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psnet.ahrq.gov/node/35846/psn-pdf
July 22, 2010 - Why worry? Worry, risk perceptions, and willingness to
act to reduce medical errors.
July 22, 2010
Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce
medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.2.144.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/846165/psn-pdf
March 15, 2023 - Do no unconscious harm.
March 15, 2023
Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698.
https://psnet.ahrq.gov/issue/do-no-unconscious-harm
Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and
patient/physician commun…
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psnet.ahrq.gov/node/36183/psn-pdf
March 28, 2011 - A cross-cultural survey of residents' perceived barriers in
questioning/challenging authority.
March 28, 2011
Kobayashi H, Pian-Smith M, Sato M, et al. A cross-cultural survey of residents' perceived barriers in
questioning/challenging authority. Qual Saf Health Care. 2006;15(4):277-83.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42516/psn-pdf
February 04, 2016 - "Excuse me": teaching interns to speak up.
February 4, 2016
O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient
Saf. 2013;39(9):426-431.
https://psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak
Previous research has shown that junior physicians may be unwilli…
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psnet.ahrq.gov/node/38183/psn-pdf
December 14, 2016 - Building Bridges Between Radiology and Emergency
Medicine: Consensus Conference on Imaging Safety and
Quality for Children in the Emergency Setting.
December 14, 2016
Pediatr Radiol. 2008;38(suppl 4):625-734.
https://psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus-
confere…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-17.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.17. Key Facilitators and Barriers to Organizing and Implementing Lean at Suntown Hospital (From Conceptual Framework)
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studie…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…
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psnet.ahrq.gov/node/36882/psn-pdf
February 24, 2011 - Resident perceptions of the impact of work hour
limitations.
February 24, 2011
Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen
Intern Med. 2007;22(7):969-75.
https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
The investigators surv…
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psnet.ahrq.gov/node/34762/psn-pdf
March 28, 2005 - Diffusion of Innovations. 5th ed.
March 28, 2005
Rogers EM. New York NY: Free Press; 2005.
https://psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
Those who seek to improve the quality and safety of health care would be well served by a deeper
understanding of how innovations spread through systems. Rogers first…
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psnet.ahrq.gov/node/40104/psn-pdf
December 22, 2010 - Noise in the operating room—what do we know? A review
of the literature.
December 22, 2010
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the
literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
https://psnet.ahrq.gov/issue/noise-operatin…
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psnet.ahrq.gov/node/60537/psn-pdf
May 27, 2020 - I can't turn my brain off.
May 27, 2020
Hoffman J. New York Times. May 16, 2020.
https://psnet.ahrq.gov/issue/i-cant-turn-my-brain
Health care worker stress is a known contributor to disruptive behavior, error and clinician suicide. This
story discusses the impact of the COVID-19 pandemic on psychological strain …
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psnet.ahrq.gov/node/43217/psn-pdf
May 28, 2014 - Bullying: a hidden threat to patient safety.
May 28, 2014
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
https://psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
This commentary relates how bullying and other disruptive behaviors remain a pervasi…
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psnet.ahrq.gov/node/39626/psn-pdf
June 23, 2010 - The Medication Manager: results of a medication at the
bedside pilot in a pediatric teaching institution.
June 23, 2010
Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2).
doi:10.1097/pts.0b013e3181cb43b4.
https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…
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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/key-drivers.html
July 01, 2021 - CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Introduction
Overview
About Measure Specifications and Reporting
Key Driver Diagram
Quality Improvement Strategies
Improvemen…
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www.ahrq.gov/patients-consumers/patient-involvement/index.html
November 01, 2016 - Patient Involvement
Get more involved with your health care by asking questions, talking to your clinician, and understanding your condition. Patients and families who engage with health care providers ask good questions and help reduce the risk of errors and hospital admissions. Browse these resources to get s…
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psnet.ahrq.gov/node/853443/psn-pdf
September 13, 2023 - Complications and Errors in Periodontal and Implant
Therapy.
September 13, 2023
Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
Patient safety in dentistry shares common challenges with medicine and t…
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psnet.ahrq.gov/node/42843/psn-pdf
January 22, 2014 - Patient safety in the obstetric and gynecologic office
setting.
January 22, 2014
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am.
2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
https://psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-set…
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psnet.ahrq.gov/node/40560/psn-pdf
June 22, 2011 - Medication errors resulting from confusion between
risperidone (Risperdal) and ropinirole (Requip).
June 22, 2011
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug
Administration; June 13, 2011.
https://psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-rispe…
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psnet.ahrq.gov/node/44550/psn-pdf
September 30, 2015 - Infections associated with reprocessed flexible
bronchoscopes.
September 30, 2015
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015.
https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
Use of incompletely cleaned medical devices has b…