- 
                                        
psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - provider education, opioid tapering programs, and non-pharmaceutical interventions like acupuncture
and behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - provider education, opioid tapering programs, and non-pharmaceutical interventions like acupuncture and behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - the importance of looking beyond a specific technology to the guiding principles that govern human behavior … are really helpful to summarize the evidence from guidelines into a handful of concrete, unambiguous behaviors
                                     
                                                                    - 
                                        
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - are really helpful to summarize the evidence from guidelines into a handful of concrete, unambiguous behaviors … the importance of looking beyond a specific technology to the guiding principles that govern human behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - this case: 
Suspected skull fracture; 
Scalp hematoma; 
Any neurologic deficit; GCS < 15; 
Abnormal behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - In addition, studies showed that clinical decision support systems change prescribing behavior and significantly
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - We know that patient behavior may contribute to diagnostic delays.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - delirium often presents with symptoms of acute confusion, agitation, 
hallucinations, or combative behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
November 03, 2025 - Contributing factors identified included several manifestations of unprofessional behavior on the part
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Verbal Communication During Airway Management and Emergent Endotracheal Intubation: Observations of Team Behavior
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - Their decision, though, had direct
consequences for behaviors and decisions of people at lower levels
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model
to Advance Patient Safety in Care Transitions
November 16, 2022
Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to
Advance Patient Safety in Care Transitions . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspecti… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49709/psn-pdf
May 01, 2014 - Increasing safety stewardship requires a culture that discourages behaviors based on hierarchy and
consistently
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications
techno… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training
February 28, 2024
Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - decision making and teamwork.( 14 ) Training in team dynamics, communication skills, and interpersonal behaviors
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/33838/psn-pdf
July 01, 2017 - complementary approach to promoting
professionalism: identifying, measuring, and addressing unprofessional behaviors
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - When "Psychiatric" Symptoms Are Not
February 1, 2003
Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
The Case
A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a
danger to oth… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Commentary by Deborah Debono, PhD, RN, and Tracy Levett-Jones, PhD, RN
Workarounds are defined as behaviors
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - In many institutions, creating this kind of culture will require formal training in effective
behaviors