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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Checklists
December 15, 2024
Checklists. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/checklists
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - Advances have been made, but there are still significant opportunities for improvement.( 2-4 ) Is the barrier … don't think that any individual intentionally starts out the day wanting to be either disruptive or a barrier
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Efforts needed to address medico-legal and privacy concerns are often cited as a barrier to video recording
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - SPOTLIGHT CASE
The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy
Citation Text:
Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/curated-library/organizational-learning
April 17, 2025 - Breadcrumb
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Organizational Learning
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…
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psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
January 16, 2019 - Book/Report
Emerging Classic
Implementing Optimal Team-Based Care to Reduce Clinician Burnout.
Citation Text:
Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…
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psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
July 19, 2023 - Review
Medication safety systems and the important role of pharmacists.
Citation Text:
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
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psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
December 19, 2018 - Commentary
How policy makers can smooth the way for communication-and-resolution programs.
Citation Text:
Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaf…
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psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
June 16, 2021 - Commentary
Human factors in healthcare: welcome progress, but still scratching the surface.
Citation Text:
Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074.
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psnet.ahrq.gov/issue/harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
March 18, 2020 - Study
Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms.
Citation Text:
Ocloo JE. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reform…
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - In health care, bridging the language barrier is necessary to avoid clinical errors, provide patient-centered
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psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
November 15, 2023 - Study
Incidence, staff awareness and mortality of patients at risk on general wards.
Citation Text:
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
July 19, 2019 - Study
Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences.
Citation Text:
Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs …
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psnet.ahrq.gov/classics
August 01, 2023 - Fear of negative consequences was the most common barrier; other barriers included inadequate reporting
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Another barrier was float staff. … Kathy Sanford: The only thing that I would add as a barrier is that the cameras cost money.
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Another barrier was float staff. … Kathy Sanford: The only thing that I would add as a barrier is that the cameras cost money.
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Burn
August 1, 2012
WebM&M Cases
Language Barrier
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psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - Study
Nursing management of medication errors.
Citation Text:
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
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