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psnet.ahrq.gov/node/44718/psn-pdf
November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient
Safety.
November 25, 2015
Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto;
2015.
https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
The 2004 Canadian Adverse Events Study helpe…
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psnet.ahrq.gov/node/43373/psn-pdf
July 23, 2014 - From harm to hope and purposeful action: what could we
do after Francis?
July 23, 2014
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do
after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
https://psnet.ahrq.gov/issue/harm-hope-and-purpo…
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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psnet.ahrq.gov/node/44270/psn-pdf
July 01, 2015 - Improving Patient Safety Culture Through Teamwork and
Communication: TeamSTEPPS.
July 1, 2015
Chicago, IL: Health Research & Educational Trust; June 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-
teamstepps
This guide draws from the experience of organizati…
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digital.ahrq.gov/sites/default/files/docs/citation/IntegratingCDSIntoWorkflow.pdf
September 01, 2011 - Additionally, the workflow integration survey revealed good
internal reliability (for CPRS, α = 0.93; for enhanced
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
November 10, 2025 - Breadcrumb
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet T…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-tests-applicability_methods.pdf
July 01, 2012 - Applicability is rarely enhanced by
uncritically extrapolating results from one context to another.
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psnet.ahrq.gov/node/48185/psn-pdf
August 28, 2019 - Addressing the elephant in the room: a shame resilience
seminar for medical students.
August 28, 2019
Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience
Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000000000002646.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership
Purpose: To enhance communication and shared problem solving between clinic…
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psnet.ahrq.gov/node/854252/psn-pdf
October 04, 2023 - Standardization and visualization of the surgical time-out.
October 4, 2023
Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf.
2023;19(7):453-459. doi:10.1097/pts.0000000000001156.
https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…
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psnet.ahrq.gov/node/40758/psn-pdf
September 07, 2011 - A review of educational strategies to improve nurses'
roles in recognizing and responding to deteriorating
patients.
September 7, 2011
Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles
in recognizing and responding to deteriorating patients. Int Nurs Rev. 20…
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psnet.ahrq.gov/node/46458/psn-pdf
May 30, 2018 - Development of the Huddle Observation Tool for
structured case management discussions to improve
situation awareness on inpatient clinical wards.
May 30, 2018
Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured
case management discussions to improve situation aw…
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psnet.ahrq.gov/node/43789/psn-pdf
August 05, 2015 - Do cell phones belong in the operating room?
August 5, 2015
Luthra S. Kaiser Health News. July 14, 2015.
https://psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
Distractions can lead to care and process omissions. Reporting on the prevalence of mobile technology in
the operating room and how it can hinde…
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psnet.ahrq.gov/node/37259/psn-pdf
March 23, 2011 - Using a survey of incident reporting and learning
practices to improve organisational learning at a cancer
care centre.
March 23, 2011
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve
organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16…
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psnet.ahrq.gov/node/47233/psn-pdf
November 02, 2018 - The STEP-up programme: engaging all staff in patient
safety.
November 2, 2018
Hamblin-Brown DJ; Ingram J.
https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety
A transparent and respectful hospital culture is the foundation for improving working conditions to reduce
preventable harm. This …
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psnet.ahrq.gov/node/47540/psn-pdf
April 03, 2019 - Medication handling: towards a practical, human-centred
approach.
April 3, 2019
Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia.
2019;74(3):280-284. doi:10.1111/anae.14482.
https://psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approac…
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psnet.ahrq.gov/node/846168/psn-pdf
March 15, 2023 - Now is the time to routinely ask patients about safety.
March 15, 2023
Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf.
2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009.
https://psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety
Safety event reporting …
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - Institute for Safe Medication Practices International
Mentorship Program.
October 15, 2018
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program
Structured interaction with a wide variety of experts and environments enables medica…
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psnet.ahrq.gov/node/44660/psn-pdf
December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5
years post release.
December 2, 2015
Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post
release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116.
https://psnet.ahrq.gov/issue/squire-guidel…
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psnet.ahrq.gov/node/43406/psn-pdf
August 06, 2014 - A comparison of the effects of different typographical
methods on the recognizability of printed drug names.
August 6, 2014
Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of
printed drug names. Drug Saf. 2014;37(5):351-9. doi:10.1007/s40264-014-0156-9.
https:/…