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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
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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
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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
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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.
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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…
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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…
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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…
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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…
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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-…
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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…
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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…
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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…
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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…
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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 …
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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…
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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.…
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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…
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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.
…
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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…
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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…