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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50778/psn-pdf
    January 08, 2020 - A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. January 8, 2020 Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73363/psn-pdf
    June 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60277/psn-pdf
    January 01, 2021 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. April 29, 2020 Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621. https://psnet.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837429/psn-pdf
    January 01, 2022 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43363/psn-pdf
    September 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843414/psn-pdf
    February 01, 2023 - Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. February 1, 2023 Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Comm J Qual Patient Saf. 2023;49(3…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842762/psn-pdf
    January 18, 2023 - Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. January 18, 2023 Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. B…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837067/psn-pdf
    May 11, 2022 - Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. May 11, 2022 Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47190/psn-pdf
    January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. July 25, 2018 Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47198/psn-pdf
    August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866401/psn-pdf
    January 01, 2025 - Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. July 31, 2024 Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteri…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861768/psn-pdf
    January 31, 2024 - "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. January 31, 2024 Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qualitative study of attending a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839816/psn-pdf
    January 01, 2023 - Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. November 9, 2022 Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109. doi:…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866730/psn-pdf
    September 18, 2024 - Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. September 18, 2024 Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Health Soc Care Deliv Res. 2023;12(22):1-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40513/psn-pdf
    June 08, 2011 - "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. June 8, 2011 Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emerg Med. 2011;57(4):315-322.e1. doi:10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44237/psn-pdf
    November 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even…
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-brown.pdf
    September 01, 2018 - Developing Invitation Messages that Increase Survey Response Rates - Brown Foundations in Prior Research • Today’s presentations build on prior research ► History of CAHPS research to inform survey wording and approach to survey invitations − Visit the CAHPS bibliography at www.ahrq.gov to find research findings …
  18. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
    June 02, 2025 - TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit Video Objective To demonstrate each step of SBAR and emphasize the importance of standard communication and use of the tool. TeamSTEPPS Tool or Concept SBAR. Brief Video Descriptio…
  19. www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-communication-barriers-cg30-adult.html
    December 01, 2023 - Supplemental Items for the CAHPS Clinician & Group Adult Survey: Communication Barriers Population version: Adult Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Some items cover events …
  20. www.ahrq.gov/hai/cauti-tools/ena-slides/conclusion.html
    October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Conclusion Previous Page   Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Main Menu Part One: Traditional Practice and Reco…