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psnet.ahrq.gov/node/44948/psn-pdf
February 14, 2017 - Safer Healthcare: Strategies for the Real World.
February 14, 2017
Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available
for free dow…
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psnet.ahrq.gov/node/35617/psn-pdf
January 01, 2016 - Reconciling medications at admission: safe practice
recommendations and implementation strategies.
June 13, 2011
Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice
Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2016;32(1):37-50.
doi:10.1016/s1553-7…
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psnet.ahrq.gov/node/837502/psn-pdf
June 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial.
June 22, 2022
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022-
00311…
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psnet.ahrq.gov/node/50860/psn-pdf
February 05, 2020 - Does team reflexivity impact teamwork and
communication in interprofessional hospital-based
healthcare teams? A systematic review and narrative
synthesis.
February 5, 2020
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in
interprofessional hospital-based healthcare …
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psnet.ahrq.gov/node/837800/psn-pdf
August 10, 2022 - Preferences and perceptions of medical error disclosure
among marginalized populations: a narrative review.
August 10, 2022
Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among
marginalized populations: a narrative review. Jt Comm J Qual Patient Saf. 2022;48(10):539-548.
…
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psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - Patient Safety in Ambulatory Settings.
July 27, 2018
Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
Most patient safety rese…
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psnet.ahrq.gov/node/72577/psn-pdf
December 16, 2020 - Identifying trigger concepts to screen emergency
department visits for diagnostic errors.
December 16, 2020
Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits
for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/dx-2020-0122.
https://psnet.ahr…
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psnet.ahrq.gov/node/838019/psn-pdf
September 07, 2022 - Strength of safety measures introduced by medical
practices to prevent a recurrence of patient safety
incidents: an observational study.
September 7, 2022
Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to
prevent a recurrence of patient safety incidents: an obser…
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psnet.ahrq.gov/node/837859/psn-pdf
August 17, 2022 - The barriers and enhancers to trust in a just culture in
hospital settings: a systematic review.
August 17, 2022
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital
settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
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psnet.ahrq.gov/node/60530/psn-pdf
January 01, 2022 - A systematic review of patient-report safety climate
measures in health care.
May 27, 2020
Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in
health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705.
https://psnet.ahrq.gov/issue/systematic-r…
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psnet.ahrq.gov/node/46044/psn-pdf
December 21, 2017 - Addressing the opioid epidemic in the United States:
lessons from the Department of Veterans Affairs.
December 21, 2017
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the
Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612.
doi:10.1001/jamainternme…
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psnet.ahrq.gov/node/60243/psn-pdf
April 22, 2020 - COVID-19: peer support and crisis communication
strategies to promote institutional resilience.
April 22, 2020
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote
Institutional Resilience. Ann Intern Med. 2020;172(12):822-823. doi:10.7326/m20-1236.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44949/psn-pdf
February 01, 2019 - Detecting and treating suicide ideation in all settings.
December 23, 2016
Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7.
https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings
The Joint Commission publishes sentinel event alerts to emphasize…
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psnet.ahrq.gov/node/72675/psn-pdf
January 27, 2021 - How does the environment influence consumers'
perceptions of safety in acute mental health units? A
qualitative study.
January 27, 2021
Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety
in acute mental health units? A qualitative study. J Clin Nurs. 2021;30(5-6…
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psnet.ahrq.gov/node/61122/psn-pdf
January 01, 2022 - Implementing high-reliability organization principles into
practice: a rapid evidence review.
November 11, 2020
Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a
rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. doi:10.1097/pts.0000000000000768.
…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/73655/psn-pdf
September 01, 2021 - Influence of organizational climate and clinician morale
on seclusion and physical restraint use in inpatient
psychiatric units.
September 1, 2021
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on
seclusion and physical restraint use in inpatient psychiatric unit…
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psnet.ahrq.gov/node/865487/psn-pdf
April 03, 2024 - Evaluation of the design and structure of electronic
medication labels to improve patient health knowledge
and safety: a systematic review.
April 3, 2024
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels
to improve patient health knowledge and safety: a sy…
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psnet.ahrq.gov/node/46546/psn-pdf
January 10, 2018 - Using an online quiz-based reinforcement system to
teach healthcare quality and patient safety and care
transitions at the University of California.
January 10, 2018
Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach
healthcare quality and patient safety and care tra…
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www.ahrq.gov/hai/tools/abate/staff-huddle.html
March 01, 2022 - Staff Huddle Documents
This toolkit provides huddle documents for sharing key reminders about decolonization with frontline staff. Huddle documents focus on the importance of cleaning devices and wounds with chlorhexidine gluconate (CHG), as well as how to address patient refusals. Huddle documents reinforcing …