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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38887/psn-pdf
    August 26, 2009 - Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. August 26, 2009 Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43186/psn-pdf
    May 19, 2014 - ASPEN parenteral nutrition safety consensus recommendations: translation into practice. May 19, 2014 Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294. https://psnet.ahr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - Nurses' perceptions of error communication and reporting in the intensive care unit. June 16, 2011 Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48. https://psnet.ahrq.gov/issue/nurses…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38681/psn-pdf
    June 03, 2009 - To Err Is Human — To Delay Is Deadly. June 3, 2009 Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. https://psnet.ahrq.gov/issue/err-human-delay-deadly The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some improvements in patient safety, but this Consumers …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39635/psn-pdf
    January 03, 2017 - Patient safety climate in hospitals: act locally on variation across units. January 3, 2017 Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26. https://psnet.ahrq.gov/issue/patient-safety-climate-hospita…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47887/psn-pdf
    August 07, 2019 - Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. August 7, 2019 Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972. doi:10.1177/0193945918815462. h…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60622/psn-pdf
    January 01, 2021 - Managing teamwork in the face of pandemic: evidence- based tips. June 24, 2020 Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence- based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43535/psn-pdf
    September 24, 2014 - The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation. September 24, 2014 Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concerns that influence the willing…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43294/psn-pdf
    April 25, 2016 - The right and wrong way to talk to patients about adverse events. April 25, 2016 Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5. https://psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events Apology laws have been explor…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867179/psn-pdf
    January 01, 2025 - Implementation of a standardized tool for root cause analysis selection. November 20, 2024 Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291. https://psnet.ahrq.gov/issue/implementation-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842422/psn-pdf
    January 11, 2023 - The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee. January 11, 2023 REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.  https://psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-rac…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60007/psn-pdf
    March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat…

  13. IHI Patient Safety and Quality for Emerging Leaders | PSNet

    psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
    March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Institute for Healthcare Improvement (IHI) …

  14. Using Root Cause Analysis to Improve Quality and Performance | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
    February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes  (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…

  15. Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-disease-management-using-personal-health-record-system/final-report
    January 01, 2023 - Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report Citation Tang P. Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report. (Prepared by Palo Alto Medical Foundation Research Institute under Grant No. R18 HS017179). …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60064/psn-pdf
    March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. March 18, 2020 Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation- report Maternal care saf…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43153/psn-pdf
    May 07, 2014 - Is oral chemotherapy prescription safe for patients? A cross-sectional survey. May 7, 2014 Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross- sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. https://psnet.ahrq.gov/issue/oral-chemotherapy-p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851918/psn-pdf
    August 02, 2023 - Racism in health services for adolescents: a scoping review. August 2, 2023 Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560. https://psnet.ahrq.gov/issue/racism-health…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35227/psn-pdf
    June 15, 2011 - Building a Better Delivery System: A New Engineering/Health Care Partnership. June 15, 2011 Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Engineering, Committee on Engineering and the Health Care System. Washington, DC: National Academies Press; 2005. ISBN-10: 030909…

  20. AHRQ's Evidence-based Practice Center Division Annual Report 2021: Solving the Puzzle for Evidence-Based Decision Making (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-year-in-review-2021.pdf
    January 01, 2021 - AHRQ's Evidence-based Practice Center Division Annual Report 2021: Solving the Puzzle for Evidence-Based Decision Making e AHRQ’s Evidence-based Practice Center Division Annual Report 2021 Solving the Puzzle for Evidence-Based Decision Making 1 Solving the Puzzle for Evidence-Based Decision Making Evidence N…
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