ahrq.gov/node/39089/psn-pdf
November 11, 2009 - Blame culture and defensive medicine.
November 11, 2009
Catino M. Blame culture and defensive medicine. Cognition, Technology & Work. 2009;11(4).
doi:10.1007/s10111-009-0130-y.
https://psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
This study surveyed more than 300 Italian general practitioners and foun…
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psnet.ahrq.gov/node/38431/psn-pdf
February 25, 2009 - Surgical team training: the Northwestern Memorial
Hospital experience.
February 25, 2009
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial
Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
https://psnet.ahrq.gov/issue/surgical-team-tra…
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psnet.ahrq.gov/node/44485/psn-pdf
September 09, 2015 - Rapidly increasing rapid response team activation rates.
September 9, 2015
Braaten JS, deGunst G, Bilys K. Rapidly Increasing Rapid Response Team Activation Rates. Jt Comm J
Qual Patient Saf. 2015;41(9):421-427.
https://psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates
This report of a q…
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psnet.ahrq.gov/node/73149/psn-pdf
April 14, 2021 - Recognizing the importance of whistleblowers in
healthcare.
April 14, 2021
O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56.
doi:10.1097/01.nurse.0000736912.14380.65.
https://psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
Individuals wh…
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psnet.ahrq.gov/node/40966/psn-pdf
November 30, 2011 - Toward safer practice in otology: a report on 15 years of
clinical negligence claims.
November 30, 2011
Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical
negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.22136.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46557/psn-pdf
November 22, 2017 - Safe handover.
November 22, 2017
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
https://psnet.ahrq.gov/issue/safe-handover
Patient handovers between clinical teams are a common point of information exchange that can be
challenging to perform due to interruptions, produ…
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psnet.ahrq.gov/node/45849/psn-pdf
February 22, 2017 - Monitoring teamwork: a narrative review.
February 22, 2017
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94.
doi:10.1111/anae.13744.
https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
Anesthesiology was an early adopter of teamwork as a safety improvement st…
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psnet.ahrq.gov/node/47056/psn-pdf
April 20, 2022 - Healthcare Simulation Week.
April 20, 2022
Society for Simulation in Healthcare.
https://psnet.ahrq.gov/issue/healthcare-simulation-week
Simulation provides a safe space to observe behaviors and generate constructive feedback to enhance
individual and team performance. This website provides promotional materials f…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/RrE4_peSk5zVH3cCf77at3
June 24, 2025 - in IPV (standardized mean difference, −0.34 [95% CI, −0.59 to −0.08])
and 1 RCT (n = 336) assessing behavioral … Limited evidence suggested that home visiting and behavioral counseling
interventions addressing multiple … The RCT
assessing behavioral counseling during prenatal care found a
reduction in both IPV and some … Limited evidence suggested that home visiting and
behavioral counseling interventions that address multiple … Very preterm birth is reduced in
women receiving an integrated behavioral
intervention: a randomized
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/VpT-c4bnmvHFRPyKgPwb2Z
December 01, 2010 - Two of these
interventions also included behavioral counseling of inter-
vention participants (48, 75 … Clinical Education or Behavioral Counseling
We evaluated 1 trial of behavioral counseling (310
participants … Clinical education or behavioral
counseling includes exercise, fall risk reduction, and a home-hazard … Clinical education or
counseling
Education or behavioral counseling included interventions delivered … Effectiveness of Clinical Education or Behavioral Counseling Interventions to Prevent Falls in Older