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Showing results for "behavioral".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44146/psn-pdf
    June 03, 2015 - Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. June 3, 2015 Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55. doi:10.1097/AOG.000000000000…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764400/psn-pdf
    March 02, 2022 - A mixed methods evaluation of medication reconciliation in the primary care setting. March 2, 2022 Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882. https://psnet.ahr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861284/psn-pdf
    January 24, 2024 - Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. January 24, 2024 Pfeifer L, Vessey J, Cazzell M, et al. Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nurs…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60893/psn-pdf
    January 01, 2021 - When safety event reporting is seen as punitive: "I've been PSN-ed!" September 9, 2020 Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048. https://psnet.ahrq.gov/issue/when-safety-ev…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73328/psn-pdf
    May 26, 2021 - Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. May 26, 2021 Washington DC:  Department of Veterans Affairs. Office of Inspector General; May 11, 2021. Report No. 20-03593-140. https://psnet.ahrq.gov/issue/care-and-oversigh…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48069/psn-pdf
    July 24, 2019 - Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy. July 24, 2019 Heckemann B, Hahn S, Halfens RJG, et al. Patient and visitor aggression in healthcare: A survey exploring organisational safety culture and team efficacy. J Nurs Manag. 2019;27(5):1039-104…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. January 15, 2014 Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013. Publication GAO-14-55. https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855428/psn-pdf
    November 15, 2023 - A study of error reporting by nurses: the significant impact of nursing team dynamics. November 15, 2023 Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194180. https://psnet.ahrq.gov/is…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50423/psn-pdf
    September 04, 2019 - When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836922/psn-pdf
    April 13, 2022 - Exploration of prescribing error reporting across primary care: a qualitative study. April 13, 2022 Hall N, Bullen K, Sherwood J, et al. Exploration of prescribing error reporting across primary care: a qualitative study. BMJ Open. 2022;12(1):e050283. doi:10.1136/bmjopen-2021-050283. https://psnet.ahrq.gov/issue/e…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42536/psn-pdf
    August 13, 2014 - Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum. August 13, 2014 Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43623/psn-pdf
    September 29, 2017 - Intolerance of error and culture of blame drive medical excess. September 29, 2017 Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702. https://psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess Lack of a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42834/psn-pdf
    January 07, 2015 - Personal health records: a randomized trial of effects on elder medication safety. January 7, 2015 Chrischilles EA, Hourcade JP, Doucette W, et al. Personal health records: a randomized trial of effects on elder medication safety. J Am Med Inform Assoc. 2014;21(4):679-86. doi:10.1136/amiajnl-2013-002284. https://p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853628/psn-pdf
    September 20, 2023 - How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years. September 20, 2023 Fortis B, Bell L. Pro Publica. September 12, 2023. https://psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected- predator-more-20-years Sexual abuse of a patient i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46383/psn-pdf
    September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and Evidence. September 20, 2017 Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017. https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence Health care has been exploring a variety of strategies to mitigate the opioid ep…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855438/psn-pdf
    November 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46801/psn-pdf
    July 22, 2019 - Promising roles for pharmacists in addressing the U.S. opioid crisis. July 22, 2019 Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. https://psnet.ahrq.gov/issue/promising-roles-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43990/psn-pdf
    April 22, 2015 - Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. April 22, 2015 Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10. doi:10.1136/bmjqs-2014-003279. h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37761/psn-pdf
    May 14, 2008 - Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. May 14, 2008 Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. J Surg …