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psnet.ahrq.gov/node/846749/psn-pdf
March 29, 2023 - The influence of professional identity on how the receiver
receives and responds to a speaking up message: a
cross-sectional study.
March 29, 2023
Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives
and responds to a speaking up message: a cross-sectional study.…
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hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_5_12b.jsp
January 01, 2008 - Exhibit 5.12 Most Emergency Department Visits for MH and SA Conditions
Distribution of Most Frequent Emergency Department (ED) All-listed MHSA Visits by Discharge Status, 2007
MHSA CONDITION
PERCENT DISTRIBUTION BY DISCHARGE STATUS
Inpatient Admission
Transfer to Other Facility
Other
Treat…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…
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psnet.ahrq.gov/node/45023/psn-pdf
April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and
Employee Engagement, Third Edition.
April 17, 2018
Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-
third-edition
Lean methodology fo…
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psnet.ahrq.gov/node/867441/psn-pdf
January 08, 2025 - Consumer involvement in the design and development of
medication safety interventions or services in primary
care: a scoping review.
January 8, 2025
DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication
safety interventions or services in primary care: a scoping review.…
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digital.ahrq.gov/principal-investigator/hess-rachel
January 01, 2023 - Hess, Rachel
Functional Assessment Screening Patient Reported Information: FAST-PRI - Final Report
Citation
Hess, R. Functional Assessment Screening Patient Reported Information: FAST- PRI - Final Report. (Prepared by University of Pittsburgh under Grant No. R18 HS018932). Roc…
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psnet.ahrq.gov/node/73584/psn-pdf
August 11, 2021 - What became of the 'eyes and the ears'?: exploring the
challenges to reporting poor quality of care among
trainee medical staff.
August 11, 2021
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of
care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…
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psnet.ahrq.gov/node/850164/psn-pdf
June 07, 2023 - 'Speaking Up' for patient safety and staff well-being: a
qualitative study.
June 7, 2023
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative
study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
https://psnet.ahrq.gov/issue/speaking-patient-…
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psnet.ahrq.gov/node/865872/psn-pdf
May 15, 2024 - Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement.
May 15, 2024
Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement. Healthcare (Basel). 2024;12(8):812.…
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psnet.ahrq.gov/node/72748/psn-pdf
February 17, 2021 - The Collective Leadership for Safety Culture (Co-Lead)
team intervention to promote teamwork and patient
safety.
February 17, 2021
De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team
intervention to promote teamwork and patient safety. Int J Environ Res Public Heal…
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psnet.ahrq.gov/node/837638/psn-pdf
July 06, 2022 - Speaking up or remaining silent about patient safety
concerns in rehabilitation: a cross-sectional survey to
assess staff experiences and perceptions.
July 6, 2022
Niederhauser A, Schwappach DLB. Speaking up or remaining silent about patient safety concerns in
rehabilitation: a cross?sectional survey to assess sta…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…
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psnet.ahrq.gov/node/36222/psn-pdf
March 10, 2011 - Impact of a computerized clinical decision support
system on reducing inappropriate antimicrobial use: a
randomized controlled trial.
March 10, 2011
McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on
reducing inappropriate antimicrobial use: a randomized controll…
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psnet.ahrq.gov/node/47069/psn-pdf
June 18, 2021 - Physical and verbal violence against health care workers.
June 18, 2021
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June
18, 2021).
https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
The Joint Commission issues sentinel eve…
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
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psnet.ahrq.gov/node/36833/psn-pdf
March 03, 2011 - Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong
patient operations.
March 3, 2011
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
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psnet.ahrq.gov/node/47427/psn-pdf
June 19, 2019 - Failures in the respectful care of critically ill patients.
June 19, 2019
Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J
Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008.
https://psnet.ahrq.gov/issue/failures-respectful-care-critically-…
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psnet.ahrq.gov/node/61044/psn-pdf
January 01, 2021 - Seven features of safety in maternity units: a framework
based on multisite ethnography and stakeholder
consultation.
October 21, 2020
Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on
multisite ethnography and stakeholder consultation. BMJ Qual Saf. 2021;3…
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psnet.ahrq.gov/node/42944/psn-pdf
March 03, 2024 - Clinical Learning Environment Review (CLER) Program.
March 3, 2024
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
Many graduate medical education programs have instituted patient safety didactics or online courses to
meet accredi…
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psnet.ahrq.gov/node/850340/psn-pdf
June 14, 2023 - Assertive communication training for nurses to speak up
in cases of medical errors: a systematic review and meta-
analysis.
June 14, 2023
Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of
medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2…