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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43216/psn-pdf
    June 25, 2014 - Banning the handshake from the health care setting. June 25, 2014 Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting Hand hygiene is an important practice that prevents transmissi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45084/psn-pdf
    April 27, 2016 - Nurses say stress interferes with caring for their patients. April 27, 2016 Yu A. Health Shots. National Public Radio. April 15, 2016. https://psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintai…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42195/psn-pdf
    October 08, 2013 - Medication errors in the management of anaphylaxis in a pediatric emergency department. October 8, 2013 Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jemermed.2012.11.069. https://psnet.a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42826/psn-pdf
    December 18, 2013 - Improvement of medication event interventions through use of an electronic database. December 18, 2013 Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021. https://psnet.ahrq.gov…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42906/psn-pdf
    February 27, 2014 - From heroism to safe design: leveraging technology. February 27, 2014 Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. https://psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology This commentar…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36542/psn-pdf
    August 06, 2008 - Pediatric rapid response teams in the academic medical center. August 6, 2008 Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. https://psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37558/psn-pdf
    July 05, 2013 - Patient safety and quality improvement. July 5, 2013 Agency for Healthcare Research and Quality. Fed Register. February 12, 2008;73(29):8112-8183. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement These proposed rules seek to support the implementation of portions of the Patient Safety and Quality…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41728/psn-pdf
    January 18, 2013 - Who's covering our loved ones: surprising barriers in the sign-out process. January 18, 2013 Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign- out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. https://psnet.ahrq.gov/issue/whos-co…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39344/psn-pdf
    March 03, 2010 - Mistake-proofing healthcare: why stopping processes may be a good start. March 3, 2010 Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50771/psn-pdf
    May 29, 2024 - AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. May 29, 2024 Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. https://psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition The AHRQ Health Literacy Un…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34880/psn-pdf
    April 04, 2005 - Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. April 4, 2005 Connolly C. Washington Post. March 21, 2005 https://psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical- records-proves A high-profile misstep in implementi…
  12. psnet.ahrq.gov/training-catalog/capture-falls-collaboration-and-proactive-teamwork-used-reduce-falls-program
    August 11, 2025 - CAPTURE Falls (Collaboration And Proactive Teamwork Used to Reduce Falls) Program Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization University of Nebraska College of…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36688/psn-pdf
    May 27, 2011 - Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. May 27, 2011 Vardi A; Efrati O; Levin I; Matok I; Rubinstein M; Paret G; Barzilay Z. https://psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-or…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36564/psn-pdf
    January 12, 2011 - Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. January 12, 2011 Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. Hosp Top. 2006;84(4):3-8. http…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42904/psn-pdf
    February 11, 2025 - Safety Assurance Factors for EHR Resilience: SAFER Guides. February 11, 2025 Washington, DC: Assistant Secretary for Technology Policy. https://psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides Health information technologies are seen to both contribute to and detract from health care safet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38698/psn-pdf
    June 10, 2009 - Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. June 10, 2009 Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46055/psn-pdf
    July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46553/psn-pdf
    October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41340/psn-pdf
    January 03, 2017 - How to develop a second victim support program: a toolkit for health care organizations. January 3, 2017 Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, 193. https://psnet.ahrq.gov/issue/how…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73326/psn-pdf
    June 01, 2021 - CANDOR Webinar Series. June 1, 2021 Patient Safety Movement Foundation. 2021.  https://psnet.ahrq.gov/issue/candor-webinar-series The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webi…

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