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psnet.ahrq.gov/node/837737/psn-pdf
July 27, 2022 - Patients' willingness and ability to identify and respond to
errors in their personal health records: mixed methods
analysis of cross-sectional survey data.
July 27, 2022
Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in their
personal health records: mixed m…
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psnet.ahrq.gov/node/72752/psn-pdf
February 17, 2021 - Why do healthcare professionals fail to escalate as per
the early warning system (EWS) protocol? A qualitative
evidence synthesis of the barriers and facilitators of
escalation.
February 17, 2021
O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning
system (…
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psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission
October 19, 2022 - Study
Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals.
Citation Text:
Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four medication safety-related Joint Commission …
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - spending on food, clothing, and other basic necessities.( 2,7-9 ) To help ensure that cost is not a barrier
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psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
October 19, 2016 - Study
Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.
Citation Text:
Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective. J Evid …
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psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus
March 13, 2015 - Study
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.
Citation Text:
Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…
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psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings
October 30, 2013 - Study
The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.
Citation Text:
Hemingway S, McCann T, Baxter H, et al. The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings. Int J N…
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH
September 28, 2022
In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
Editor’s Note: Freya Spielberg, MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social
enterp…
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psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
February 02, 2022 - Review
The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.
Citation Text:
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…
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psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings
March 27, 2018 - Study
Barriers and facilitators to communicating nursing errors in long-term care settings.
Citation Text:
Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e31…
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psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
May 16, 2012 - Study
Influence of language barriers on outcomes of hospital care for general medicine inpatients.
Citation Text:
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - Review
Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.
Citation Text:
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological safety and error reporting in heal…
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psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
January 12, 2022 - Review
Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.
Citation Text:
Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc…
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. … Responsibility
September 1, 2007
WebM&M Cases
Language Barrier
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psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive
March 09, 2016 - Study
Identifying barriers and enablers for a robust independent second check of medication in adult intensive care.
Citation Text:
Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…
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psnet.ahrq.gov/issue/barriers-and-facilitators-taking-action-after-classroom-based-crew-resource-management
July 10, 2013 - Study
Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.
Citation Text:
Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…
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psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting
March 10, 2011 - Study
Identifying modifiable barriers to medication error reporting in the nursing home setting.
Citation Text:
Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74.
C…
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/node/36668/psn-pdf
June 29, 2011 - Language proficiency and adverse events in US
hospitals: a pilot study.
June 29, 2011
Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot
study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069.
https://psnet.ahrq.gov/issue/language-proficiency-a…
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psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
November 10, 2021 - Study
Improving team members' attention during the OR briefing or time out.
Citation Text:
Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144.
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