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  1. Toward the development of the perfect medical team: critical components for adaptation. | PSNet

    psnet.ahrq.gov/issue/toward-development-perfect-medical-team-critical-components-adaptation
    February 09, 2022 - High reliability remains an elusive goal for health care organizations. … June 21, 2015 A systematic review of team training in health care: ten questions. … September 11, 2016 Improving allergy documentation: a retrospective electronic health … 2023 Effect of patient safety education interventions on patient safety culture of health … June 12, 2007 Training health care professionals for patient safety.

  2. Applying HFMEA to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
    September 27, 2017 - This study provides a practical example of using health care failure mode and effect analysis (FMEA … 2017 An innovative mobile approach for patient safety services: the case of a Taiwan health … Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health … July 22, 2020 The impacts of using community health volunteers to coach medication safety … evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health

  3. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

    psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
    March 20, 2024 - September 8, 2021 Patients' online access to their electronic health records and linked … October 1, 2014 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Related Resources Understanding the knowledge gaps in whistleblowing and speaking up in health … June 7, 2016 Understanding psychological safety in health care and education organizations … March 16, 2016 View More See More About The Topic Hospitals Health

  4. VHA's movement for change: implementing high-reliability principles and practices. | PSNet

    psnet.ahrq.gov/issue/vhas-movement-change-implementing-high-reliability-principles-and-practices
    August 21, 2024 - Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health … May 26, 2021 Patient misidentification events in the Veterans Health Administration: … a comprehensive review in the context of high-reliability health care. … May 13, 2020 Zero harm in health care. … View More See More About The Topic Hospitals Ambulatory Clinic or Office Health

  5. Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
    February 12, 2020 - Appropriate response to patient and family concerns after health care–associated harm is important. … June 30, 2019 Responding to health information technology reported safety events: insights … July 1, 2019 Supporting the emotional well-being of health care workers during the COVID … Employee safety climate and patient safety culture in health care. … Improving Diagnostic Safety and Quality April 26, 2023 A health

  6. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. | PSNet

    psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
    January 30, 2019 - , 2020 COVID-19 has united patients and providers against institutional betrayal in health … 25, 2022 Retrospective analysis of reported suicide deaths and attempts on Veterans Health … August 12, 2020 Communication with patients and families regarding health care-associated … June 16, 2021 How medical jargon can make COVID health disparities even worse. … View More See More About The Topic General Public Home Care Public Health

  7. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. | PSNet

    psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge
    September 23, 2020 - Am J Health Syst Pharm. 2013;70(1):18-21. doi:10.2146/ajhp120146. … Am J Health Syst Pharm . 2013; 70 (1) :18-21 . … Am J Health Syst Pharm. 2013;70(1):18-21. doi:10.2146/ajhp120146. … Related Resources From the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health … 2019 A model for the departmental quality management infrastructure within an academic health

  8. Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

    psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth
    July 17, 2024 - Health Comm. 2020;35(12):1466-1474. doi:10.1080/10410236.2019.1652071. … Health Comm . 2020; 35 (12) :1466-1474 . View more articles from the same authors. … Health Comm. 2020;35(12):1466-1474. doi:10.1080/10410236.2019.1652071. … August 18, 2010 Medical team training: applying crew resource management in the Veterans Health … November 30, 2022 Seroprevalence of SARS-CoV-2 among frontline health care personnel

  9. Implementing patient safety practices in small ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
    April 19, 2013 - The authors developed and implemented a toolkit of 11 best practices for patient safety in a health system's … September 9, 2011 The state of health, burnout, healthy behaviors, workplace wellness … August 23, 2023 Hacking teamwork in health care: addressing adverse effects of ad hoc … View More See More About The Topic Ambulatory Clinic or Office Health … Care Providers Health Care Executives and Administrators Allergy and Immunology Pharmacy

  10. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. | PSNet

    psnet.ahrq.gov/issue/nurses-perspectives-intersection-safety-and-informed-decision-making-maternity-care
    May 21, 2019 - November 8, 2017 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … September 21, 2016 Information and power: women of color's experiences interacting with health … September 8, 2021 Maternal and neonatal health care worker well-being and patient safety … December 23, 2020 Information and power: women of color's experiences interacting with health … July 5, 2006 View More See More About The Topic Labor and Delivery Health

