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psnet.ahrq.gov/node/850340/psn-pdf
June 14, 2023 - Assertive communication training for nurses to speak up
in cases of medical errors: a systematic review and meta-
analysis.
June 14, 2023
Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of
medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2…
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psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
June 27, 2018 - Newspaper/Magazine Article
Library-hospital pairing empowers patients, improves safety.
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March 7, 2016
This article describes the P…
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psnet.ahrq.gov/node/837795/psn-pdf
August 10, 2022 - Role of the regulator in enabling a just culture: a
qualitative study in mental health and hospital care.
August 10, 2022
Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative
study in mental health and hospital care. BMJ Open. 2022;12(7):e061321. doi:10.1136/b…
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psnet.ahrq.gov/node/48051/psn-pdf
June 05, 2019 - Estimating the attributable cost of physician burnout in
the United States.
June 5, 2019
Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United
States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422.
https://psnet.ahrq.gov/issue/estimating-attributabl…
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psnet.ahrq.gov/node/850930/psn-pdf
June 21, 2023 - Patient safety in emergency departments: a problem for
health care systems? An international survey.
June 21, 2023
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health
care systems? An international survey. Eur J Emerg Med. 2023;30(4):280-286.
doi:10.1097/mej.000…
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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 …
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psnet.ahrq.gov/node/45252/psn-pdf
September 04, 2016 - Pediatric airway management and prehospital patient
safety: results of a national Delphi survey by the
Children's Safety Initiative-Emergency Medical Services
for Children.
September 4, 2016
Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety:
Results of a National De…
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psnet.ahrq.gov/node/73137/psn-pdf
April 14, 2021 - Adverse drug event-related admissions to a pediatric
emergency unit.
April 14, 2021
Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric
emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582.
https://psnet.ahrq.gov/issue/adverse-drug…
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psnet.ahrq.gov/node/48014/psn-pdf
July 10, 2019 - Patient safety morning report: innovation in teaching core
patient safety principles to third-year medical students.
July 10, 2019
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core
Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev.
2019;…
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psnet.ahrq.gov/node/72726/psn-pdf
February 10, 2021 - Wrong administration route of medications in the
domestic setting: a review of an underestimated public
health topic.
February 10, 2021
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic
setting: a review of an underestimated public health topic. Expert Opin Pharmaco…
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psnet.ahrq.gov/node/46532/psn-pdf
July 30, 2018 - Efficiency and safety of speech recognition for
documentation in the electronic health record.
July 30, 2018
Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the
electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. doi:10.1093/jamia/ocx073.
https://…
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psnet.ahrq.gov/node/867038/psn-pdf
October 30, 2024 - From reporting to improving: how root cause analysis in
teams shape patient safety culture.
October 30, 2024
Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams
shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852.
h…
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psnet.ahrq.gov/node/855433/psn-pdf
November 15, 2023 - Room for resilience: a qualitative study about
accountability mechanisms in the relation between work-
as-done (WAD) and work-as-imagined (WAI) in hospitals.
November 15, 2023
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability
mechanisms in the relation bet…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
June 02, 2025 - Action Planning for the SOPS Surveys-Overview
6
Overview of AHRQ’s Patient Safety
Priorities
Jeff Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admiral, Assistant Surgeon General, U.S. Public Health Service
AHRQ’s Core Compet…
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www.ahrq.gov/talkingquality/translate/compare/choose/benchmark.html
March 01, 2016 - Comparing Quality Scores to a Benchmark
Although the term “benchmark” is often thought to mean an “average,” the original meaning of this term in the context of quality improvement is performance that is known to be achievable because someone has achieved it. Comparing performance to a benchmark definitely sets…
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pdf
June 01, 2014 - Image:
There
are
logos
of
the
10
professional
nursing
organizations
– … place:
$1,000
support
for
designated
team
members
to
attend
a
relevant
professional … all
members
of
the
team
Unified
goal
Diverse
educational
and
professional … Slide
36
Nurse
Practitioners
Inter-‐professional
collaboration,
Cost
… Mary
Jo
Goolsby,
Vice
President,
Research,
Education,
&
Professional
Practice
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/XU6eC2BfW2jbZGN4UCd94s
June 01, 2012 - risk of heart disease
should be a regular and ongoing part of conversations with your health care professional … Your health care professional may suggest you join a program that can help you make healthy eating choices … A health care professional
may choose to offer it to certain patients because of their particular health … In deciding
whether to offer a program, the health care professional also may take into account whether
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - RIS
Download Citation
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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - July 23, 2019
Failure to report poor care as a breach of moral and professional expectation … April 21, 2015
Doctors' experiences of adverse events in secondary care: the professional
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psnet.ahrq.gov/issue/impact-organizational-leadership-physician-burnout-and-satisfaction
June 28, 2010 - July 10, 2017
An organizational framework to reduce professional burnout and bring back … July 10, 2017
Pursuing professional accountability: an evidence-based approach to addressing