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psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
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psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - Do hospitals support second victims? Collective insights
from patient safety leaders in Maryland.
October 31, 2017
Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient
Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. doi:10.1016/j.jcjq.2017.01.008.
h…
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psnet.ahrq.gov/node/73293/psn-pdf
May 19, 2021 - Exploring the barriers and facilitators of psychological
safety in primary care teams: a qualitative study.
May 19, 2021
Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in
primary care teams: a qualitative study. BMC Health Serv Res. 2021;21(1):269. doi:10.1186…
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psnet.ahrq.gov/node/73184/psn-pdf
April 28, 2021 - Interprofessional training and communication practices
among clinicians in the postoperative ICU handoff.
April 28, 2021
Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in
the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249.
doi:10.101…
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psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - Adverse events during dental care for children:
implications for practitioner health and wellness.
December 19, 2018
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and
wellness. Pediatr Dent. 2018;40(5):323-326.
https://psnet.ahrq.gov/issue/adverse-events-during-de…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…
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psnet.ahrq.gov/node/74239/psn-pdf
January 12, 2022 - Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a
systematic review.
January 12, 2022
Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a systematic review. JAMA Netw …
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psnet.ahrq.gov/node/838250/psn-pdf
October 06, 2022 - The impact of electronic communication of medication
discontinuation (CancelRx) on medication safety: a pilot
study.
October 6, 2022
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation
(CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
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psnet.ahrq.gov/issue/patient-stories
March 27, 2024 - Multi-use Website
Patient Stories.
Save
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March 6, 2013
This Web site hosts documentary accounts of medical errors to encourage clinici…
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psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
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psnet.ahrq.gov/node/35309/psn-pdf
January 02, 2017 - Advising patients about patient safety: current initiatives
risk shifting responsibility.
January 2, 2017
Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk
Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494. doi:10.1016/s1553-
7250(05)31063-4.
…
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psnet.ahrq.gov/node/46886/psn-pdf
August 01, 2018 - Support strategies for health care professionals who are
second victims.
August 1, 2018
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-
P9. doi:10.1002/aorn.12291.
https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
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psnet.ahrq.gov/issue/safe-care-patient-safety-education-program
May 13, 2021 - Image/Poster
SAFE CARE Patient Safety Education Program.
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October 31, 2012
This Web site provides patient safety resources, inclu…
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psnet.ahrq.gov/node/862617/psn-pdf
February 14, 2024 - Risks to Medication Delivery Using Ambulatory Infusion
Pumps – Design and Usability in Inpatient Settings.
February 14, 2024
Dorset, UK: Health Services Safety Investigations Body; November 2023.
https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-
usability-inpatient
…
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psnet.ahrq.gov/node/852799/psn-pdf
June 11, 2019 - The Giving Voice to Mothers study: inequity and
mistreatment during pregnancy and childbirth in the
United States.
June 11, 2019
Vedam S, Stoll K, Taiwo TK, et al. The Giving Voice to Mothers study: inequity and mistreatment during
pregnancy and childbirth in the United States. Reprod Health. 2019;16(1):77. doi:10…
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psnet.ahrq.gov/node/60045/psn-pdf
March 18, 2020 - Making Healthcare Safer III.
March 18, 2020
Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2020. AHRQ Publication No. 20-0029-EF.
https://psnet.ahrq.gov/issue/making-healthcare-safer-iii
This newly issued follow up to the seminal AHRQ Making Health Care Safer rep…
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psnet.ahrq.gov/node/857445/psn-pdf
January 01, 2024 - The racial disparities in maternal mortality and impact of
structural racism and implicit racial bias on pregnant
Black women: a review of the literature.
December 6, 2023
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and
implicit racial bias on pregnant b…
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psnet.ahrq.gov/node/60243/psn-pdf
April 22, 2020 - COVID-19: peer support and crisis communication
strategies to promote institutional resilience.
April 22, 2020
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote
Institutional Resilience. Ann Intern Med. 2020;172(12):822-823. doi:10.7326/m20-1236.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46044/psn-pdf
December 21, 2017 - Addressing the opioid epidemic in the United States:
lessons from the Department of Veterans Affairs.
December 21, 2017
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the
Department of Veterans Affairs. AMA Intern Med. 2017;177(5):611-612.
doi:10.1001/jamainternme…