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psnet.ahrq.gov/node/46886/psn-pdf
August 01, 2018 - Support strategies for health care professionals who are
second victims.
August 1, 2018
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-
P9. doi:10.1002/aorn.12291.
https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
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psnet.ahrq.gov/node/36434/psn-pdf
February 18, 2011 - Protocol-based computer reminders, the quality of care
and the non-perfectability of man.
February 18, 2011
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N
Engl J Med. 1976;295(24):1351-5.
https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit…
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psnet.ahrq.gov/node/47883/psn-pdf
May 29, 2019 - Patient Safety in Obstetrics and Gynecology.
May 29, 2019
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in
this speci…
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psnet.ahrq.gov/node/43496/psn-pdf
November 01, 2016 - Designing and Delivering Whole-Person Transitional
Care: Hospital Guide to Reducing Medicaid
Readmissions.
November 1, 2016
Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2016. AHRQ Publication No. 16-0047-EF.
https://psnet.ahrq.gov/issue/designing-…
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psnet.ahrq.gov/node/852799/psn-pdf
June 11, 2019 - The Giving Voice to Mothers study: inequity and
mistreatment during pregnancy and childbirth in the
United States.
June 11, 2019
Vedam S, Stoll K, Taiwo TK, et al. The Giving Voice to Mothers study: inequity and mistreatment during
pregnancy and childbirth in the United States. Reprod Health. 2019;16(1):77. doi:10…
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psnet.ahrq.gov/node/845636/psn-pdf
March 08, 2023 - The effects of leadership for self-worth, inclusion, trust,
and psychological safety on medical error reporting.
March 8, 2023
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and
psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/837635/psn-pdf
July 06, 2022 - Family safety reporting in medically complex children:
parent, staff, and leader perspectives.
July 6, 2022
Khan A, Baird JD, Kelly MM, et al. Family safety reporting in medically complex children: parent, staff, and
leader perspectives. Pediatrics. 2022;149(6):e2021053913. doi:10.1542/peds.2021-053913.
https://ps…
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psnet.ahrq.gov/node/861767/psn-pdf
January 31, 2024 - Health literacy-informed communication to reduce
discharge medication errors in hospitalized children: a
randomized clinical trial.
January 31, 2024
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge
medication errors in hospitalized children: a randomized clinica…
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psnet.ahrq.gov/node/836990/psn-pdf
April 27, 2022 - Anatomy of a cyberattack: part 4: quality assurance and
error reduction, billing and compliance, transition to
uptime.
April 27, 2022
Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error
reduction, billing and compliance, transition to uptime. Am J Emerg Med. 2022;…
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - Predictors of in-hospital postoperative opioid overdose
after major elective operations: a nationally
representative cohort study.
December 20, 2017
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After
Major Elective Operations: A Nationally Representative Cohort S…
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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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www.ahrq.gov/nursing-home/learning-modules/support.html
December 01, 2022 - Emotional and Organizational Support for Staff series
This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, and practice open communication.
Module 1: Identifying & Overcoming Anxiety
We all experience st…
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www.ahrq.gov/ncepcr/communities/pbrn/learning-series/highlighting-promoting.html
August 01, 2024 - Webinar: Highlighting and Promoting the Value of PBRNs
Presenters from four PBRNs share examples from their own experience on on the various and unique ways that PBRNs contribute to improving the delivery of primary care. The webinar features Steven Atlas, MD, MPH, director of Practice-Based Research Network, D…
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psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
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psnet.ahrq.gov/node/865975/psn-pdf
May 29, 2024 - A systematic review of workplace triggers of emotions in
the healthcare environment, the emotions experienced,
and the impact on patient safety.
May 29, 2024
Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare
environment, the emotions experienced, and the im…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Staff Safety Assessment
ICU & Non-ICU
Purpose of this form: This form is designed to tap into your experience to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety.
Who should use this tool? Healthcare providers.
How to complete…
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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees.
June 28, 2023
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees.
J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - A crack in our best armor: "wrong patient" injections from
insulin pens alarmingly frequent even with barcode
scanning.
November 5, 2014
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-
fr…
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psnet.ahrq.gov/node/60662/psn-pdf
January 01, 2022 - Medication order errors at hospital admission among
children with medical complexity
July 8, 2020
Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With
Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.0000000000000719.
https://psnet.ahrq.gov…