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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…
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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/…
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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. …
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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-…
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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…
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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.
…
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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…
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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…
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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…
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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. …
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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 …
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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 …