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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42350/psn-pdf
    June 12, 2013 - PCA safety data review after clinical decision support and smart pump technology implementation. June 12, 2013 Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9. doi:10.1097/PTS.0b013e318281b866. …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_14_HO_508.docx
    June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 14) Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 1: Working With Patients & Families as Advisors (Tool 14) Readiness to Partner With Patient and Family Advisors As a clinician or staff member, I am…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44382/psn-pdf
    June 21, 2016 - Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' June 21, 2016 Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human'. BMJ Qual Saf. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41863/psn-pdf
    November 21, 2012 - How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? November 21, 2012 Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54. doi:10.1016/j.ajem.2011.06.038. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47905/psn-pdf
    April 03, 2019 - Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. April 3, 2019 Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Preventable Hospital Death Rates: A S…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40842/psn-pdf
    September 24, 2016 - A systematic review of the psychological literature on interruption and its patient safety implications. September 24, 2016 Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implications. J Am Med Inform Assoc. 2012;19(1):6-12. doi:10.1136/amiajn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46679/psn-pdf
    December 22, 2018 - Are parents who feel the need to watch over their children's care better patient safety partners? December 22, 2018 Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-722. doi:10.1542/hpeds.2017-003…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41225/psn-pdf
    March 29, 2012 - The impact of perioperative catastrophes on anesthesiologists: results of a national survey. March 29, 2012 Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e. https:/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38712/psn-pdf
    June 17, 2009 - Silence, power and communication in the operating room. June 17, 2009 Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x. https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room Co…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46358/psn-pdf
    December 22, 2017 - We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. December 22, 2017 Fisher K, Smith KM, Gallagher TH, et al. We want to know: eliciting hospitalized patients' perspectives on breakdowns in care. J Hosp Med. 2017;12(8):603-609. doi:10.12788/jhm.2783. https://psnet.ahrq.gov/issue/…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36047/psn-pdf
    September 28, 2010 - When policy meets physiology: the challenge of reducing resident work hours. September 28, 2010 Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127. https://psnet.ahrq.gov/issue/when-policy-meets-physiology…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846160/psn-pdf
    March 15, 2023 - Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023 Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40692/psn-pdf
    October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. October 4, 2011 Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43851/psn-pdf
    March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43911/psn-pdf
    April 15, 2016 - Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. April 15, 2016 Rhodes P, Campbell S, Sanders C. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Health Expect. 2016;19(2):253-263. doi:10.1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38090/psn-pdf
    February 18, 2011 - Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. February 18, 2011 Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J Gen Intern Med. 2008;23(10):1547…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37063/psn-pdf
    January 02, 2017 - Housestaff and medical student attitudes toward medical errors and adverse events. January 2, 2017 Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. https://psnet.ahrq.gov/issue/housestaff-and…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38603/psn-pdf
    September 29, 2009 - The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. September 29, 2009 Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. Ann Em…
  19. digital.ahrq.gov/national-webinars/empowering-patients-change-behavior-using-digital-healthcare-tools
    July 17, 2025 - Empowering Patients to Change Behavior Using Digital Healthcare Tools Event Date: July 17, 2025 | 12:30pm – 2:00pm ET Event Materials: Presentation Slides ( PDF , 3.38 MB). Q&A ( PDF , 232 KB) Your browser does not support inline frames. Please go to https://www.yo…
  20. www.ahrq.gov/cahps/news-and-events/events/webinar-091019.html
    November 01, 2019 - Developing Invitation Messages That Increase CAHPS Survey Response Rates September 10, 2019 Summary Speakers Recording Transcript Related Materials Summary This AHRQ webcast examined how wording changes in emailed and mailed survey invitations can increase participation in CAHPS patient experi…