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psnet.ahrq.gov/node/43689/psn-pdf
December 10, 2014 - A meta-analysis of the effectiveness of crew resource
management training in acute care domains.
December 10, 2014
O'Dea A, O'Connor P, Keogh I. A meta-analysis of the effectiveness of crew resource management training
in acute care domains. Postgrad Med J. 2014;90(1070):699-708. doi:10.1136/postgradmedj-2014-13280…
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psnet.ahrq.gov/node/837759/psn-pdf
January 01, 2023 - Employee silence in health care: charting new avenues
for leadership and management.
August 3, 2022
Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for
leadership and management. Health Care Manage Rev. 2023;48(1):52-60.
doi:10.1097/hmr.0000000000000349.
https://ps…
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psnet.ahrq.gov/node/47816/psn-pdf
June 26, 2019 - Clinical reasoning assessment methods: a scoping
review and practical guidance.
June 26, 2019
Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and
Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618.
https://psnet.ahrq.gov/issue/clinical-…
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psnet.ahrq.gov/node/39074/psn-pdf
November 04, 2009 - Development and usability of a behavioural marking
system for performance assessment of obstetrical teams.
November 4, 2009
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for
performance assessment of obstetrical teams. Qual Saf Health Care. 2009;18(5):393-6.
doi:1…
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psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - Systems errors versus physicians' errors: finding the
balance in medical education.
February 16, 2011
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education.
Acad Med. 1999;74(1):19-22.
https://psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-bal…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…
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August 28, 2019 - When safety climate is not enough: examining the
moderating effects of psychosocial hazards on nurse
safety performance.
August 28, 2019
Manapragada A, Bruk-Lee V, Thompson AH, et al. When safety climate is not enough: Examining the
moderating effects of psychosocial hazards on nurse safety performance. J Adv Nurs…
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
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June 10, 2020 - Assuring safe patient care in a level III NICU in
anticipation of hospital closure.
June 10, 2020
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital
closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
https://psnet.ahrq.gov/issue/assuring-safe-patien…
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psnet.ahrq.gov/node/46319/psn-pdf
August 09, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use
and Questionable Prescribing.
August 9, 2017
Office of the Inspector General. Washington, DC: US Department of Health and Human Services; July
2017. Report No. OEI-02-17-00250.
https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and…
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psnet.ahrq.gov/node/72609/psn-pdf
December 23, 2020 - Covid-19 surge could lead to another drop in patient
visits, doctors fear—and more missed pediatric cancers.
December 23, 2020
Cooney E. StatNews. December 10, 2020.
https://psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-
missed-pediatric
Timely and proactive…
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November 23, 2016 - Strategies for flipping the script on opioid
overprescribing.
November 23, 2016
Wright AP, Becker WC, Schiff G. Strategies for Flipping the Script on Opioid Overprescribing. JAMA Intern
Med. 2016;176(1):7-8. doi:10.1001/jamainternmed.2015.5946.
https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overpre…
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psnet.ahrq.gov/node/45740/psn-pdf
January 23, 2017 - Patient perspectives on delays in diagnosis and treatment
of cancer: a qualitative analysis of free-text data.
January 23, 2017
Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of
cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…
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psnet.ahrq.gov/node/839320/psn-pdf
November 02, 2022 - Why is patient safety a challenge? Insights from the
Professionalism Opinions of Medical Students' research.
November 2, 2022
McGurgan PM, Calvert KL, Nathan EA, et al. Why is patient safety a challenge? Insights from the
Professionalism Opinions of Medical Students' research. J Patient Saf. 2022;18(7):e1124-e1134.…
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…
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psnet.ahrq.gov/node/43665/psn-pdf
November 20, 2015 - Patient safety education to change medical students'
attitudes and sense of responsibility.
November 20, 2015
Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of
responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970988.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/837204/psn-pdf
May 25, 2022 - Resident physicians' advice seeking and error making: a
social networks approach.
May 25, 2022
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks
approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
https://psnet.ahrq.gov/issue/resident…
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psnet.ahrq.gov/node/866958/psn-pdf
October 16, 2024 - Beyond error: a qualitative study of human factors in
serious adverse events.
October 16, 2024
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J
Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
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psnet.ahrq.gov/node/844783/psn-pdf
September 04, 2019 - A lethal hidden curriculum—death of a medical student
from opioid use disorder.
September 4, 2019
Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use
Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537.
https://psnet.ahrq.gov/issue/lethal-hidden-…