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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 …
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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…
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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…
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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…
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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…
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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.…
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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…
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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 …
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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…
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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…
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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…
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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…
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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
…
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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…
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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
…
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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…
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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 …
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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…
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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…
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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…