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psnet.ahrq.gov/node/42863/psn-pdf
January 15, 2014 - Patient Safety and Managing Risk in Nursing.
January 15, 2014
Fisher MA, Scott M. London, UK: Sage Publishing; 2013. ISBN: 9781446266878.
https://psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
This publication introduces the role and responsibilities of nurses in ensuring patient safety, particularly…
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psnet.ahrq.gov/node/44279/psn-pdf
August 26, 2015 - Leadership style and patient safety: implications for
nurse managers.
August 26, 2015
Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm.
2015;45(6):319-324. doi:10.1097/NNA.0000000000000207.
https://psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nur…
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psnet.ahrq.gov/node/851451/psn-pdf
July 19, 2023 - Issues and complexities in safety culture assessment in
healthcare.
July 19, 2023
Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare.
Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542.
https://psnet.ahrq.gov/issue/issues-and-complexities-sa…
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psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - Defending a "never event."
August 2, 2017
Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22.
doi:10.1002/jhrm.21277.
https://psnet.ahrq.gov/issue/defending-never-event
Surgical fires are considered a never event. This commentary provides an overview of surgical fires,
explains element…
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psnet.ahrq.gov/node/856641/psn-pdf
January 01, 2009 - WebAIRS Anesthesia Incident Reporting System.
January 1, 2009
Australian and New Zealand Tripartite Anaesthetic Data Committee.
https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website
serves …
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psnet.ahrq.gov/node/60586/psn-pdf
June 10, 2020 - Ensuring Healthcare Safety Throughout the COVID-19
Pandemic.
June 10, 2020
US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s
Technical Resources, Assistance Center, & Information Exchange; US Health and Human
Services/FEMA COVID-19 Healthcare Resilience Task Fo…
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psnet.ahrq.gov/node/42734/psn-pdf
November 13, 2013 - Healthcare Inspection—Emergency Department Patient
Deaths: Memphis VAMC, Memphis, Tennessee.
November 13, 2013
Washington, DC: Department of Veterans Affairs, Office of Inspector General; October 23, 2013. Report
No. 13-00505-348.
https://psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deat…
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psnet.ahrq.gov/node/42066/psn-pdf
March 11, 2013 - Stakeholder challenges in purchasing medical devices for
patient safety.
March 11, 2013
Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient
safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306.
https://psnet.ahrq.gov/issue/stakeholder-challenges…
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psnet.ahrq.gov/node/47144/psn-pdf
June 13, 2018 - Canadian Anesthesia Incident Reporting System.
June 13, 2018
Canadian Anaesthesiologists Society.
https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website
provides a secure tool for submitting…
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psnet.ahrq.gov/node/43559/psn-pdf
September 24, 2014 - Talking behind their backs: negative gossip and burnout
in hospitals.
September 24, 2014
Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in
Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003.
https://psnet.ahrq.gov/issue/talking-behind-their-backs-nega…
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psnet.ahrq.gov/node/46800/psn-pdf
May 16, 2018 - Ireland investigates cervical cancer screening scandal.
May 16, 2018
O'Loughlin E. New York Times. April 30, 2018.
https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal
Large-scale adverse events should lead to system examination and improvement. This newspaper article
reports on misr…
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psnet.ahrq.gov/node/60006/psn-pdf
March 04, 2020 - National Patient Safety Syllabus 1.0 Training for all NHS
Staff.
March 4, 2020
London, UK: Academy of Medical Royal Colleges; 2020.
https://psnet.ahrq.gov/issue/national-patient-safety-syllabus-10-training-all-nhs-staff
A foundational understanding of safety is core to building reliable care processes and teams. T…
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psnet.ahrq.gov/node/43100/psn-pdf
April 02, 2014 - Taking National Action to Prevent and Eliminate
Healthcare-Associated Infections.
April 2, 2014
Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
This special issue explores a national initiativ…
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psnet.ahrq.gov/node/41926/psn-pdf
January 02, 2013 - As she lay dying: how I fought to stop medical errors
from killing my mom.
January 2, 2013
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood).
2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
https://psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-m…
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psnet.ahrq.gov/node/48166/psn-pdf
August 28, 2019 - Doctors can change opioid prescribing habits, but
progress comes in small doses.
August 28, 2019
Appleby J; Lucas E.
https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
June 01, 2021 - General Implementation Tools
These tools are designed to help support implementation of your program. The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program as well as those that can enhance established programs. The Commitment Poster is a public display of yo…
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www.ahrq.gov/nursing-home/resources/interim-recommendations.html
April 01, 2022 - Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic
Resource: Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic
This guidance for infe…
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www.ahrq.gov/evidencenow/tools/avoid-burnout.html
January 01, 2023 - How to Avoid Burnout and Create Joy in Primary Care with Teams: Webinar
Resource: Video: Creating Joy in Practice ( http://www.screencast.com/users/chsresults/folders/HVH%20Kickoff%20February%202016/media/65da5745-7cd2-4d72-a629-c355c9678562 )
This recorded webinar discusses how to create a joyful environme…
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digital.ahrq.gov/ahrq-funded-projects/developing-passive-digital-marker-prediction-childhood-asthma-treatment/citation/external
January 01, 2025 - External validation and update of the pediatric asthma risk score as a passive digital marker for childhood asthma using integrated electronic health records.
Citation
Owora AH, Jiang B, Shah Y, Gaston B, Boustani M. External validation and update of the pediatric asthma risk score as a passive digita…
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psnet.ahrq.gov/node/39865/psn-pdf
May 28, 2014 - Failure Mode and Effects Analysis in Health Care:
Proactive Risk Reduction, Third Edition.
May 28, 2014
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066.
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-
edition
This publication p…