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psnet.ahrq.gov/node/37686/psn-pdf
November 30, 2016 - Hospital Survey on Patient Safety Culture: 2008
Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and
Quality; March 2008. AHRQ Publication No. 08-0039.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…
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psnet.ahrq.gov/node/47604/psn-pdf
December 21, 2018 - Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper.
December 21, 2018
Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…
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psnet.ahrq.gov/node/72625/psn-pdf
January 13, 2021 - US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic.
January 13, 2021
Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource
limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20…
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psnet.ahrq.gov/node/46037/psn-pdf
April 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing
prescribing behaviours through feedback; a Perceptual
Control Theory perspective.
April 16, 2018
Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing
behaviours through feedback; A Perceptual Control Th…
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psnet.ahrq.gov/node/45283/psn-pdf
June 29, 2016 - Goals and Priorities for Health Care Organizations to
Improve Safety Using Health IT. Revised Report.
June 29, 2016
Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology; 2016.
https://psn…
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psnet.ahrq.gov/node/837514/psn-pdf
June 22, 2022 - Strategies to prevent central line-associated bloodstream
infections in acute-care hospitals: 2022 Update.
June 22, 2022
Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in
acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…
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psnet.ahrq.gov/node/47793/psn-pdf
June 12, 2019 - Can mindfulness in health care professionals improve
patient care? An integrative review and proposed model.
June 12, 2019
Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An
integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
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psnet.ahrq.gov/node/855091/psn-pdf
November 08, 2023 - Handoff tool improves transitions from the operating
room to the neonatal intensive care unit.
November 8, 2023
Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to
the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695. doi:10.1097/pq9.000000000000069…
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psnet.ahrq.gov/node/853237/psn-pdf
September 06, 2023 - Clinical pathway adherence and missed diagnostic
opportunities among children with musculoskeletal
infections.
September 6, 2023
Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic
opportunities among children with musculoskeletal infections. Jt Comm J Qual Patient Saf.
2…
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psnet.ahrq.gov/node/45753/psn-pdf
January 18, 2017 - A 'busy day' effect on perinatal complications of delivery
on weekends: a retrospective cohort study.
January 18, 2017
Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on
weekends: a retrospective cohort study. BMJ Qual Saf. 2017;26(1):e1. doi:10.1136/bmjqs-2016…
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psnet.ahrq.gov/node/72644/psn-pdf
February 01, 2021 - Best Practices in Developing Proprietary Names for
Human Nonprescription Drug Products.
January 13, 2021
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 7, 2020.
https://psnet.ahrq.gov/issue/best-practices-developing-p…
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psnet.ahrq.gov/node/45218/psn-pdf
June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS
guidance regarding patient safety work product and
providers' external obligations.
June 15, 2016
Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
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psnet.ahrq.gov/node/43702/psn-pdf
May 07, 2018 - Strengthen your resolve: no unlabeled containers
anywhere, ever!
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4.
https://psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
Despite the designation of proper labeling as a National Patient Safety …
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psnet.ahrq.gov/node/44218/psn-pdf
July 01, 2016 - The Armstrong Institute: an academic institute for patient
safety and quality improvement, research, training, and
practice.
July 1, 2016
Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient
Safety and Quality Improvement, Research, Training, and Practice. Acad…
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psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - Patient and family engagement in incident investigations:
exploring hospital manager and incident investigators'
experiences and challenges.
October 31, 2018
Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital
manager and incident investigators' experiences and c…
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psnet.ahrq.gov/node/36476/psn-pdf
December 14, 2009 - 10 Patient Safety Tips for Hospitals.
December 14, 2009
Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-
M008.
https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
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psnet.ahrq.gov/node/46589/psn-pdf
April 12, 2019 - Patient perceptions of receiving test results via online
portals: a mixed-methods study.
April 12, 2019
Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a
mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi:10.1093/jamia/ocx140.
https://ps…
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psnet.ahrq.gov/node/47426/psn-pdf
October 13, 2018 - Patient-centered insights: using health care complaints to
reveal hot spots and blind spots in quality and safety.
October 13, 2018
Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and
Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…
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psnet.ahrq.gov/node/45266/psn-pdf
January 01, 2020 - Learning from lawsuits: using malpractice claims data to
develop care transitions planning tools.
August 31, 2016
Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to
Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.
doi:10.1097/pts.000000000000023…
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psnet.ahrq.gov/node/867702/psn-pdf
September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities.
September 1, 2021
Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities. September 2021.
https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
Cathete…