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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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 …
  5. Psn-Pdf (pdf file)

    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. …
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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.…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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. …
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. 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 …