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psnet.ahrq.gov/node/46449/psn-pdf
September 27, 2017 - VA hospitals flooded with complaints about care.
September 27, 2017
Estes A. Boston Globe. September 16, 2017.
https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
Psychological safety can empower staff to communicate concerns that affect patient safety. This
newspaper article reports on Veteran…
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psnet.ahrq.gov/node/837630/psn-pdf
July 06, 2022 - Mandating limits on workload, duty, and speed in
radiology.
July 6, 2022
Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology.
Radiology. 2022:212631. doi:10.1148/radiol.212631.
https://psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
To reduce m…
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psnet.ahrq.gov/node/40597/psn-pdf
August 10, 2011 - Improving follow-up of high-risk psychiatry outpatients at
resident year-end transfer.
August 10, 2011
Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-
end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308.
https://psnet.ahrq.gov/issue/improving-follo…
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psnet.ahrq.gov/node/41457/psn-pdf
August 02, 2012 - The H-PEPSS: an instrument to measure health
professionals' perceptions of patient safety competence
at entry into practice.
August 2, 2012
Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals'
perceptions of patient safety competence at entry into practice. BMJ Qual…
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psnet.ahrq.gov/node/850356/psn-pdf
June 14, 2023 - Prescribing errors in children: why they happen and how
to prevent them.
June 14, 2023
Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent
them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013.
https://psnet.ahrq.gov/issue/prescribing-errors-ch…
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psnet.ahrq.gov/node/43955/psn-pdf
December 04, 2016 - For Colorado mom, story of daughter's hospital death is
key to others' safety.
December 4, 2016
Daley J. Colorado Public Radio. February 17, 2015.
https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
Patient and family stories of harm are increasingly promoted as a strategy to…
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psnet.ahrq.gov/node/45530/psn-pdf
October 19, 2016 - As a critical behavior to improve quality and patient
safety in health care: speaking up!
October 19, 2016
Nacioglu A. As a critical behavior to improve quality and patient safety in health care: speaking up!. Safety
in Health. 2016;2(1). doi:10.1186/s40886-016-0021-x.
https://psnet.ahrq.gov/issue/critical-behavio…
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psnet.ahrq.gov/node/45752/psn-pdf
January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership:
part 1 and part 2.
January 11, 2017
Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J
Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06.
https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…
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psnet.ahrq.gov/node/60034/psn-pdf
March 11, 2020 - Responding to unprofessional behavior by trainees - a
"just culture" framework.
March 11, 2020
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just
Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591.
https://psnet.ahrq.gov/issue/resp…
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psnet.ahrq.gov/node/73185/psn-pdf
April 28, 2021 - Balancing patient safety, clinical efficacy, and
cybersecurity with clinician partners.
April 28, 2021
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35127/psn-pdf
February 24, 2011 - Beyond the medical record: other modes of error
acknowledgment.
February 24, 2011
Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error
acknowledgment. J Gen Intern Med. 2005;20(5):404-9.
https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
Thi…
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psnet.ahrq.gov/node/46622/psn-pdf
December 06, 2017 - White paper on recommendation for systems-based
practice competency.
December 6, 2017
Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on
Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358.
doi:10.1097/NCQ.0000000000000262.
https://psnet.a…
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psnet.ahrq.gov/node/50593/psn-pdf
October 30, 2019 - Using video to assess and improve patient safety during
simulated and actual neonatal resuscitation.
October 30, 2019
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal
resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semperi.2019.08.008.
https://psnet.a…
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psnet.ahrq.gov/node/45264/psn-pdf
September 01, 2016 - Perceived factors associated with sustained improvement
following participation in a multicenter quality
improvement collaborative.
September 1, 2016
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following
Participation in a Multicenter Quality Improvement Collaborative. Jt Co…
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges
Kathleen Sanford DBA, RN, FAAN, FACHE; Sue Schuelke PhD, RN-BC, CNE, CCRN-K; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD
| August 30, 2023
Also Read the Conversation
View more articles from the…
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - Poole, PharmD, BCPS
○ Managing Editor: Meghan Weyrich, MPH
2
Objectives
At the conclusion of this educational
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Annual Perspective
Equity in Patient Safety
Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD
| March 27, 2024
View more articles from the same authors.
Citation Text:
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - Failure to Latch
September 1, 2008
Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/failure-latch
The Case
The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to
breastfeeding exclusively for 6 months. However, early br…
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders
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Organization:
Organization
Institute for Healthcare Improvement (IHI)
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