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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837347/psn-pdf
    June 08, 2022 - Addressing Health Worker Burnout. June 8, 2022 The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022. https://psnet.ahrq.gov/issue/addressing-health-worker-burnout Health care staff and clinician wellbeing is known to affect safety …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36965/psn-pdf
    February 15, 2011 - Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. February 15, 2011 McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. https://psnet.ahrq.gov/issue/strat…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42197/psn-pdf
    September 24, 2016 - Interruptions during nurses' work: a state-of-the-science review. September 24, 2016 Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515. https://psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-rev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73572/psn-pdf
    August 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX:  Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45677/psn-pdf
    March 08, 2017 - The War on Error: Common Diagnostic Errors. March 8, 2017 Medscape. 2016–2017. https://psnet.ahrq.gov/issue/war-error-common-diagnostic-errors Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection highlights particular clinical areas of concern such as neurology an…
  6. digital.ahrq.gov/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale/citation/patient
    January 01, 2024 - Patient perspectives on a patient-facing tool for lung cancer screening. Citation Tiase VL, Richards G, Taft T, Stevens L, Balbin C, Kaphingst KA, Fagerlin A, Caverly T, Kukhareva P, Flynn M, Butler JM, Kawamoto K. Patient perspectives on a patient-facing tool for lung cancer screening. Health Expect.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42304/psn-pdf
    November 21, 2016 - Strategies for improving family engagement during family-centered rounds. November 21, 2016 Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. https://psnet.ahrq.gov/issue/strategies-improving-family-engage…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44760/psn-pdf
    July 10, 2024 - Collaborative for Accountability and Improvement. July 10, 2024 University of Washington. https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and effective discussions with patients and families after …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836867/psn-pdf
    April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. April 6, 2022 Houston TX;  Baylor College of Medicine: 2022. https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence Assessment can identify the current state of a process or program to reveal ar…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34869/psn-pdf
    April 04, 2005 - Assessing patient safety in the United States: challenges and opportunities. April 4, 2005 Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. https://psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenge…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37119/psn-pdf
    March 24, 2011 - Patient safety: helping medical students understand error in healthcare. March 24, 2011 Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9. https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39445/psn-pdf
    April 14, 2010 - Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. April 14, 2010 Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. Oncol Nurs Forum. 2010;37(2):E84-91…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47309/psn-pdf
    August 22, 2018 - Defining patient safety events in inpatient psychiatry. August 22, 2018 Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520. https://psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44264/psn-pdf
    May 03, 2016 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. May 3, 2016 Agency for Healthcare Research and Quality. July 15, 2015. https://psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture Ambulatory surgery centers have been the focus of patient saf…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61104/psn-pdf
    March 03, 2025 - NAM Scholars in Diagnostic Excellence program. January 10, 2025 National Academy of Medicine and the Council of Medical Specialty Societies. https://psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program Diagnostic error reduction is gaining momentum as a primary focus of patient safety achievement. This …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41623/psn-pdf
    April 05, 2013 - Preventing patient harms through systems of care. April 5, 2013 Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care Recent initiatives, such as the Partnership for…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37256/psn-pdf
    July 28, 2010 - Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. July 28, 2010 Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. Med …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841788/psn-pdf
    December 21, 2022 - From heart disease to IUDs: how doctors dismiss women’s pain. December 21, 2022 Bever L. Washington Post. December 13, 2022. https://psnet.ahrq.gov/issue/heart-disease-iuds-how-doctors-dismiss-womens-pain Gender and racial bias contributes to inadequate and delayed care. This story focuses on women who have exper…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74119/psn-pdf
    November 24, 2021 - When we're all responsible for a patient's death, no one is. November 24, 2021 Prasad V, Medpage Today. November 16, 2021. https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one The issue of system versus individual accountability can challenge the orientation of safety improvement effo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43060/psn-pdf
    June 27, 2016 - Medication administration errors in hospitals—challenges and recommendations for their measurement. June 27, 2016 McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014. https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…