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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42791/psn-pdf
    December 04, 2013 - The effect of collaboration on obstetric patient safety in three academic facilities. December 4, 2013 Raab CA, Will SEB, Richards SL, et al. The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2013;42(5). doi:10.1111/1552- 690…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38117/psn-pdf
    September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73690/psn-pdf
    September 08, 2021 - Medicine's Shadowside: Revisiting Clinical Iatrogenesis. September 8, 2021 Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.   https://psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis Implicit biases are rooted in culture and context. This special issue examine…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37071/psn-pdf
    September 30, 2011 - Improving patient safety in radiotherapy by learning from near misses, incidents and errors. September 30, 2011 Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45338/psn-pdf
    July 20, 2016 - Understanding models of error and how they apply in clinical practice. July 20, 2016 Garfield S, Franklin BD. Pharm J. June 14, 2016. https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice Human error and fallibility are a part of health care delivery that can be exacerbated b…
  6. www.ahrq.gov/teamstepps-program/evidence-base/index.html
    July 01, 2023 - TeamSTEPPS: Research/Evidence Base TeamSTEPPS ® has been used by healthcare professionals across the United States. The research cataloged here describes some of the approaches used to implement TeamSTEPPS 3.0 in specific settings of care, as well as evaluation efforts to quantify or qualify the impact of us…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43577/psn-pdf
    October 01, 2014 - The State of VA Health Care. October 1, 2014 Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014). https://psnet.ahrq.gov/issue/state-va-health-care In this hearing Veterans Affairs leadership provide an update on the current investigation into data and scheduling…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44503/psn-pdf
    November 18, 2024 - Certified Professional in Patient Safety Review Course. November 18, 2024 Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern). https://psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course This online class prepares individuals to apply for the Institute for Healthca…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43560/psn-pdf
    September 24, 2014 - Burnout in Healthcare. September 24, 2014 Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102. https://psnet.ahrq.gov/issue/burnout-healthcare Burnout has been linked to depression, work dissatisfaction, and increased rates of adverse events. Articles in this special issue explore health professionals' exp…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41277/psn-pdf
    November 28, 2012 - AHRQ 2012 Annual Conference. November 28, 2012 Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD. https://psnet.ahrq.gov/issue/ahrq-2012-annual-conference The Agency for Healthcare Research and Quality's 2012 conference, "Moving Ahead:…
  11. www.ahrq.gov/talkingquality/resources/writing/index.html
    July 01, 2011 - Tips on Writing a Report on Health Care Quality for Consumers Information on health care quality is complicated, so it’s crucial to present this information as simply and clearly as possible. This section suggests ways to make the language in your printed or Web-based quality report cards easier for your inten…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855439/psn-pdf
    December 07, 2023 - Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. November 15, 2023 American Hospital Association. December 7, 2023. https://psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience Health care organizations require a systems approach to address patient safety ch…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40885/psn-pdf
    November 26, 2014 - Hospital do-not-resuscitate orders: why they have failed and how to fix them. November 26, 2014 Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x. https://psnet.ahrq.gov/issue/hospital-do-not-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43921/psn-pdf
    February 18, 2015 - Is incivility an underlying threat to safety in obstetrics? February 18, 2015 Veltman L. Patient Saf Qual Healthc. January/February 2015;12:34-36. https://psnet.ahrq.gov/issue/incivility-underlying-threat-safety-obstetrics The Joint Commission and the American College of Obstetricians and Gynecologists have issued …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44932/psn-pdf
    March 02, 2016 - Special Issue on Falls. March 2, 2016 Alverzo JP. (ed). Rehabil Nurs. Jan-Feb 2016;41(1):1-59. https://psnet.ahrq.gov/issue/special-issue-falls Safety challenges in residential care facilities are well documented. Articles in this special issue explore falls in rehabilitation settings, including nurses' role …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37379/psn-pdf
    March 28, 2012 - Identifying modifiable barriers to medication error reporting in the nursing home setting. March 28, 2012 Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74. https://psnet.ahrq.gov/issue/identifyi…
  17. www.ahrq.gov/nursing-home/resources/trauma-informed.html
    May 01, 2021 - Trauma-Informed Organizational Change Manual Resource: Trauma-Informed Organizational Change Manual This manual guides organizations and systems in planning for, implementing and sustaining a trauma-informed organizational change. This manual provides a step-by-step guide with tools intended for anyone inte…
  18. www.ahrq.gov/nursing-home/resources/qapi-leadership-rounding.html
    February 01, 2021 - QAPI Leadership Rounding Guide Resource:  QAPI Leadership Rounding Guide  (PDF, 138.5 KB)  Leadership rounding is a process where leaders (e.g., administrator, department heads, and nurse managers) are out in the building with staff and residents, talking with them directly about care and services provided in…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38437/psn-pdf
    February 25, 2009 - Beyond "see one, do one, teach one": toward a different training paradigm. February 25, 2009 Rodriguez-Paz JM, Kennedy M, Salas E, et al. Beyond "see one, do one, teach one": toward a different training paradigm. Qual Saf Health Care. 2009;18(1):63-8. doi:10.1136/qshc.2007.023903. https://psnet.ahrq.gov/issue/beyo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38183/psn-pdf
    December 14, 2016 - Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting. December 14, 2016 Pediatr Radiol. 2008;38(suppl 4):625-734. https://psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus- confere…