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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…
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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 …
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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.…
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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…
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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…
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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…
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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…
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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. …
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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.
…
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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…
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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…
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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…
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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:…
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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-…
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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…
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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…
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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
…
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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…
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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 …
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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…