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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
March 31, 2022 - Review
Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers.
Citation Text:
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…
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psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
November 01, 2011 - Study
Professionalism: a necessary ingredient in a culture of safety.
Citation Text:
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55.
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psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses
July 19, 2023 - Study
Operational failures detected by frontline acute care nurses.
Citation Text:
Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791.
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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…
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psnet.ahrq.gov/issue/psychosocial-factors-and-safety-high-risk-industries-systematic-literature-review
July 15, 2020 - Review
Psychosocial factors and safety in high-risk industries: a systematic literature review.
Citation Text:
Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. …
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psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
July 02, 2019 - Study
Adverse event reporting: harnessing residents to improve patient safety.
Citation Text:
Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333.
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psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
October 19, 2022 - Study
Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis.
Citation Text:
Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…
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psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
September 26, 2012 - Study
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Citation Text:
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…
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psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical
March 21, 2017 - Study
Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior?
Citation Text:
Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…
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psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
June 22, 2022 - Study
Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study.
Citation Text:
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
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psnet.ahrq.gov/issue/student-perceptions-medical-errors-incorporating-explicit-professionalism-curriculum-third
August 04, 2021 - Study
Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship.
Citation Text:
Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the …
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psnet.ahrq.gov/issue/physicians-beliefs-about-using-emr-and-cpoe-pursuit-contextualized-understanding-health-it
May 16, 2012 - Study
Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.
Citation Text:
Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …
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psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
June 02, 2021 - Study
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study.
Citation Text:
Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - I recognize that in some situations, it may be tempting to suggest that
behavioral change be pushed
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief3-SUD.pdf
April 01, 2021 - similar pain and
2
drug use outcomes and that psychosocial interventions utilizing cognitive-behavioral … or expert consensus.30,32
Other treatment options include psychological therapies (e.g., cognitive behavioral … These therapies aim to address behavioral aspects of the underlying substance use
disorder, improve … Rockville, MD: Center for
Behavioral Health Statistics and Quality,
Substance Abuse and Mental Health … Integrated behavioral treatment for veterans
with co-morbid chronic pain and hazardous
opioid use:
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
January 09, 2018 - Moderator)
Cynthia Armstrong Persily, PhD, RN, FAAN
Chief Executive Officer, Highland Hospital, Highland Behavioral … Persily is CEO of Highland Hospital,
Highland Behavioral Health Services and Highland Health Center … Our organization is a behavioral
health system which includes Highland Hospital, which is an acute care … As is typical in any psychiatric facility, our team is made up of RNs and
LPNs, behavioral health technicians … Six percent were behavioral
health technicians. Six percent psychologists or social workers.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief3-SUD.pdf
April 01, 2021 - similar pain and
2
drug use outcomes and that psychosocial interventions utilizing cognitive-behavioral … or expert consensus.30,32
Other treatment options include psychological therapies (e.g., cognitive behavioral … These therapies aim to address behavioral aspects of the underlying substance use
disorder, improve … Rockville, MD: Center for
Behavioral Health Statistics and Quality,
Substance Abuse and Mental Health … Integrated behavioral treatment for veterans
with co-morbid chronic pain and hazardous
opioid use:
-
psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - In my work in community clinic settings, we always had a behavioral health person integrated into the … workers and an MPH-level population health expert, as well as healthcare providers, nurse educators, behavioral … For example, behavioral health programs that address substance misuse and mental health conditions might … Conversely, an alternative model integrates behavioral health services into primary care practices while … Integrating Primary Care into Behavioral Health Settings: What Works for Individuals with Serious Mental
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www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
January 01, 2024 - primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral … Using simulation (Unannounced
Standardized Patients) to assess team performance in responding to behavioral