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psnet.ahrq.gov/node/38321/psn-pdf
June 17, 2014 - No bad apples.
June 17, 2014
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
https://psnet.ahrq.gov/issue/no-bad-apples
This article provides context on a recent study and Joint Commission alert regarding how disruptive
behavior may affect patient safety and describes steps hospitals ca…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/33894/psn-pdf
April 11, 2011 - Prevention of medication errors in the pediatric inpatient
setting.
April 11, 2011
Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics
Committee on Hospital Care. Pediatrics. 2003;112(2):431-436.
https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpat…
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www.ahrq.gov/nursing-home/resources/teamstepps-2.html
February 01, 2021 - TeamSTEPPS 2.0 for LTC - Team Strategies & Tools to Enhance Performance and Patient Safety
Resource: TeamSTEPPS 2.0 for LTC - Team Strategies & Tools to Enhance Performance and Patient Safety
This website provides an evidence-based set of teamwork tools aimed at optimizing patient outcomes by improving …
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psnet.ahrq.gov/node/35527/psn-pdf
June 29, 2011 - Patient-reported service quality on a medicine unit.
June 29, 2011
Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual
Health Care. 2006;18(2):95-101.
https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
The investigators interviewed pati…
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psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
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psnet.ahrq.gov/node/39718/psn-pdf
July 28, 2010 - What is patient safety culture? A review of the literature.
July 28, 2010
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs
Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
https://psnet.ahrq.gov/issue/what-patient-safety-culture-review-liter…
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www.ahrq.gov/research/shuttered/toolkitchecklist/medcare.html
July 01, 2018 - Medical/Patient Care
Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective.
Date: ____________ Location: _______________________ Team member: __________________________
General
Observations:
…
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psnet.ahrq.gov/node/36307/psn-pdf
June 30, 2011 - Is "first do no harm" a lost concept in medical education?
June 30, 2011
O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77.
https://psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
This commentary advocates for better patient safety training in medical…
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psnet.ahrq.gov/node/40536/psn-pdf
September 19, 2012 - Putting the 'patient' in patient safety: a qualitative study of
consumer experiences.
September 19, 2012
Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer
experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.2011.00685.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/35481/psn-pdf
December 30, 2012 - System errors in intrapartum electronic fetal monitoring:
a case review.
December 30, 2012
Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens
Health. 2005;50(6):507-16.
https://psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
…
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psnet.ahrq.gov/node/36048/psn-pdf
September 27, 2010 - Can technology improve intershift report? What the
research reveals.
September 27, 2010
Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of
Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007.
https://psnet.ahrq.gov/issue/can-technology-improve-inte…
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psnet.ahrq.gov/node/41960/psn-pdf
May 19, 2014 - It's always something: hospital nurses managing risk.
May 19, 2014
Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin
Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755.
https://psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk
This…
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psnet.ahrq.gov/node/39685/psn-pdf
July 14, 2010 - Human Factors in Anaesthesia and Critical Care.
July 14, 2010
Hardman JG, Moppett IK, eds. Br J Anaesth. 2010;105(1):1-83.
https://psnet.ahrq.gov/issue/human-factors-anaesthesia-and-critical-care
This special issue includes numerous articles discussing how human factors, communication, and latent
system fact…
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psnet.ahrq.gov/node/35944/psn-pdf
August 02, 2010 - Analysis of laboratory critical value reporting at a large
academic medical center.
August 2, 2010
Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic
medical center. Am J Clin Pathol. 2006;125(5):758-64.
https://psnet.ahrq.gov/issue/analysis-laboratory-critical-…
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www.ahrq.gov/policy/electronic/index.html
July 01, 2025 - Website Policies
Accessibility Information about how AHRQ makes information and resources on the websites that it sponsors accessible to the widest possible audience. Website Disclaimers Website disclaimers for AHRQ.gov. Linking to the AHRQ Website Information about establishing links to the AHRQ website. Plain…
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digital.ahrq.gov/principal-investigator/abraham-olufunmilola
January 01, 2023 - Abraham, Olufunmilola
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mo…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-demand-inpatient-services/citation/impact
January 01, 2023 - The impact of health information technology on demand for hospital inpatient services [dissertation].
Citation
Barrette, EG. The impact of health information technology on demand for hospital inpatient services [dissertation]. Minneapolis: University of Minnesota; 2011.
Link
https://search.pro…
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - difficult to estimate (they generally require statistical techniques to infer) and may be challenging to communicate
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmakin-2
January 01, 2023 - Can electronic health records help improve patients' understanding of medications?
Citation
Webb JR, Feinglass J, Makoul G, et al. Can electronic health records help improve patients' understanding of medications? Am J Manag Care 2010; 16(12):919-22.
Link
http://www.ncbi.nlm.nih.gov/pubmed/213…