  11. Incidence and prevention of iatrogenic urethral injuries. | PSNet

    psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-urethral-injuries
    August 02, 2015 - April 24, 2018 How communication among members of the health care team affects maternal … January 18, 2017 Reducing health care hazards: lessons from the Commercial Aviation Safety … February 11, 2009 Teaching patient safety in global health: lessons from the Duke Global … Health Patient Safety Fellowship. … March 1, 2011 View More See More About The Topic Hospitals Health Care

  12. Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns. | PSNet

    psnet.ahrq.gov/issue/silence-can-be-dangerous-vignette-study-assess-healthcare-professionals-likelihood-speaking
    September 17, 2014 - This emphasizes the need to bolster safety culture such that health care workers feel empowered to … May 1, 2024 Electronic health record usability contributions to patient safety and clinician … August 31, 2022 Interventions to reduce burnout and improve resilience: impact on a health … December 5, 2018 Health care workers as second victims of medical errors. … October 1, 2007 View More See More About The Topic Health Care Providers

  13. The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. | PSNet

    psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite
    April 13, 2011 - Resources From the Same Author(s) How active resisters and organizational constipators affect health … December 31, 2018 Electronic health records, communication, and data sharing: challenges … March 21, 2017 Health care workers as second victims of medical errors. … August 18, 2010 View More See More About The Topic Hospitals Health … Care Providers Health Care Executives and Administrators Organizational Behaviorists General

  14. Estimating hospital-related deaths due to medical error: a perspective from patient advocates. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
    November 08, 2023 - December 3, 2014 Financial incentives to promote health care quality: the hospital acquired … The relationship between physician practice characteristics and physician adoption of electronic health … June 19, 2019 View More Related Resources Ethical duty of health … October 3, 2017 Time for transparent standards in quality reporting by health care organizations … May 10, 2017 Screening electronic health record–related patient safety reports using

  15. Leader communication approaches and patient safety: an integrated model. | PSNet

    psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
    July 01, 2019 - This study surveyed health care workers and found a relationship between two types of leadership communication … Related Resources From the Same Author(s) The impact of racism on child and adolescent health … The Patient Safety Institute demonstration project: a model for implementing a local health … February 11, 2015 The Safety and Quality of Health Care: Where are We Now? … September 22, 2010 View More See More About The Topic Hospitals Health

  16. Patient safety in obstetrics: what aviators, firefighters and others can teach us. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
    January 22, 2017 - Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x.2008.00325.x. … Nurs Womens Health . 2008; 12 (3) :208-215 . View more articles from the same authors. … This commentary discusses safety reporting procedures developed by high-performance fields outside health … Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x.2008.00325.x. … June 21, 2017 How communication among members of the health care team affects maternal

  17. Development of the barriers to error disclosure assessment tool. | PSNet

    psnet.ahrq.gov/issue/development-barriers-error-disclosure-assessment-tool
    August 28, 2019 - Author(s) Individual and team-based medical error disclosure: dialectical tensions among health … dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health … The effects of crew resource management on teamwork and safety climate at Veterans Health … September 20, 2011 Seroprevalence of SARS-CoV-2 among frontline health care personnel … One health care system's experience.

  18. Predictors of perceived discrimination in medical settings among Muslim women in the USA. | PSNet

    psnet.ahrq.gov/issue/predictors-perceived-discrimination-medical-settings-among-muslim-women-usa
    November 26, 2012 - J Racial Ethn Health Disparities. 2024;11(1):150-156. doi:10.1007/s40615-022-01506-0. … J Racial Ethn Health Disparities . 2024; 11 (1) :150-156 . … American women in Chicago found that 25-30% of respondents reported not being listened to by their health … J Racial Ethn Health Disparities. 2024;11(1):150-156. doi:10.1007/s40615-022-01506-0. … Relationship of the nursing practice environment with the quality of care and patients' safety in primary health

  19. Residents' intentions and actions after patient safety education. | PSNet

    psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education
    June 08, 2011 - BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. … BMC Health Serv Res . 2010; 10 :350 . View more articles from the same authors. … BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. … January 12, 2012 Speaking up for patient safety by hospital-based health care professionals … December 21, 2022 Interventions to reduce burnout and improve resilience: impact on a health

  20. Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
    February 03, 2011 - March 22, 2023 Implementing electronic health record default settings to reduce opioid … August 21, 2013 From theory to policy in resilient health care: policy recommendations … December 6, 2023 View More Related Resources The impact of health … The missing evidence: a systematic review of patients' experiences of adverse events in health … June 5, 2013 View More See More About The Topic Hospitals Health Care
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