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psnet.ahrq.gov/node/44445/psn-pdf
September 16, 2015 - Understanding nurses' and physicians' fear of
repercussions for reporting errors: clinician
characteristics, organization demographics, or leadership
factors?
September 16, 2015
Castel ES, Ginsburg LR, Zaheer S, et al. Understanding nurses' and physicians' fear of repercussions for
reporting errors: clinician cha…
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psnet.ahrq.gov/node/47462/psn-pdf
October 31, 2018 - Emergency department checklist: an innovation to
improve safety in emergency care.
October 31, 2018
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in
emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/46714/psn-pdf
January 10, 2018 - A system-based approach to managing patient safety in
ambulatory care (and beyond).
January 10, 2018
Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.
https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
Systems-based improvements are ke…
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psnet.ahrq.gov/node/72761/psn-pdf
February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic--
letter to health care providers.
February 17, 2021
Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration;
February 9. 2021.
https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
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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/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/47708/psn-pdf
February 13, 2019 - The role of purple pens in learning to prescribe.
February 13, 2019
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach.
2019;16(6):598-603. doi:10.1111/tct.12991.
https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
Interventions utilizing color as visual c…
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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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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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www.ahrq.gov/prevention/resources/vision/resources/vision2.html
October 01, 2002 - Chapter 2
Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Applying the Framework to Vision Rehabilitation
The American Occupational Therapy Association (AOTA) 28 describes two national systems that exist to serve people with visual impairments—the blindness system and the health ca…
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digital.ahrq.gov/sites/default/files/docs/page/2016-ahrq-hit-annual-report.pdf
January 01, 2016 - Development of an Electronic Medical Record-Integrated
Enhanced After Visit Summary PA-14-001
Ferucci … Care for Medically
Compromised Patients PAR-HS-08-270
Haas, Jennifer Health Information Technology Enhanced … Electronic Exchange of Poisoning Information PA-09-070
Dixon, Brian Improving Population Health Through Enhanced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Build a Business Case for
Quality Improvement
SAY:
This slide set introduces building a business case for quality improvement.
Slide 1
Learning Objectives
SAY:
After reviewing this slide set, you…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/119-alabama-alcc-fax-campaign.pdf
June 02, 2025 - Reduce Cardiovascular Risk and Disease: Alabama Fax Campaign
Reduce
Overall, Alabama has the highest rate of CVD events (death, hospitalizations,
ED visits) among all 50 states.
We’re here to help change that.
We’re the Alabama Cardiovascular Cooperative, and we’re launching
a three-year state-wide initiative to…
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www.ahrq.gov/news/sops-webcast.html
August 01, 2025 - Webcast - Sept. 9: Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement
Date: Tuesday, September 9 Time: 1:00 - 2:30 p.m. ET Register now for the upcoming webinar “Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement”. This webinar will highlight how the University o…
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www.ahrq.gov/action-alliance/webinars/addressing-workforce-burnout.html
December 01, 2024 - National Action Alliance Webinar: Addressing Healthcare Workforce Burnout
Summary Burnout among healthcare staff is at a critical level, making the need for effective solutions more urgent than ever. This webinar held on November 12, part of a series on workforce safety and well-being, examined strategies for r…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa13181.html
June 01, 2018 - Individual Mentored Research Scientist Career Development Award Program in Patient-Centered Outcomes Research
AHRQ Training Projects Funded by PCOR Trust Fund
PA-13-181
This program provides support for a sustained period of protected time for intensive research career development for individual investigato…
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www.ahrq.gov/cahps/news-and-events/events/webinar-062525.html
July 01, 2025 - New CAHPS Tools for Patient Experience Measurement (Webcast)
June 25, 2025
Contents Summary Speakers Slides and Recording Summary This free webcast from AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program detailed new innovative tools to enhance patient experience measurement. Lear…
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - Alarm fatigue: impacts on patient safety.
December 16, 2015
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol.
2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
https://psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
Alarm fatigue is a recognized safety conce…
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psnet.ahrq.gov/node/44862/psn-pdf
March 16, 2016 - Patient safety science in cardiothoracic surgery: an
overview.
March 16, 2016
Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann
Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034.
https://psnet.ahrq.gov/issue/patient-safety-science-cardiothoraci…
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psnet.ahrq.gov/node/46254/psn-pdf
October 09, 2017 - Using risk stratification to reduce medical errors in
cervical cancer prevention.
October 9, 2017
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer
Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999.
https://psnet.ahrq.gov/is…