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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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 …
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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-…
  7. 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: …
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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.…
  10. 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 …
  11. 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…
  12. 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…
  13. 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…
  14. www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Title of Project: Improving Safety After Hospitalization in Older Persons on High-Risk Medications Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Kathleen M. Mazor, EdD; Terry S. Field, DSc;…
  15. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
    May 01, 2018 - Chartbook on Hispanic Health Care: Slide Presentation—Part 3 2014 National Healthcare Quality and Disparities Report Trends in Access and Priorities of the National Quality Strategy Slide 1 National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics Part 3: Trends in Acce…
  16. digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/citation/hospitals
    January 01, 2023 - How hospitals reengineer their discharge processes to reduce readmissions. Citation Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. J Healthc Qual. 2016 Mar-Apr;38(2):116-26. PMID: 26042743. Link https://www.ncbi.nlm.nih.gov/p…
  17. digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-americ-6
    January 01, 2023 - Reaching women through health information technology: the gabby preconception care system. Citation Gardiner P, Hempstead MB, Ring L, et al. Reaching women through health information technology: the gabby preconception care system. Am J Health Promot 2013 Jan-Feb;27(3 Suppl):eS11-20. Link http…
  18. digital.ahrq.gov/ahrq-funded-projects/interactive-health-communication-program-young-urban-adults-asthma/citation/young-african-american-adults-asthma
    January 01, 2023 - Young, African American adults with asthma: what matters to them? Citation Speck AL, Nelson B, Jefferson SO, et al. Young, African American adults with asthma: what matters to them? Ann Allerg Asthma Immunol 2014 Jan; 112(1):35-9. Link http://www.ncbi.nlm.nih.gov/pubmed/24331391 Principa…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34137/psn-pdf
    February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. To achieve that mission, APSF s…