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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - Commentary
Humanizing harm: using a restorative approach to heal and learn from adverse events.
Citation Text:
Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…
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psnet.ahrq.gov/issue/leadership-and-high-reliability-transformation-qualitative-study-truman-va-medical-center
May 31, 2023 - Study
Leadership and the high reliability transformation: a qualitative study at Truman VA medical center.
Citation Text:
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…
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psnet.ahrq.gov/issue/accuracy-patient-understanding-common-medical-phrases
November 30, 2022 - Study
Accuracy in patient understanding of common medical phrases.
Citation Text:
Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972.
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful
September 23, 2020 - Commentary
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Citation Text:
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…
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psnet.ahrq.gov/issue/registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
July 19, 2019 - Study
Registered nurses' efforts to ensure safety for home-dwelling older patients.
Citation Text:
Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home‐dwelling older patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142.
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psnet.ahrq.gov/issue/medical-office-survey-2020-user-database-report
April 06, 2022 - Book/Report
Medical Office Survey: 2020 User Database Report.
Citation Text:
Medical Office Survey: 2020 User Database Report. Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. …
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psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and-future
June 19, 2019 - Commentary
Perspectives on anesthesia and perioperative patient safety: past, present, and future.
Citation Text:
Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/…
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psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
November 14, 2018 - Review
Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force.
Citation Text:
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…
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psnet.ahrq.gov/issue/implications-health-literacy-public-health-workshop-summary
December 17, 2014 - Book/Report
Implications of Health Literacy for Public Health: Workshop Summary.
Citation Text:
Implications of Health Literacy for Public Health: Workshop Summary. Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …
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psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
November 18, 2015 - Commentary
Beyond the organisational accident: the need for "error wisdom" on the frontline.
Citation Text:
Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33.
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psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
September 24, 2010 - Commentary
Influencing leadership perceptions of patient safety through just culture training.
Citation Text:
Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…
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psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
September 24, 2010 - Commentary
Detection of patient risk by nurses: a theoretical framework.
Citation Text:
Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. J Adv Nurs. 2010;66(2). doi:10.1111/j.1365-2648.2009.05215.x.
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psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
November 04, 2015 - Book/Report
Classic
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition.
Citation Text:
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…
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psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
October 09, 2013 - Book/Report
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare.
Citation Text:
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…
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psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-ed
March 09, 2018 - Book/Report
Classic
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed.
Citation Text:
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 97814…
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psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
May 01, 2006 - Study
Barriers to nurses' reporting of medication administration errors in Taiwan.
Citation Text:
Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x.
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Commentary
A nurse-driven system for improving patient quality outcomes.
Citation Text:
Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175.
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psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
May 21, 2014 - Book/Report
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.
Citation Text:
Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748…
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psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
December 23, 2008 - Newspaper/Magazine Article
Pro/con debate: color-coded medication labels.
Citation Text:
Pro/con debate: color-coded medication labels. Janik LS, Vender JS, Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
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psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-second-edition
February 15, 2017 - Book/Report
The Essential Guide for Patient Safety Officers, Second Edition.
Citation Text:
The Essential Guide for Patient Safety Officers, Second Edition. Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improv…