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  1. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - They are also directly assessing HRO principles and linking them to higher patient safety and workforce … extent to which a team or unit in a hospital is preoccupied with failure, for example, is important to assessing
  2. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - extent to which a team or unit in a hospital is preoccupied with failure, for example, is important to assessing … They are also directly assessing HRO principles and linking them to higher patient safety and workforce
  3. psnet.ahrq.gov/perspective/health-equity-and-maternal-health
    October 06, 2021 - However, when assessing maternal safety, it is also essential to also take a whole-person view. … from the patient’s entry point into the hospital and then through all of the steps of the process and assessing
  4. psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
    October 06, 2021 - from the patient’s entry point into the hospital and then through all of the steps of the process and assessing … However, when assessing maternal safety, it is also essential to also take a whole-person view.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60230/psn-pdf
    April 15, 2020 - Optimizing patient safety in clinical trials by improving transitions of care. April 15, 2020 Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001. https://psnet.ahrq.gov/issue/op…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38727/psn-pdf
    November 25, 2009 - FMEA team performance in health care: a qualitative analysis of team member perceptions. November 25, 2009 Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45841/psn-pdf
    March 01, 2017 - Monitoring the anaesthetist in the operating theatre—professional competence and patient safety. March 1, 2017 Larsson J. Monitoring the anaesthetist in the operating theatre - professional competence and patient safety. Anaesthesia. 2017;72 Suppl 1:76-83. doi:10.1111/anae.13743. https://psnet.ahrq.gov/issue/monit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861291/psn-pdf
    January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855438/psn-pdf
    November 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46639/psn-pdf
    November 29, 2017 - Enhancing pediatric perioperative patient safety. November 29, 2017 Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007. https://psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety Pediatric surgical patients face uniqu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44424/psn-pdf
    August 19, 2015 - Taking patients' narratives about clinicians from anecdote to science. August 19, 2015 Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361. https://psnet.ahrq.gov/issue/taking-patients-narrati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73356/psn-pdf
    June 02, 2021 - Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health. May 20, 2021. https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844748/psn-pdf
    February 15, 2023 - 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? February 15, 2023 Renault M. STAT. February 6, 2023. https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect- tyre-nichols Emergent care situations are vulnerable to a range …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73478/psn-pdf
    July 07, 2021 - Medical malpractice claims by members of the uniformed services. July 7, 2021 Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services Organizations with safety culture…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38934/psn-pdf
    June 28, 2011 - Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? June 28, 2011 Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual Health Care. 2009;21(5):316-20. doi:10.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47950/psn-pdf
    August 21, 2019 - Safety of care by caregivers of cancer patients. August 21, 2019 Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011. https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients Cancer patients often rely on family members or paid…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42672/psn-pdf
    October 23, 2013 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. October 23, 2013 De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837348/psn-pdf
    June 08, 2022 - Does malpractice liability make healthcare safer? Aligning law and policy with evidence. June 8, 2022 Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.   https://psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy- evidence The malpractice liability sys…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34706/psn-pdf
    December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…

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