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psnet.ahrq.gov/node/37423/psn-pdf
December 19, 2007 - Patient Safety.
December 19, 2007
Intern J Health Care Qual Assur. 2007;20(7):555-632.
https://psnet.ahrq.gov/issue/patient-safety-5
This special issue includes articles by authors from Australia, Israel, France, Iran, and Belgium that explore
ideas such as building a culture of safety, replacing medical equipment…
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psnet.ahrq.gov/node/35601/psn-pdf
June 21, 2010 - Is employee discipline the solution for patient safety?
June 21, 2010
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
https://psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
The author provides suggestions on how to support a blame-free culture and en…
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia
After viewing or presenting this presentation viewers will be able to—
Review recommendations for appropriate blood culture collection
Develop organism-specific management recommendations for Gram-negative and Gram-positive bacteremia
Discus…
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - Interpreting the Patient Safety Literature
Kaveh G. Shojania, MD | June 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/node/855058/psn-pdf
October 31, 2023 - In Conversation with... Cheryl Jones about Addressing
Workplace Violence and Creating a Safer Workplace
October 31, 2023
Jones CB. In Conversation with.. Cheryl Jones about Addressing Workplace Violence and Creating a Safer
Workplace. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-cheryl-j…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/mrsa-screening_research.pdf
June 01, 2013 - FRN 40 - Screening for Methicillin-Resistant Staphylococcus aureus (MRSA): Future Research Needs
Future Research Needs Paper
Number 40
Screening for Methicillin-
Resistant Staphylococcus
aureus (MRSA): Future
Research Needs
Future Research Needs Paper
Number 40
Screening for Methicillin-Resistant
Staph…
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www.ahrq.gov/patient-safety/settings/esrd/resource/dialysis-fistula.html
April 01, 2014 - Initiating Dialysis With Fistula or Graft: Accessing Medication Port To Administer Medication
This video vignette illustrates proper initiation of dialysis for patients with fistulae or grafts and the way to properly administer medication. It can be shared with staff as a refresher on current practices and guid…
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psnet.ahrq.gov/node/37305/psn-pdf
January 02, 2011 - Medication administration in anesthesia: time for a
paradigm shift.
January 2, 2011
Stabile M; Webster CS; Merry AF.
https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift
To reduce anesthesia administration errors, the authors propose changing the organizational culture to
foster a…
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psnet.ahrq.gov/node/35165/psn-pdf
June 23, 2009 - Error reporting as a preventive force.
June 23, 2009
Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56.
https://psnet.ahrq.gov/issue/error-reporting-preventive-force
This author highlights how error reporting can improve patient safety when supported by information
technology, le…
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psnet.ahrq.gov/node/35521/psn-pdf
April 26, 2012 - Patient Safety Papers.
April 26, 2012
Baker RG, ed. Healthc Q. 2005;8 Spec No:1-156.
https://psnet.ahrq.gov/issue/patient-safety-papers
This special issue highlights Canadian experiences in several safety-related areas: culture shift in support
of safety, risk identification and reduction, medication safety, chang…
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psnet.ahrq.gov/node/40280/psn-pdf
June 10, 2018 - That’s the way we do things around here!
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2.
https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
This piece discusses the effects of personal behaviors and peer interactions on an organization’s safety
culture.
https…
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psnet.ahrq.gov/node/37281/psn-pdf
December 23, 2011 - Crime in the workplace, part 1.
December 23, 2011
Pastorius D. Crime in the workplace, part 1. Nurs Manage. 2007;38(10):18, 20, 22, 24, 26-27.
https://psnet.ahrq.gov/issue/crime-workplace-part-1
The author discusses the dynamic between blame and accountability within the context of the just culture
paradigm.
http…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/what-not-do
June 01, 2022 - Don’t fail to appreciate cultural and linguistic differences in patients and their families and the need
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - customized checklists/standardized processes that use evidence-based practices and address any unique cultural
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psnet.ahrq.gov/node/38857/psn-pdf
July 31, 2012 - Name and shame.
July 31, 2012
Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693.
https://psnet.ahrq.gov/issue/name-and-shame
This article examines the impact of whistleblowing on the caregivers involved, using the Bristol incident and
other high-profile examples from the United Kingdom.
https:…
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psnet.ahrq.gov/node/38230/psn-pdf
August 11, 2010 - The Patient Safety Leadership WalkRounds Guide.
August 11, 2010
Frankel AS, Grillo S, Pittman MA. Chicago, IL: Health Research and Educational Trust; 2006.
https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds-guide
This booklet provides information on the implementation of a WalkRounds program as a cul…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-255-transitions-care-pediatric-to-adult-services-evidence-summary.pdf
May 01, 2022 - Evidence Summary_Comparative Effectiveness Review No. 255: Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs
Comparative Effectiveness Review
Number 255
Transitions of Care From Pediatric to
Adult Services for Children With Special
Healthcare Needs
Executive S…
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - Collegiality vs. Competence
March 1, 2006
Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/collegiality-vs-competence
The Case
A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective
repair of a 10-cm abdominal aortic aneurys…
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integrationacademy.ahrq.gov/sites/default/files/2025-08/Integrated%20Behavioral%20Health%20Checklist.pdf
January 01, 2025 - Integrating Behavioral Health and Primary Care Self-Assessment Checklist
Integrating Behavioral Health and Primary Care
Self-Assessment Checklist
Integrating behavioral health and primary care refers to care from a practice team of primary care and behavioral
health providers, working together with patients and f…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
June 02, 2025 - SOPS Medical Office Items and Composite Measures
SOPS® Medical Office Survey Items and
Composite Measures
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based sur…