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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer care:
an exploratory, prospective study.
June 10, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using
health information technology in ambulatory cancer care: …
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - A cluster randomized trial of interventions to improve
work conditions and clinician burnout in primary care:
results from the Healthy Work Place (HWP) study.
September 4, 2016
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work
Conditions and Clinician Burnout in Pri…
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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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psnet.ahrq.gov/node/38270/psn-pdf
December 01, 2010 - Improving America's Hospitals: The Joint Commission's
Report on Quality and Safety 2008.
December 1, 2010
Oakbrook Terrace, IL: The Joint Commission; November 2008.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
The quality of care delivered at US hospita…
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psnet.ahrq.gov/node/848358/psn-pdf
May 03, 2023 - Identifying electronic health record contributions to
diagnostic error in ambulatory settings through legal
claims analysis.
May 3, 2023
Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in
ambulatory settings through legal claims analysis. JAMA Netw Open. …
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psnet.ahrq.gov/node/837142/psn-pdf
January 01, 2023 - Creating psychological safety in interprofessional
simulation for health professional learners: a scoping
review of the barriers and enablers.
May 18, 2022
Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health
professional learners: a scoping review of the barr…
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psnet.ahrq.gov/node/73242/psn-pdf
May 12, 2021 - Strategies to prevent missed nursing care: an
international qualitative study based upon a positive
deviance approach.
May 12, 2021
Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international
qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
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psnet.ahrq.gov/node/853239/psn-pdf
September 06, 2023 - In their own words: safety and quality perspectives from
families of hospitalized children with medical complexity.
September 6, 2023
Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of
hospitalized children with medical complexity. J Hosp Med. 2023;18(9):777-786…
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - Patient and caregiver perspectives on causes and
prevention of ambulatory adverse events: multilingual
qualitative study.
July 31, 2024
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of
ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal
performance and system flaws in adverse events.
May 12, 2021
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal per…
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psnet.ahrq.gov/node/840480/psn-pdf
November 30, 2022 - Understanding how the design and implementation of
online consultations affect primary care quality:
systematic review of evidence with recommendations for
designers, providers, and researchers.
November 30, 2022
Darley S, Coulson T, Peek N, et al. Understanding how the design and implementation of online
consult…
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psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - Organisational culture: variation across hospitals and
connection to patient safety climate.
January 5, 2011
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to
patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511.
https:…
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psnet.ahrq.gov/node/50707/psn-pdf
December 04, 2019 - Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist an
useful tool to reduce them?
December 4, 2019
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist a…
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psnet.ahrq.gov/node/863219/psn-pdf
February 28, 2024 - Managing patient safety and staff safety in nursing
homes: exploring how leaders of nursing homes
negotiate their dual responsibilities- a case study.
February 28, 2024
Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes:
exploring how leaders of nursing homes negotiate…
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psnet.ahrq.gov/node/853432/psn-pdf
September 13, 2023 - Healthcare leaders' and elected politicians' approach to
support-systems and requirements for complying with
quality and safety regulation in nursing homes - a case
study.
September 13, 2023
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support-
systems and requir…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-riverside-handoffs-webcast-intro.pdf
October 30, 2024 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Introduction
Improving Hospital Handoffs Using AHRQ’s Surveys
on Patient Safety Culture® Hospital Survey
Webcast
October 30, 2024
1:00-2:00 PM ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A to s…
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psnet.ahrq.gov/node/60618/psn-pdf
June 24, 2020 - Differences between methods of detecting medication
errors: a secondary analysis of medication administration
errors using incident reports, the Global Trigger Tool
method, and observations.
June 24, 2020
Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication
errors: a …
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psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
June 27, 2018 - Newspaper/Magazine Article
Library-hospital pairing empowers patients, improves safety.
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March 7, 2016
This article describes the P…
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/cus.html
May 01, 2023 - Tool: CUS
Using the CUS technique provides another tool for advocacy, assertion, and mutual support. Signs with words such as "danger," "warning," and "caution" are common in the medical arena. They catch the viewer’s attention. In verbal communication, "CUS" and other signal phrases have a similar effect. If a…