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psnet.ahrq.gov/node/41105/psn-pdf
December 16, 2013 - Patients' attitudes towards patient involvement in safety
interventions: results of two exploratory studies.
December 16, 2013
Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions:
results of two exploratory studies. Health Expect. 2013;16(4):e164-76. doi:10.1…
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psnet.ahrq.gov/node/73691/psn-pdf
September 08, 2021 - Pump up the volume: tips for increasing error reporting
and decreasing patient harm.
September 8, 2021
ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.
https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
Error reporting is an essen…
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psnet.ahrq.gov/node/43330/psn-pdf
July 09, 2014 - Impact of workplace mistreatment on patient safety risk
and nurse-assessed patient outcomes.
July 9, 2014
Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient
outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/43672/psn-pdf
November 12, 2014 - Is a tired doctor a safe doctor?
November 12, 2014
Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014.
https://psnet.ahrq.gov/issue/tired-doctor-safe-doctor
This radio segment explores whether sleep deprivation affects the safety of care delivery. Panelists discuss
sleep deprivation in health care, th…
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psnet.ahrq.gov/node/47667/psn-pdf
February 27, 2019 - It is time to define antimicrobial never events.
February 27, 2019
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp
Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
Never events are…
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psnet.ahrq.gov/node/46963/psn-pdf
April 18, 2018 - A Just Culture Guide.
April 18, 2018
NHS Improvement. London, UK: National Health Service; March 15, 2018.
https://psnet.ahrq.gov/issue/just-culture-guide
Although focusing on system failure has been highlighted as key to improving patient safety, individual
behaviors must also be recognized as contributors to ris…
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psnet.ahrq.gov/node/39062/psn-pdf
November 11, 2009 - Ensuring patient safety through effective leadership
behaviour: a literature review.
November 11, 2009
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature
review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
https://psnet.ahrq.gov/issue/ensuring-patient-…
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psnet.ahrq.gov/node/43350/psn-pdf
August 02, 2015 - Clinical questions raised by clinicians at the point of care:
a systematic review.
August 2, 2015
Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a
systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014.368.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/72845/psn-pdf
March 17, 2021 - Toward the development of the perfect medical team:
critical components for adaptation.
March 17, 2021
Gregory ME, Hughes AM, Benishek LE, et al. Toward the development of the perfect medical team: critical
components for adaptation. J Patient Saf. 2021;17(2):e47-e70. doi:10.1097/pts.0000000000000598.
https://psne…
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psnet.ahrq.gov/node/47442/psn-pdf
October 03, 2018 - Speaking up for safety—it’s not simple.
October 3, 2018
Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3).
https://psnet.ahrq.gov/issue/speaking-safety-its-not-simple
Engaging patients and families in patient safety efforts is a key priority in health care. This poll of patients
from Pennsylvania explores action…
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psnet.ahrq.gov/node/837703/psn-pdf
July 20, 2022 - Family safety reporting in hospitalized children with
medical complexity.
July 20, 2022
Mercer AN, Mauskar S, Baird JD, et al. Family safety reporting in hospitalized children with medical
complexity. Pediatrics. 2022;150(2):e2021055098. doi:10.1542/peds.2021-055098.
https://psnet.ahrq.gov/issue/family-safety-repo…
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psnet.ahrq.gov/node/764410/psn-pdf
March 02, 2022 - Five strategies for clinicians to advance diagnostic
excellence.
March 2, 2022
Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ.
2022;376:e068044. doi:10.1136/bmj-2021-068044.
https://psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
…
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psnet.ahrq.gov/node/857446/psn-pdf
December 06, 2023 - Community Health Systems’ ongoing journey to zero
preventable harm.
December 6, 2023
Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM
Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250.
https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zer…
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psnet.ahrq.gov/node/46071/psn-pdf
March 20, 2018 - Evaluating situation awareness: an integrative review.
March 20, 2018
Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res.
2018;40(3):388-424. doi:10.1177/0193945917697230.
https://psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
Situation awareness in…
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psnet.ahrq.gov/node/42324/psn-pdf
July 16, 2013 - Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers
and babies.
July 16, 2013
Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers and babies. Best Pract Res Clin …
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psnet.ahrq.gov/node/47842/psn-pdf
April 10, 2019 - Learning From Invited Reviews.
April 10, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/learning-invited-reviews
Physical demands and technical complexities can affect surgical safety. This resource is designed to
capture frontline perceptions of surgeons in the United Ki…
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psnet.ahrq.gov/node/47336/psn-pdf
March 04, 2019 - "Saying sorry": some strategies for effective apology
within the workplace.
March 4, 2019
Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace.
Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571.
https://psnet.ahrq.gov/issue/saying-sorry…
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psnet.ahrq.gov/node/846157/psn-pdf
March 15, 2023 - Patient perception of fall risk and fall risk screening
scores.
March 15, 2023
Solares NP, Calero P, Connelly CD. Patient perception of fall risk and fall risk screening scores. J Nurs
Care Qual. 2023;38(2):100-106. doi:10.1097/ncq.0000000000000645.
https://psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fal…
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psnet.ahrq.gov/node/38736/psn-pdf
June 24, 2009 - Improving patient safety by understanding past
experiences in day surgery and PACU.
June 24, 2009
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J
Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
https://psnet.ahrq.gov/issue/improving-patien…
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psnet.ahrq.gov/node/43512/psn-pdf
September 29, 2017 - Interruptions and multi-tasking: moving the research
agenda in new directions.
September 29, 2017
Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual
Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372.
https://psnet.ahrq.gov/issue/interruptions-and-multi-tasking…