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  1. www.ahrq.gov/prevention/guidelines/tobacco/index.html
    February 01, 2020 - Treating Tobacco Use and Dependence: 2008 Update This update will make an important contribution to the quality of care in the United States and to the health of the American people. For Clinicians All health care providers, especially those with direct patient contact, have a unique opportunity to he…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46309/psn-pdf
    December 22, 2018 - Effects of the I-PASS nursing handoff bundle on communication quality and workflow. December 22, 2018 Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74266/psn-pdf
    January 19, 2022 - Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. January 19, 2022 Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850164/psn-pdf
    June 07, 2023 - 'Speaking Up' for patient safety and staff well-being: a qualitative study. June 7, 2023 Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047. https://psnet.ahrq.gov/issue/speaking-patient-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866687/psn-pdf
    September 11, 2024 - An exploratory analysis of the association between healthcare associated infections & hospital financial performance. September 11, 2024 Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between healthcare associated infections & hospital financial performance. Healthcare (Basel…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837210/psn-pdf
    May 25, 2022 - A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. May 25, 2022 Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73682/psn-pdf
    September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37542/psn-pdf
    February 23, 2018 - Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. February 23, 2018 Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 9781439830338 https://psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd- ed Human factors principles are widely ap…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837142/psn-pdf
    January 01, 2023 - Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022 Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61022/psn-pdf
    October 14, 2020 - A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. October 14, 2020 Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73486/psn-pdf
    July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. July 14, 2021 Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. J Surg …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863218/psn-pdf
    February 28, 2024 - Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. February 28, 2024 King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837797/psn-pdf
    August 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. August 10, 2022 Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situations of error theory as a psychos…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42705/psn-pdf
    November 26, 2013 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. November 26, 2013 Oakbrook Terrace, IL: The Joint Commission; October 2013.  https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2013 This Joint Commission…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60551/psn-pdf
    January 01, 2021 - Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. June 3, 2020 Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. J Patient …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45954/psn-pdf
    December 22, 2017 - Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. December 22, 2017 Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during m…
  17. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - About the Toolkit Development Toolkit for Improving Perinatal Safety Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45648/psn-pdf
    February 01, 2017 - Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center. February 1, 2017 Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73510/psn-pdf
    July 21, 2021 - Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. July 21, 2021 Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of “benign dizziness” is lower in sp…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/allison.pdf
    December 19, 2014 - Story Guides – Making Comparative Effectiveness Useful for Vulnerable Patients Research to …