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  1. Quality Improvement Strategies | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
    July 01, 2021 - Helping Foster and Adoptive Families Cope with Trauma (PDF) (American Academy of Pediatrics, 2015).

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47679/psn-pdf
    April 03, 2019 - 'So why didn't you think this baby was ill?' Decision- making in acute paediatrics. April 3, 2019 Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-313199. https://psnet.ahrq.gov/iss…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861283/psn-pdf
    January 24, 2024 - What and when to debrief: a scoping review examining interprofessional clinical debriefing. January 24, 2024 Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730. https://p…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46965/psn-pdf
    March 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. March 28, 2018 Bartolone P. Kaiser Health News. March 16, 2018. https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients' and physicians' attitudes regarding the disclosure of medical errors. February 9, 2011 Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838088/psn-pdf
    September 14, 2022 - 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. September 14, 2022 Mills M. The Guardian. September 3, 2022. https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our- daughters-death Families experiencing medical …

  7. TeamSTEPPS Research/Evidence Base: Nursing | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/nursing.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Nursing Creating a safe health care culture: Teaching communication skills and strategies. Nurse Educ . 2018;43(5):241. Epub 2018/08/24. doi: 10.1097/NNE.0000000000000522. PMID: 30138225. Fukuta D, Iitsuka M. Nontechnical skills training and patient safety in undergraduate …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45819/psn-pdf
    March 15, 2017 - How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. March 15, 2017 Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45179/psn-pdf
    July 13, 2016 - Communication and shared understanding between parents and resident-physicians at night. July 13, 2016 Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2015-0224. https://psnet.ahrq.gov/i…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50708/psn-pdf
    December 04, 2019 - Identifying medication errors in neonatal intensive care units: a two-center study December 4, 2019 Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-4. https://psnet.ahrq.gov/issue…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865705/psn-pdf
    May 01, 2024 - Healthcare team resilience during COVID-19: a qualitative study. May 1, 2024 Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. https://psnet.ahrq.gov/issue/healthcare-team-resilience-during…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865594/psn-pdf
    January 01, 2025 - Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units. April 17, 2024 Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73532/psn-pdf
    July 28, 2021 - The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. July 28, 2021 Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e001254. doi:10.1136/bmjoq-2020- 001254.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60557/psn-pdf
    January 01, 2021 - Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. June 3, 2020 Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540. https://psnet.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46376/psn-pdf
    December 07, 2017 - User-centered collaborative design and development of an inpatient safety dashboard. December 7, 2017 Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. doi:10.1016/j.jcjq.2017.05.010. https…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47186/psn-pdf
    October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery. October 24, 2018 Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552. https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery Quality and value have intersecting influence on the safety of health care. Articles in this specia…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44101/psn-pdf
    November 06, 2015 - Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. November 6, 2015 Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. J Hosp Med. 2015;10(6):345-…
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