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psnet.ahrq.gov/node/47233/psn-pdf
November 02, 2018 - The STEP-up programme: engaging all staff in patient
safety.
November 2, 2018
Hamblin-Brown DJ; Ingram J.
https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety
A transparent and respectful hospital culture is the foundation for improving working conditions to reduce
preventable harm. This …
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psnet.ahrq.gov/node/862151/psn-pdf
February 07, 2024 - Taking up the challenge to improve name and role
recognition in the operating room.
February 7, 2024
Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the
operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.0000000000001177.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43758/psn-pdf
March 17, 2015 - A patient safety checklist for the cardiac catheterisation
laboratory.
March 17, 2015
Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory.
Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927.
https://psnet.ahrq.gov/issue/patient-safety-checklist-card…
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psnet.ahrq.gov/node/47855/psn-pdf
June 19, 2019 - Medication Overload: America's Other Drug Problem.
June 19, 2019
Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019.
https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
Overprescribing is a common problem that contributes to patient harm. This report examines financial,
clinical, an…
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psnet.ahrq.gov/node/34981/psn-pdf
July 14, 2010 - Child-specific risk factors and patient safety.
July 14, 2010
Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22.
https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety
To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden…
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psnet.ahrq.gov/node/47089/psn-pdf
May 09, 2018 - Leadership Survey: Immunization Against Burnout:
Insights Report.
May 9, 2018
Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018.
https://psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
Clinician burnout presents challenges to organizational and p…
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psnet.ahrq.gov/node/851461/psn-pdf
July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating
them.
July 19, 2023
Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395.
doi:10.1097/pts.0000000000001140.
https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
…
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psnet.ahrq.gov/node/44224/psn-pdf
June 10, 2015 - To be sued less, doctors should consider talking to
patients more.
June 10, 2015
Carroll AE.
https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and
reasons patients file claims, …
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psnet.ahrq.gov/node/45547/psn-pdf
October 05, 2016 - Sick children face potentially deadly danger: medication
errors.
October 5, 2016
Furfaro H. Wall Street Journal. September 25, 2016.
https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
Medication errors in pediatric care are common in the hospital and at home. This newspaper…
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psnet.ahrq.gov/node/73668/psn-pdf
September 01, 2021 - Leadership: an effective human factor during COVID-19.
September 1, 2021
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-
205. doi:10.1136/leader-2020-000384.
https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
Hierarchy and professional…
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psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - Tools and methods for quality improvement and patient
safety in perinatal care.
July 2, 2017
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care.
Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
https://psnet.ahrq.gov/issue/tools-and-methods-q…
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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - Preventing medication errors.
August 15, 2016
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10.
doi:10.1016/j.gerinurse.2016.06.005.
https://psnet.ahrq.gov/issue/preventing-medication-errors
Nursing home patients are particularly vulnerable to medication errors. This commentar…
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psnet.ahrq.gov/node/60801/psn-pdf
August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the
spring.
August 12, 2020
Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring.
NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354.
https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…
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psnet.ahrq.gov/node/45611/psn-pdf
May 27, 2025 - Funding Announcement for Projects Targeting the
Reduction of Healthcare-Associated Infections.
July 7, 2021
Rockville, MD: Agency for Healthcare Research and Quality; July 7 2021.
https://psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-
infections
Health care–associate…
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psnet.ahrq.gov/node/34100/psn-pdf
February 09, 2011 - Safety of patients isolated for infection control.
February 9, 2011
Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA.
2003;290(14):1899-1905.
https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
This study discovered that patients isolated for coloniza…
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psnet.ahrq.gov/node/45204/psn-pdf
September 18, 2016 - Alternative perspectives of safety in home delivered
health care: a sequential exploratory mixed method study.
September 18, 2016
Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed
method study. J Adv Nurs. 2016;72(10):2536-46. doi:10.1111/jan.13006.
https://p…
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psnet.ahrq.gov/node/46516/psn-pdf
December 16, 2017 - The business case for investing in physician well-being.
December 16, 2017
Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern
Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340.
https://psnet.ahrq.gov/issue/business-case-investing-physician-well-being
…
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psnet.ahrq.gov/node/47381/psn-pdf
April 03, 2019 - The role of the patient in patient safety: what can we learn
from healthcare's history?
April 3, 2019
Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's
history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47597/psn-pdf
August 07, 2019 - Intentional rounding—an integrative literature review.
August 7, 2019
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs.
2019;75(6):1151-1161. doi:10.1111/jan.13897.
https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
This review exam…
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psnet.ahrq.gov/node/45273/psn-pdf
October 13, 2018 - Using an inpatient portal to engage families in pediatric
hospital care.
October 13, 2018
Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J
Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070.
https://psnet.ahrq.gov/issue/using-inpatient-portal…