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psnet.ahrq.gov/issue/clarifying-radiologys-role-safety-events-5-year-retrospective-common-cause-analysis-safety
November 21, 2017 - August 3, 2022
Pediatric trainees' speaking up about unprofessional behavior and traditional
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Routine Goes Awry
June 1, 2011
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and
scheduled for a tonsillectomy and adenoidectomy. She was in ot…
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - One answer is neither: reforms should
generate more appropriate claiming behavior. … Negligent care and malpractice
claiming behavior in Utah and Colorado. Med Care. 2000;38:250-260.
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psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
March 04, 2020 - If there is concern for intentional self-harm behavior, a psychiatrist should be engaged immediately.
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psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - disability, and hospitalization.(2,3) Adherence to treatment
may represent a surrogate marker for healthy behavior
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - some of my focus on safety came from my own interest in sociology, psychiatry, and the psychology of behavior … A critical area of knowledge is gaining insight into team behaviors and communication skills. … the safety world as reported eventsstimulated reporting, spontaneous reporting, or observations of behaviors … If you know that there will be irreducible error rates because of human behavior in a complex system,
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psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-services
May 12, 2021 - Commentary
Classic
Enhancing psychological safety in mental health services.
Citation Text:
Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1.
Co…
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psnet.ahrq.gov/issue/patient-provider-and-system-factors-contributing-patient-safety-events-during-medical-and
November 18, 2016 - Study
Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness.
Citation Text:
McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patien…
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psnet.ahrq.gov/issue/moving-toward-improved-teamwork-cancer-care-role-psychological-safety-team-communication
October 19, 2012 - Review
Moving toward improved teamwork in cancer care: the role of psychological safety in team communication.
Citation Text:
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 201…
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psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - Conditions that influence the impact of malpractice litigation risk on physicians' behavior
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psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
October 08, 2016 - April 25, 2016
Development and validation of the Johns Hopkins Disruptive Clinician Behavior
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psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
January 12, 2022 - Review
Emerging Classic
Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.
Citation Text:
Lewis KA, Ricks TN, Rowin A, et al. Does Simulation Training for Acute Care Nurses Impr…
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psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
December 02, 2015 - Study
Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.
Citation Text:
Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…
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psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
March 03, 2021 - Study
Impact of a daily huddle on safety in perioperative services.
Citation Text:
Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012.
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psnet.ahrq.gov/issue/psychological-intervention-improve-communication-and-patient-safety-obstetrics-examination
April 21, 2021 - While results did not show a change in communication behavior, perceived patient safety did improve
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psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
May 17, 2012 - Study
Classic
Effect of a comprehensive surgical safety system on patient outcomes.
Citation Text:
de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…
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psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical-team-action
June 23, 2021 - Study
Absence or presence: silent discourse in the operating room and impact on surgical team action.
Citation Text:
Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:1…
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psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
October 02, 2013 - Study
Detection of adverse drug events using an electronic trigger tool.
Citation Text:
Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481.
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F…
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psnet.ahrq.gov/issue/adverse-mental-health-inpatient-experiences-qualitative-systematic-review-international
January 13, 2021 - Review
Adverse mental health inpatient experiences: qualitative systematic review of international literature.
Citation Text:
Hallett N, Dickinson R, Eneje E, et al. Adverse mental health inpatient experiences: qualitative systematic review of international literature. Int J Nurs Stud. 2…
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psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns
November 02, 2022 - Study
Nurse sensemaking for responding to patient and family safety concerns.
Citation Text:
Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487.
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