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psnet.ahrq.gov/node/60349/psn-pdf
May 20, 2020 - Health care provider factors associated with patient-
reported adverse events and harm.
May 20, 2020
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported
adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290.
doi:10.1016/j.jcjq.2020.02.004.
https:…
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
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psnet.ahrq.gov/node/838069/psn-pdf
September 14, 2022 - Experience of learning from everyday work in daily safety
huddles: a multi-method study.
September 14, 2022
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-
method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-08462-9.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/72729/psn-pdf
February 10, 2021 - Exploring the theory, barriers and enablers for patient and
public involvement across health, social care and patient
safety: a systematic review of reviews.
February 10, 2021
Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers and enablers for patient and public
involvement across health, soci…
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psnet.ahrq.gov/node/863746/psn-pdf
March 06, 2024 - What's going well: a qualitative analysis of positive
patient and family feedback in the context of the
diagnostic process.
March 6, 2024
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family
feedback in the context of the diagnostic process. Diagnosis (Berl)…
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psnet.ahrq.gov/node/74182/psn-pdf
December 15, 2021 - Honesty and transparency, indispensable to the clinical
mission--Parts I-III.
December 15, 2021
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical
Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.otc.2021.07.016.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/47242/psn-pdf
January 01, 2021 - "It matters what I think, not what you say": scientific
evidence for a medical error disclosure competence
(MEDC) model.
October 10, 2018
Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical
Error Disclosure Competence (MEDC) Model. J Patient Saf. 2021;17(8):e1130-…
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psnet.ahrq.gov/node/844794/psn-pdf
January 01, 2020 - Hospital image repair strategies, organizational apology,
and medical errors: an analysis of the CoxHealth brain
over-radiation case.
September 18, 2019
Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of
the CoxHealth Brain Over-Radiation Case. Health Comm. 202…
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psnet.ahrq.gov/node/39195/psn-pdf
January 28, 2010 - Lack of patient knowledge regarding hospital
medications.
January 28, 2010
Lack of patient knowledge regarding hospital medications.
https://psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
The Joint Commission requires that hospitals encourage patients' involvement in their own safety as…
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psnet.ahrq.gov/node/60986/psn-pdf
January 01, 2021 - Organisational crisis resource management: leading an
academic department of emergency medicine through the
COVID-19 pandemic.
October 7, 2020
Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic
department of emergency medicine through the COVID-19 pandemic. BMJ Lea…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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psnet.ahrq.gov/node/34645/psn-pdf
December 23, 2008 - How do patients want physicians to handle mistakes? A
survey of internal medicine patients in an academic
setting.
December 23, 2008
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of
internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…
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psnet.ahrq.gov/node/60613/psn-pdf
June 24, 2020 - A sociotechnical framework for safety-related electronic
health record research reporting: the SAFER reporting
framework.
June 24, 2020
Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record research
reporting: the SAFER reporting framework. Ann Intern Med. 2020;172(11_Supp):S92…
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psnet.ahrq.gov/node/837058/psn-pdf
May 11, 2022 - Establishing psychological safety in clinical supervision:
multi-professional perspectives.
May 11, 2022
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi?
professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/853241/psn-pdf
September 06, 2023 - Hiding in plain sight: inconvenient facts for patient safety
in non-24/7 theatre on-site staffed obstetric units.
September 6, 2023
McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non?24/7 theatre on?site staffed
obstetric units. Aust N Z J Obstet Gynaecol. 2023;63(4):606-611. doi:10.111…
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psnet.ahrq.gov/node/866074/psn-pdf
June 05, 2024 - The impact of sensory stimuli on healthcare workers and
outcomes in trauma rooms: a focus group study.
June 5, 2024
Bayramzadeh S, Ahmadpour S. The impact of sensory stimuli on healthcare workers and outcomes in
trauma rooms: a focus group study. HERD. 2024;17(2):115-128. doi:10.1177/19375867231215080.
https://psn…
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psnet.ahrq.gov/node/50742/psn-pdf
December 18, 2019 - Prioritizing patient safety efforts in office practice settings
December 18, 2019
Kravet SJ, Bhatnagar M, Dwyer M, et al. Prioritizing Patient Safety Efforts in Office Practice Settings. J
Patient Saf. 2019;15(4):e98-e101. doi:10.1097/pts.0000000000000652.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-ef…
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psnet.ahrq.gov/node/38579/psn-pdf
February 18, 2011 - Transitions of Care Consensus Policy Statement
American College of Physicians-Society of General
Internal Medicine-Society of Hospital Medicine-American
Geriatrics Society-American College of Emergency
Physicians-Society of Academic Emergency Medicine.
February 18, 2011
Snow V, Beck D, Budnitz T, et al. Transitio…
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psnet.ahrq.gov/node/60868/psn-pdf
September 02, 2020 - Association between implementing comprehensive
learning collaborative strategies in a statewide
collaborative and changes in hospital safety culture.
September 2, 2020
Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning
collaborative strategies in a statewide collaborative …
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psnet.ahrq.gov/node/862124/psn-pdf
February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team
Assessment Tool: scale development and psychometric
evaluation.
February 7, 2024
Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment
Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…