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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38073/psn-pdfJune 09, 2011 - Are you listening...Are you really listening? June 9, 2011 Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52. https://psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening This article discusses verbal commu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33969/psn-pdfApril 03, 2009 - Silence Kills: The Seven Crucial Conversations for Healthcare. April 3, 2009 Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005. https://psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare The American Association of Critical-Care Nurses (AACN) … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35442/psn-pdfSeptember 18, 2009 - Management of adverse surgical events: a structured education module for residents. September 18, 2009 Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. https://psnet.ahrq.gov/issue/management-adverse-surgica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41460/psn-pdfJune 13, 2012 - Help your patient "get" what you just said: a health literacy guide. June 13, 2012 Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196. https://psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide This commentar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39719/psn-pdfJuly 28, 2010 - Bedside shift report improves patient safety and nurse accountability. July 28, 2010 Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2010;36(4):355-8. doi:10.1016/j.jen.2010.03.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34011/psn-pdfApril 03, 2009 - AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. April 3, 2009 https://psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments- journey-excellence In the face of evidence that outlines the impact work environments play on providing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38966/psn-pdfSeptember 23, 2009 - Information loss in emergency medical services handover of trauma patients. September 23, 2009 Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260. https://psnet.ahrq.gov/issue/informat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38615/psn-pdfMay 06, 2009 - Developing a team performance framework for the intensive care unit. May 6, 2009 Reader TW, Flin R, Mearns K, et al. Developing a team performance framework for the intensive care unit. Crit Care Med. 2009;37(5):1787-1793. doi:10.1097/CCM.0b013e31819f0451. https://psnet.ahrq.gov/issue/developing-team-performance-f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40860/psn-pdfMarch 02, 2012 - Patient safety issues in advanced practice nursing students' care settings. March 2, 2012 Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Students? Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. https://psnet.ahrq.gov/issue/patient-safety-issues… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47678/psn-pdfDecember 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43338/psn-pdfJuly 09, 2014 - In military care, a pattern of errors but not scrutiny. July 9, 2014 LaFraniere S, Lehren AW. New York Times. June 28, 2014. https://psnet.ahrq.gov/issue/military-care-pattern-errors-not-scrutiny Reporting on serious lapses in the care provided by the military health system, this newspaper article highlights how s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47053/psn-pdfMay 23, 2018 - TeamSTEPPS Canada. May 23, 2018 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/teamstepps-canada The TeamSTEPPS program was developed to support effective communication and teamwork skills in various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will pre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40630/psn-pdfSeptember 07, 2016 - Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. September 7, 2016 Collins TR. The Hospitalist. July 2011. https://psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment- patterns This article discusses how drug shortages in hospi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46466/psn-pdfJuly 11, 2018 - Distinct newborn identification requirement. July 11, 2018 R3 Report. June 25, 2018;7:1-2. https://psnet.ahrq.gov/issue/distinct-newborn-identification-requirement Neonatal patients are at risk for misidentification due to communication challenges and lack of distinguishable features. This report highlights new Jo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40424/psn-pdfMay 04, 2011 - Evaluation of postoperative handover using a tool to assess information transfer and teamwork. May 4, 2011 Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837. https://psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and- teamwork Handoffs of patients af… -
digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/userJanuary 01, 2023 - User-centered design of multi-gene sequencing panel reports for clinicians. Citation Cutting E, Banchero M, Beitelshees AL, et al. User-centered design of multi-gene sequencing panel reports for clinicians. J Biomed Inform 2016 Oct;63:1-10. PMID: 27423699. Link https://www.ncbi.nlm.nih.gov/pub…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42070/psn-pdfMarch 11, 2013 - Implementing peer evaluation of handoffs: associations with experience and workload. March 11, 2013 Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. https://psnet.ahrq.gov/issue/implem… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40460/psn-pdfApril 30, 2024 - Patient Safety Authority Annual Reports. April 30, 2024 Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024. https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50633/psn-pdfNovember 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re… -
Zikmund (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/zikmund.pdfMay 29, 2025 - Zikmund Slide 1: The Right Tool is What They Need, Not What We Have: A Taxonomy of Appropriate Levels of Precision in Patient Risk Communication Brian J. Zikmund-‐Fisher, Ph.D. Assistant Professor, Health Behavior & Health Education University of Michigan School of…
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